Neuropsychological evaluation of children with brain tumors in Denmark, 2010–2020: a nationwide cohort study

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ID: 329361
2026
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Abstract
Abstract Background Survivors of childhood central nervous system (CNS) tumors are at high risk of neurocognitive impairment, and international guidelines recommend routine neuropsychological evaluation (NE) during follow-up. However, little is known about how consistently these recommendations were implemented in Danish clinical practice. This study examined the occurrence of NE among children diagnosed with CNS tumors in Denmark. Methods In this nationwide retrospective cohort study, we identified all children aged 0─17 years diagnosed with CNS tumors in Denmark between 2010 and 2020 (N = 446) using the Danish Childhood Cancer Registry. Medical records were reviewed to determine whether patients had received an NE. Time to first evaluation was analyzed using Cox regression to examine associations with age, sex, and treatment center. Results Overall, 34.3% of patients received at least one NE during follow-up. Among patients alive two years after diagnosis, 28.8% had received an NE; this proportion increased to 36.4% among patients who were alive five years after diagnosis. Among children diagnosed before age seven, the likelihood of receiving an NE increased with age. The likelihood of evaluation also differed between treatment centers. Conclusions Despite international recommendations for routine neuropsychological follow-up, only a minority of children with CNS tumors in Denmark received an NE during the study period. These findings describe neuropsychological follow-up in Denmark from 2010 to 2020, prior to the implementation of more systematic national initiatives. They highlight an unmet need for systematic neuropsychological monitoring in pediatric neuro-oncology survivorship care.
Reference Key
openalex_W7213964820 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors
Journal Neuro-Oncology Practice
Year 2026
DOI
10.1093/nop/npag074
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