Neuropsychologic Resource Utilization in Solid Tumor Survivors at a Single Institution: A Retrospective Chart Review

Survivors of childhood cancers are known to be at risk for neuropsychologic deficits. The underlying cause of these difficulties is multifactorial and neuropsychologic testing (NPT) can identify these deficits. This retrospective review describes NPT referral rates and neuropsychologic outcomes (ie, cognitive deficits and neurodevelopmental diagnoses) for survivors of solid tumors at a single institution, along with the role of having consultation with an academic liaison. In all, 176 charts were reviewed, of which 64 were referred for NPT and 42 completed NPT. Of the survivors who underwent NPT, 18 met criteria for a neurodevelopmental disorder (eg, ADHD) and 16 demonstrated a cognitive deficit or emotional concern. Consultation with an academic liaison was associated with higher rates of referral for NPT. Solid tumor survivors may be at risk of neuropsychologic deficits and should be referred for NPT as a standard of care.