Assessment of postoperative neurocognitive disorders in clinical studies: a scoping review

Valoración de los trastornos neurocognitivos postoperatorios en estudios clínicos: revisión exploratoria

Published 2022-09-06


https://doi.org/10.30554/archmed.22.1.4239.2022
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Vol. 22 No. 1 (2022): .
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Rojas Gualdrón, D. F., Restrepo Botero, M., Múnera García, T., Amaya Alviar, J. J., Barrera Agudelo, J., & Restrepo Bernal, D. (2022). Assessment of postoperative neurocognitive disorders in clinical studies: a scoping review. Archivos De Medicina , 22(1). https://doi.org/10.30554/archmed.22.1.4239.2022
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Rojas Gualdrón, D. F., Restrepo Botero, M., Múnera García, T., Amaya Alviar, J. J., Barrera Agudelo, J., & Restrepo Bernal, D. (2022). Assessment of postoperative neurocognitive disorders in clinical studies: a scoping review. Archivos De Medicina , 22(1). https://doi.org/10.30554/archmed.22.1.4239.2022

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Diego Fernando Rojas Gualdrón
Facultad de Medicina, Universidad CES
https://orcid.org/0000-0002-2293-0431 ORCID
Manuela Restrepo Botero
Facultad de Medicina, Universidad CES
https://orcid.org/0000-0002-0071-4439 ORCID
Tomás Múnera García
Facultad de Medicina, Universidad CES
https://orcid.org/0000-0002-8946-210X ORCID
Juan Jose Amaya Alviar
Facultad de Medicina, Universidad CES
https://orcid.org/0000-0001-5163-3199 ORCID
Juliana Barrera Agudelo
Facultad de Medicina, Universidad CES
https://orcid.org/0000-0002-0457-8462 ORCID
Diana Restrepo Bernal
Facultad de Medicina, Universidad CES
https://orcid.org/0000-0001-8555-6021 ORCID
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Objective: to analyze the definitions used in clinical studies to measure delayed neurocognitive recovery (dNCR) and postoperative neurocognitive disorder (pNCD). Methods: an exploratory review of the literature. Clinical studies on postoperative neurocognitive disorder published since 2013 in journals indexed in Pubmed or Scopus were included. We critically analyzed the methods for assessing dNCR and pNCD, considering as reference the consensus's recommendations. Results: we identified 13 studies, four randomized clinical trials, and nine observational studies. Only three of these studies used definitions consistent with the consensus for dNCR or pNCD. The main reasons for non-adherence were the measurement points and the non-exclusion of delirium and other mental disorders as potential cognitive decline causes. Conclusion: despite assuming the nomenclature of perioperative neurocognitive disorders, the studies failed to adhere to the diagnostic criteria and measurement points. We propose developing a Core Outcome Set as a strategy to advance to perform more homogeneous, high-quality, and relevant evidence for clinical decision making.

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