Performance of the Wisconsin Card Sorting Test in Oncopediatric Patients in an Oncology Unit in Cali, Colombia: A Cross-Sectional Observational Study

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dc.contributor.authorJiménez Urrego, Ángela María
dc.contributor.authorSanta, Valeria
dc.contributor.authorGuerrero Gómez, Manuel José
dc.contributor.authorGuerrero Benitez, Angie Carolina
dc.contributor.authorRomo González, Tania
dc.contributor.authorBotero Carvajal, Alejandro
dc.date.accessioned2025-07-10T16:24:47Z
dc.date.available2025-07-10T16:24:47Z
dc.date.issued2024
dc.description.abstractBackground: In 2020, the prevalence of cancer rose to 844,778 cases among the population aged 0–19 years. Approximately 90% of individuals under 18 years of age reside in low- and middle-income countries, where cancer survivors report adverse outcomes that negatively impact their general health, emotional state, and external factors such as academic performance due to the effect of these outcomes on executive functions. The Wisconsin Cart Sorting Test (WCST) is the gold standard for evaluating executive functioning. Therefore, this article (1) reports the performance of the Wisconsin Card Sorting Test (WCST) in oncopediatric patients from Cali, Colombia; (2) indicates the reliability of the WCST; (3) describes the association between cancer type and executive functioning in patients; (4) describes the differences between patients with various executive deficits and their executive total scores; and (5) describes the association between cancer type and the presence of brain deficits based on the WCST. Methods: In this cross-sectional observational study, 24 oncopediatric patients were interviewed and evaluated via the WCST. Results: The mean age was 12.08 years (SD 3.98); 20.8% of the patients were women, 70.8% had a primary diagnosis of leukemia, 8% exhibited acquired brain deficits, and more than 75% displayed adequate functional indicators of executive functions. Robust statistics were employed to explore the differences between the types of diagnosis and performance in executive functions, and no statistically significant differences were found (p = 0.156). We found that the WCST has a reliable Cronbach’s α of 0.804. Oncopediatric patients without brain deficits presented strong results in terms of executive functions (p = 0.002), with a moderate effect size (0.727). Conclusions: The WCST is reliable for discriminating executive functioning among pediatric cancer patients. The evidence suggests that there were no differences in the executive functioning of the participants based on the types of cancer being evaluated.
dc.identifier.citationJiménez Urrego, Á. M., Santa, V., Guerrero Gómez, M. J., Guerrero Benitez, A. C., Romo-González, T., & Botero Carvajal, A. (2024). Performance of the Wisconsin Card Sorting Test in Oncopediatric Patients in an Oncology Unit in Cali, Colombia: A Cross-Sectional Observational Study. Children, 11(7), 850. https://doi.org/10.3390/children11070850
dc.identifier.issn22279067
dc.identifier.urihttps://repositorio.usc.edu.co/handle/20.500.12421/7350
dc.language.isoen
dc.publisherMDPI
dc.subjectacademic achievement
dc.subjectArticle
dc.subjectbone tumor
dc.subjectcancer patient
dc.subjectcancer therapy
dc.subjectchild
dc.subjectchild protection
dc.subjectcross-sectional study
dc.subjecteducational status
dc.subjecteffect size
dc.subjectexecutive function
dc.subjectfemale
dc.subjecthuman
dc.subjectleukemia
dc.subjectlymphoma
dc.subjectmale
dc.subjectneurologic disease
dc.subjectneuropsychology
dc.subjectobservational study
dc.subjectoncology ward
dc.subjectoncopediatric patients
dc.subjectpalliative therapy
dc.subjectprevalence
dc.subjectschool child
dc.subjectWisconsin Card Sorting Test
dc.titlePerformance of the Wisconsin Card Sorting Test in Oncopediatric Patients in an Oncology Unit in Cali, Colombia: A Cross-Sectional Observational Study
dc.typeArticle

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