Cognitive impairment following hormone therapy: current opinion of research in breast and prostate cancer patients

Curr Opin Support Palliat Care. 2017 Mar;11(1):38-45. doi: 10.1097/SPC.0000000000000251.

Abstract

Purpose of review: Hormone therapy is a common cancer treatment that may be associated with numerous side and late effects, and in recent years, has been linked to changes in cognition. Here, we present the most important recent findings from empirical studies and reviews that have focused on the effects of hormone therapy on cognitive functioning in breast and prostate cancer populations, underline some general shortcomings, and propose directions for future research.

Recent findings: Recent research indicates that cognitive impairment may occur in breast and prostate cancer patients following onset of hormone therapy. However, because of methodological shortcomings and heterogeneity of current research, conclusions regarding the effects of hormone therapy on cognitive functions remain tentative.

Summary: The review highlights the general findings while also describing the many methodological shortcomings that need to be addressed in future research. It is clear that larger scale neuropsychological studies that also evaluate the impact of impairments on daily life functioning will improve our understanding of the effects of hormone therapy on cognition and inform the development of appropriate interventions.

Publication types

  • Review
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Androgen Antagonists / adverse effects
  • Breast Neoplasms / drug therapy*
  • Clinical Trials as Topic
  • Cognitive Dysfunction / chemically induced*
  • Estrogen Antagonists / adverse effects
  • Female
  • Hormone Antagonists / administration & dosage*
  • Hormone Antagonists / therapeutic use
  • Humans
  • Male
  • Prostatic Neoplasms / drug therapy*
  • Selective Estrogen Receptor Modulators / adverse effects

Substances

  • Androgen Antagonists
  • Estrogen Antagonists
  • Hormone Antagonists
  • Selective Estrogen Receptor Modulators