Determining Whether Multiple Anesthesia Exposures Affect Cognitive Function for Retinoblastoma Patients

Study Overview
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Brief Summary
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The purpose of this study is to see if there is a difference between the development of the brain (neurodevelopment) in children who have been treated for retinoblastoma with multiple anesthetic exposures, compared with brain development in children who have never had anesthesia.

Official Title
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Incidence of Neurocognitive Deficits in Patients After Treatment for Retinoblastoma With Multiple Anesthesia Exposures

Conditions
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Pediatric Retinoblastoma, Retinoblastoma

Intervention / Treatment
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* Other: Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V)
* Other: California Verbal Learning Test, Children's Version
* Other: Beery Developmental Test of Visual Motor Integration, 6th edition
* Other: Grooved Pegboard Test
* Other: Behavior Assessment System for Children/Parent Report


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age ≥ 6 and < 17 years old Exclusion Criteria: Diagnosis of any secondary disease associated with developmental delay History of second cancer diagnosis Legal Blindness Past surgery of any type, with the exception of enucleation for retinoblastoma Past exposure to anesthesia for purposes other than retinoblastoma examination More than one anesthesia encounter before diagnosis at MSK Past External Beam Radiation for treatment of retinoblastoma Past systemic chemotherapy Non-native speaker of English; however, children whose parents speak only Spanish will be included, because the tests for parents are available in Spanish

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Wechsler Intelligence Scale for Children, Fifth Edition (WISC-V)|the WISC-V assessment produces a Full Scale IQ (FSIQ) used for primary power consideration in this study. The FSIQ is the most comprehensive global ability score on the WISC-V, and it has been conventionally reported and interpreted as an estimation of overall intellectual ability|
|Other: California Verbal Learning Test, Children's Version|Used to assess verbal learning and memory in children and adolescents|
|Other: Beery Developmental Test of Visual Motor Integration, 6th edition|Helps assess visual-motor skills in children and adults.|
|Other: Grooved Pegboard Test|Measures dexterity|
|Other: Behavior Assessment System for Children/Parent Report|The Behavior Assessment System for Children/Parent Report is a questionnaire that assesses the social-emotional and behavioral functioning (e.g., anxiety, depression, attention, hyperactivity, adaptability, leadership, social skills, etc.) in children between the ages of 2 and 22 years, and is available in English and Spanish.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparing scores in neuropsychological testing results | The primary outcome is based on the Wechsler Intelligence Scale for Children, 5th edition (WISC-V) measured at follow up. The 5 primary index scores on the WISC-V (Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed) are based on 10 subtests and represent intellectual functioning in different cognitive areas. Similar to the FSIQ, the primary index scores are on a standard score metric with a mean of 100 (SD=15). The WISC-V consists of 16 subtests; each subtest is based on a scaled score metric with a mean of 10 and standard deviation (SD) of 3. Performance on these domain-specific subtests will be summarized and analyzed similarly to the FSIQ. | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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18-126, Memorial Sloan Kettering Cancer Center