Chemotherapy-related cognitive impairment and non-pharmacological interventions targeting the nervous system: a systematic review - Summary - MDSpire

Chemotherapy-related cognitive impairment and non-pharmacological interventions targeting the nervous system: a systematic review

  • By

  • Norbert Dosa

  • Intouch Limvaree

  • Camila Bonin Pinto

  • Faddi Saleh Velez

  • Zalan Kaposzta

  • Zsofia Szarvas

  • Zachary C. Pope

  • Anna Csiszar

  • Wajeeha Razaq

  • Ryan D. Nipp

  • Andriy Yabluchanskiy

  • Peter Mukli

  • June 2, 2026

  • 0 min

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Objective:

To summarize the current evidence of cognitive improvement in cancer survivors receiving specific non-pharmacological interventions with neurostimulatory effects following chemotherapy.

Key Findings:
  • Mild improvements in cognitive outcomes were observed across all studies, suggesting potential benefits of non-pharmacological interventions.
  • Weaknesses in studies included small sample sizes, lack of control groups, and biased designs, which limit the generalizability of findings.
  • Only a handful of trials reported cognitive outcomes in CRCI interventions, indicating a gap in the literature.
Interpretation:

The systematic review highlights the need for large-scale randomized controlled trials that address the identified weaknesses to better assess the impact of non-pharmacological neurostimulatory techniques on CRCI.

Limitations:
  • Insufficient statistical power and testing, which may lead to unreliable conclusions.
  • Lack of control groups and randomization, compromising the internal validity of the studies.
  • Incorrect statistical methods used in studies, potentially skewing results.
Conclusion:

The review provides a rationale for further research into non-pharmacological interventions for CRCI, emphasizing the need for robust study designs.

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