Evidence map›Paper›PMID 40614969›Full record

ReviewTransplantation and cellular therapy2025

Assessing cognitive function in transplantation and chimeric antigen receptor t cell therapy recipients: Expert recommendations from the survivorship, aging and biobehavioral special interest groups of the American Society for Transplantation and Cellular Therapy.

Vanessa E Kennedy, Nausheen Ahmed, Andy Artz, Neel S Bhatt, Rachel Custatis, Manuel R Espinoza-Gutarra, Shatha Farhan, Robert J Ferguson, Betty Hamilton, Hannah Katz and 19 more

Abstract readReview
In one paragraph

Review in Transplantation and cellular therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

29 authors.

Vanessa E KennedyDivision of Blood and Marrow Transplantation and Cellular Therapy, Stanford University, Stanford, California. Electronic address: vek@stanford.edu.
Nausheen AhmedDivision of Hematologic Malignancy and Cellular Therapeutics, University of Kansas Cancer Center, Kansas City, Kansas.
Andy ArtzDepartment of Hematology and Hematopoietic Cell Transplantation, City of Hope Comprehensive Cancer Center, Duarte, California.
Neel S BhattDivision of Hematology/Oncology and Stem Cell Transplantation, Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
Rachel CustatisDivision of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Manuel R Espinoza-GutarraO'Neal Comprehensive Cancer Center, University of Alabama Birmingham, Birmingham, Alabama.
Shatha FarhanStem Cell Transplant & Cellular Therapy Program, Henry Ford Health, Detroit, Michigan.
Robert J FergusonDepartment of Psychology and Biobehavioral Sciences, St. Jude Children's Research Hospital, Memphis, Tennessee.
Betty HamiltonBlood and Marrow Transplant Program, Department of Hematology/Oncology, Cleveland Clinic, Cleveland, Ohio.
Hannah KatzDivision of Hematologic Malignancy and Cellular Therapeutics, University of Kansas Cancer Center, Kansas City, Kansas; Department of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, Kansas City, Kansas.
Debra L KellyLoewenberg College of Nursing, University of Memphis, Memphis, Tennessee.
Jennifer M KnightDepartment of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Catherine LeeClinical Research Division, Fred Hutchinson Cancer Center, Seattle, Washington.
Adam LinDivision of Hematology Oncology, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Richard LinDivision of Adult BMT and Cellular Therapy Services, Memorial Sloan Kettering Cancer Center, New York, New York.
Lathika MohanrajSchool of Nursing, Virginia Commonwealth University, Richmond, Virginia.
Pashna MunshiAbramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania.
Mariam NawasUniversity of Chicago Medical Center, Chicago, Illinois.
Ashley M NelsonDepartment of Psychiatry, Harvard Medical School and Massachusetts General Hospital, Boston, Massachusetts.
Silvina OdstracilHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah.
Rebecca OlinDivision of Hematology and Oncology, University of California San Francisco, San Francisco, California.
Rachel PhelanDivision of Pediatric Hematology/Oncology/Blood and Marrow Transplant, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Kelly E RentscherDivision of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.
Hélène SchoemansDepartment of Hematology, University Hospitals Leuven and KU Leuven, Belgium.
Anthony SungDivision of Hematologic Malignancy and Cellular Therapeutics, University of Kansas Cancer Center, Kansas City, Kansas.
Mallory R TaylorBen Towne Center for Childhood Cancer and Blood Disorders Research, Seattle, Washington.
Wiliam WoodDivision of Hematology, Department of Medicine, University of North Carolina at Chapel Hill, North Carolina.
Carrie H YuenHouston Methodist Hospital, Texas Medical Center, Houston, Texas.
Reena V Jayani-KosarzyckiDepartment of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Michael Jason de la Cruz · 1985 to 2026
$347.4M
CTSA K12 Program at StanfordK12TR004930 · NCATS · STANFORD UNIVERSITY · PI STEVEN M. ASCH, Eleni Linos · 2024 to 2026
$4.2M
NCATS NIH HHS K12 TR004930NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Cognitive impairment is a prevalent yet underexplored comorbidity and complication in hematopoietic stem cell transplantation (HCT) and chimeric antigen receptor T cell (CAR-T) therapy. Affecting up to one-half of patients, cognitive impairment may include acute phases, manifesting as transplantation-associated altered mentation and encephalopathy or immune effector cell-associated neurotoxicity syndrome, and may persist for years post-treatment as cancer-related cognitive impairment (CRCI). Such dysfunction undermines autonomy, healthcare management, work reintegration, and quality of life. This consensus review synthesizes current evidence on CRCI across the timeline of transplantation and cellular therapy (TCT), organized into pre-TCT, peri-TCT, and post-TCT phases, with additional focus on specific populations, including older adults and pediatric patients. It highlights gaps in the understanding of cognitive impairment risks, trajectory, and impact alongside the challenges of standardizing assessments in diverse practice settings. Key recommendations, endorsed by the American Society for Transplantation and Cellular Therapy's Aging, Biobehavioral Research, and Survivorship Special Interest Groups, advocate for cognitive assessment pretherapy and post-therapy using validated instruments such as the Montreal Cognitive Assessment or Blessed Orientation-Memory-Concentration Test. We also recommend supplementation with patient-reported outcome measures for comprehensive evaluation. We recommend action items for cases in which cognitive impairment is identified, including exclusion of alternative etiologies, reconsideration of therapy or caregiving plans, and referrals for additional evaluation and rehabilitation, among others. Practical guidance for implementation across clinical and research settings is provided, emphasizing the need for multidisciplinary strategies to address identified impairments. This work aims to establish a framework for systematic cognitive monitoring, improving patient outcomes and quality of life while guiding future research to address significant knowledge and implementation gaps.

Indexed as

CognitionCognitive DysfunctionHematopoietic Stem Cell TransplantationImmunotherapy, AdoptiveReceptors, Chimeric AntigenHumansQuality of LifeSurvivorshipReceptors, Chimeric AntigenBone marrow transplantationCAR-TCognitionCognitive functionHematopoietic cell transplantationPatient-reported outcomesStem cell transplantation

Identifiers

PMID40614969
PMCPMC13112439

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.