Nida Zahid, S Ather Enam, Thomas Mårtensson, Iqbal Azam, Naureen Mushtaq, Mariya Moochhala, Farrukh Javed, Faiza Kausar, Aneesa Hasan, Lal Rehman, M Nouman Mughal, Sadaf Altaf, Salman Kirmani, Nick Brown
INTRODUCTION: Primary brain tumors are a common cause of morbidity and mortality in children and young people (CYP) globally. Impaired neurocognitive function is a potential severe consequence in primary brain tumor (PBT) survivors. There are no in-depth studies from low- and middle-income countries (LMICs) to inform management and follow-up. The research questions of this study were as follows: Are the sociodemographic factors (lower age of CYP, female gender, low socioeconomic status, low parental education), disease-related factors (high grade of tumor, presence of seizures, presence of hydrocephalous), and treatment-related factors (adjuvant therapy, no surgical intervention, post-treatment seizures, placement of shunts) associated with decline in neurcognition outcomes 12 months post-treatment in CYP with PBTs? METHODS: A prospective cohort study was conducted from November 2020 to July 2023 at the Aga Khan University Hospital and Jinnah Postgraduate Medical Centre, tertiary care hospitals in Karachi, Pakistan...
February 16, 2024: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery