title: A review of cognitive screening tools in cancer.
abstract: Cancer-related cognitive impairment (CRCI) is highly prevalent, and assessment of cognition is crucial in providing optimal cancer care. Neuropsychological assessment (NPA) can be lengthy and expensive. Cognitive screening tools are plenty but validity has not been thoroughly studied for use in cancer patients.
  
  
  
  Our search of the recent literature revealed that the Montreal Cognitive Assessment, Mini-Mental State Examination, and Clock Draw Test were the most frequently studied objective screening tools. The Functional Assessment of Cancer Therapy-Cognitive Function and the Cognitive Symptom Checklist-Work 21 were the most commonly studied subjective measures of perceived cognitive impairment. Evidence supports using the Montreal Cognitive Assessment or the Clock Draw Test over the Mini-Mental State Examination to screen for cognitive impairment within specific patient populations. In addition, adding a subjective measure of cognitive impairment (e.g., Functional Assessment of Cancer Therapy-Cognitive Function) may increase diagnostic sensitivity.
  
  
  
  These suggest that cognitive screening tools may have a role in screening for CRCI, particularly when full NPA is not feasible. Researchers must continue to conduct high-quality studies to build an evidence to guide best practices in screening for CRCI.
authors.affiliation: aDepartment of Psychiatry, University of Toronto bOdette Cancer Centre, Sunnybrook Health Sciences Centre, Toronto, Ontario cDalhousie University, Halifax, Nova Scotia dLibrary Services, Sunnybrook Health Sciences Centre, Toronto, Ontario.
authors.forename: Elie
authors.initials: E
authors.lastname: Isenberg-Grzeda
authors.forename: Helen
authors.initials: H
authors.lastname: Huband
authors.forename: Henry
authors.initials: H
authors.lastname: Lam
mesh_terms: D060825:Cognitive Dysfunction / Q000175:diagnosis* / Q000453:epidemiology*; D006801:Humans; D009369:Neoplasms / Q000453:epidemiology*; D009483:Neuropsychological Tests / Q000592:standards*; D015995:Prevalence; D011594:Psychometrics; D015203:Reproducibility of Results; D057566:Self Report