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We performed a meta-analysis and systematic review on elderly survivors of war suffering from PTSD to estimate the variability in their cognitive impairment based on individual neuropsychological tests. We included case control studies that explored the association of cognitive deficits in elderly PTSD civilian survivor of wars (age 60 years), using MEDLINE, Embase and PsycINFO from the inception to January 2018. We compared the cognitive performances in three comparisons i) PTSD+ vs. PTSD- civilian survivors of war; ii) PTSD+ vs. Co