Incidence of Neurocognitive Deficits in Patients After Treatment for Retinoblastoma With Multiple Anesthesia Exposures
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Pediatric Retinoblastoma
- Sponsor
- Memorial Sloan Kettering Cancer Center
- Enrollment
- 75
- Locations
- 1
- Primary Endpoint
- Comparing scores in neuropsychological testing results
- Status
- Recruiting
- Last Updated
- 10 months ago
Overview
Brief Summary
The purpose of this study is to see if there is a difference between the development of the brain (neurodevelopment) in children who have been treated for retinoblastoma with multiple anesthetic exposures, compared with brain development in children who have never had anesthesia.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 6 and \< 17 years old
Exclusion Criteria
- •Diagnosis of any secondary disease associated with developmental delay
- •History of second cancer diagnosis
- •Legal Blindness
- •Past surgery of any type, with the exception of enucleation for retinoblastoma
- •Past exposure to anesthesia for surgical intervention
- •More than one anesthesia encounter for surgical intervention before diagnosis at MSK
- •Past External Beam Radiation for treatment of retinoblastoma
- •Past systemic chemotherapy
- •Non-native speaker of English; however, children whose parents speak only Spanish will be included, because the tests for parents are available in Spanish
Outcomes
Primary Outcomes
Comparing scores in neuropsychological testing results
Time Frame: 6 weeks
The primary outcome is based on the Wechsler Intelligence Scale for Children, 5th edition (WISC-V) measured at follow up. The 5 primary index scores on the WISC-V (Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed) are based on 10 subtests and represent intellectual functioning in different cognitive areas. Similar to the FSIQ, the primary index scores are on a standard score metric with a mean of 100 (SD=15). The WISC-V consists of 16 subtests; each subtest is based on a scaled score metric with a mean of 10 and standard deviation (SD) of 3. Performance on these domain-specific subtests will be summarized and analyzed similarly to the FSIQ.