<abstract xmlns="http://www.w3.org/1999/xhtml">

<sec><h3>Background</h3>
<p>High grade gliomas are associated with cognitive problems. The aim of the study was to investigate cognitive functioning in a cohort of patients with high grade glioma, according to isocitrate dehydrogenase (IDH) and methyl guanine methyl transferase (MGMT) status and other clinical characteristics.</p>
</sec>
<sec><h3>Patients and methods</h3>
<p>The patients with the high-grade glioma treated in Slovenia in given period of time were included in study. Postoperatively they completed neuropsychological assessment consisting of Slovenian Verbal Learning Test, Slovenian Controlled Oral Word Association Test, Trail Making Test Part A and B and self-evaluation questionnaire. We analysed results (z-scores and dichotomized results) also according to IDH mutation and MGMT methylation. We examined differences between groups using T-test, Mann-Whitney U, χ<sup>2</sup> and Kendall's Tau tests.</p>
</sec>
<sec><h3>Results</h3>
<p>Out of 275 patients in the cohort, we included 90. Forty-six percent of patients were unable to participate due to poor performance status and other conditions related to tumour. Patients with the IDH mutation were younger, with better performance status, larger proportions of grade III tumours and MGMT methylation. In this group cognitive functioning is significantly better in the domains of immediate recall, short delayed recall and delayed recall, and in the fields of executive functioning and recognition. There were no differences in cognitive functioning in regard to MGMT status. Grade III tumours were associated with more frequent MGMT methylation. Self-assessment proved week tool, associated only with immediate recall.</p>
</sec>
<sec><h3>Conclusions</h3>
<p>We found no differences in cognitive functioning according to MGMT status, but cognition was better when IDH mutation was present. In a cohort study of patients with high-grade glioma, almost half were unable to participate in a study, which points to an overrepresentation of patients with better cognitive functioning in the research.</p>
</sec>
</abstract>

Background
High grade gliomas are associated with cognitive problems. The aim of the study was to investigate cognitive functioning in a cohort of patients with high grade glioma, according to isocitrate dehydrogenase (IDH) and methyl guanine methyl transferase (MGMT) status and other clinical characteristics.

Patients and methods
The patients with the high-grade glioma treated in Slovenia in given period of time were included in study. Postoperatively they completed neuropsychological assessment consisting of Slovenian Verbal Learning Test, Slovenian Controlled Oral Word Association Test, Trail Making Test Part A and B and self-evaluation questionnaire. We analysed results (z-scores and dichotomized results) also according to IDH mutation and MGMT methylation. We examined differences between groups using T-test, Mann-Whitney U, χ2 and Kendall's Tau tests.

Results
Out of 275 patients in the cohort, we included 90. Forty-six percent of patients were unable to participate due to poor performance status and other conditions related to tumour. Patients with the IDH mutation were younger, with better performance status, larger proportions of grade III tumours and MGMT methylation. In this group cognitive functioning is significantly better in the domains of immediate recall, short delayed recall and delayed recall, and in the fields of executive functioning and recognition. There were no differences in cognitive functioning in regard to MGMT status. Grade III tumours were associated with more frequent MGMT methylation. Self-assessment proved week tool, associated only with immediate recall.

Conclusions
We found no differences in cognitive functioning according to MGMT status, but cognition was better when IDH mutation was present. In a cohort study of patients with high-grade glioma, almost half were unable to participate in a study, which points to an overrepresentation of patients with better cognitive functioning in the research.

Cognitive functioning in a cohort of high-grade glioma patients

Department of Psychology, Faculty of Arts

Radiology and Oncology

This work is licensed under the Creative Commons Attribution 4.0 International License.

{"article-title":"Cognitive functioning in a cohort of high-grade glioma patients"}

Background
High grade gliomas are associated with cognitive problems. The aim of the study was to investigate cognitive functioning in a cohort of patients...

Cognitive functioning in a cohort of high-grade glioma patients

Article Category: Research Article

Published Online: Jun 21, 2023

Page range: 201 - 210

Received: Nov 29, 2022

Accepted: Dec 31, 2022

DOI: https://doi.org/10.2478/raon-2023-0009

Keywords
cognition, high grade glioma, IDH1 mutation, MGMT methylation

© 2023 Andreja Cirila Skufca Smrdel et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Cognitive functioning in a cohort of high-grade glioma patients

Article Category: Research Article

Published Online: Jun 21, 2023

Page range: 201 - 210

Received: Nov 29, 2022

Accepted: Dec 31, 2022

DOI: https://doi.org/10.2478/raon-2023-0009

Keywordscognition, high grade glioma, IDH1 mutation, MGMT methylation

© 2023 Andreja Cirila Skufca Smrdel et al., published by Sciendo

This work is licensed under the Creative Commons Attribution 4.0 International License.

Keywords
cognition, high grade glioma, IDH1 mutation, MGMT methylation