Evidence mapPaperPMID 40772450Full record

ArticleCancer2025

Diabetes mellitus and neurocognition: A report from the Childhood Cancer Survivor Study.

Rachel T Webster, Sedigheh Mirzaei, Shalini Bhatia, Deo Kumar Srivastava, Sogol Mostoufi-Moab, Stephanie B Dixon, Eric J Chow, Gregory T Armstrong, Kevin R Krull, Ellen van der Plas

Abstract read
In one paragraph

Article in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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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

10 authors.

Rachel T WebsterSt Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0001-6216-1502
Sedigheh MirzaeiSt Jude Children's Research Hospital, Memphis, Tennessee, USA.
Shalini BhatiaSt Jude Children's Research Hospital, Memphis, Tennessee, USA.
Deo Kumar SrivastavaSt Jude Children's Research Hospital, Memphis, Tennessee, USA.
Sogol Mostoufi-MoabChildren's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Stephanie B DixonSt Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0003-3901-3274
Eric J ChowFred Hutchinson Cancer Center, Seattle, Washington, USA.
Gregory T ArmstrongSt Jude Children's Research Hospital, Memphis, Tennessee, USA.
Kevin R KrullSt Jude Children's Research Hospital, Memphis, Tennessee, USA.ORCID https://orcid.org/0000-0002-0476-7001
Ellen van der PlasUniversity of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.

Funding

ST JUDE CHILDRENS CANCER CENTER SUPPORT GRANT (CCSG)P30CA021765 · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · 1985 to 2025
$34.0M
CHILDHOOD CANCER SURVIVOR STUDYU24CA055727 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · 1999 to 2025
$21.6M
American Lebanese Syrian Associated CharitiesNCI NIH HHS P30 CA021765NCI NIH HHS U24 CA055727
6 · The paper itself

Abstract

backgroundThe objective of this research was to examine associations between diabetes mellitus (DM) and neurocognitive impairment in survivors of childhood cancer while exploring mechanistic associations with treatment exposures and moderating associations with cardiovascular disease (CVD) and risky lifestyle factors.

methodsSurvivors of the Childhood Cancer Survivor Study (N = 16,196; mean ± standard deviation age, 32.9 ± 7.9 years; 50.2% female; N = 615 with DM) self-reported neurocognitive functioning, risky drinking, physical inactivity, and tobacco use. Medical data were collected from chart review. Multivariable regression determined the association of DM with neurocognitive impairment while adjusting for relevant treatment exposures. Interactions between DM and treatment, risky lifestyle, and cardiovascular predictors on impairment were explored. Path analysis was used to examine the effects of treatment exposures through DM and CVD on impairment. Among survivors with DM, multivariable regressions examined predictors of neurocognitive change over time (mean, 11.21 years).

resultsSurvivors with DM had an increased risk of impairment relative to survivors without DM (task completion: odds ratio [OR], 1.5; 95% confidence limits [CI], 1.2-1.9; emotion regulation: OR, 1.4; 95% CI, 1.1-2.0; and organization: OR, 1.5; 95% CI, 1.1-2.0). The effects of cranial radiation on neurocognition were mediated by DM, including task completion (β = 0.02), emotion regulation (β = 0.02), memory (β = 0.01), and organization (β = 0.02; all p < .01). Among survivors with DM, CVD was associated with declines in task completion (estimate = 0.44; p < .01) and organization (estimate = 0.27; p = .03).

conclusionsSurvivors with DM are at increased risk of neurocognitive impairment. Although CVD did not exacerbate concurrent risk for impairment, it was associated with a decline in neurocognitive functioning over time in survivors with DM. Preventing/managing CVD in survivors with DM could mitigate additional neurocognitive decline.

Indexed as

Cancer SurvivorsCognitive DysfunctionDiabetes MellitusNeoplasmsAdolescentAdultCardiovascular DiseasesChildFemaleHumansMaleRisk FactorsYoung Adultcardiovascular diseasechildhood cancer survivordiabetes mellitusneurocognitive impairmentrisky lifestyle behaviors

Identifiers

PMID40772450
PMCPMC12333554

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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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.