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Prevalence of Fatigue in Patients With Cancer: A Systematic Review and Meta-Analysis
Open accessAbstract
Context Fatigue is a particularly common and troubling symptom that has a negative impact on quality of life throughout all phases of treatment and stages of the illness among patients with cancer.Objectives The objective of this meta-analysis is to examine the present status of fatigue prevalence in patients with cancer.Methods The following databases were searched: PubMed, MEDLINE, EMBASE, PsycINFO, Cochrane Library, from inception up to February 2020. Prevalence rates were pooled with meta-analysis using a random-effects model. Heterogeneity was tested using I-squared (I 2) statistics.Results A total of 129 studies (N = 71,568) published between 1993 and 2020 met the inclusion criteria. The overall prevalence of fatigue was 49% (34,947 of 71,656 participants, 95% CI = 45-53) with significant heterogeneity between studies (P < 0.000; τ 2 = 0.0000; I 2 = 98.88%). Subgroup analyses show that the prevalence of fatigue related to type of cancer ranged from 26.2% in patients with gynecological cancer to 56.3% in studies that included mixed types of cancer. In advanced cancer stage patients, the highest prevalence of fatigue (60.6%) was reported. Fatigue prevalence rates were 62% during treatment and 51% during mixed treatment status. The prevalence of fatigue decreased from 64% in studies published from 1996 to 2000 to 43% in studies published from 2016 to 2020. Metaregression identified female gender as a significant moderator for higher prevalence of fatigue, whereas mean age is not associated with fatigue.Conclusion This meta-analysis highlights the importance of developing optimal monitoring strategies to reduce fatigue and improve the quality of life of patients with cancer.
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“and is particularly relevant in a cancer context, where stress and symptoms of depression and anxiety are common [33,53-55].”
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Metadata
- Authors
- Al Maqbali, M., Al Sinani, M., Al Naamani, Z., Al Badi, K., & Tanash, M. I.
- Affiliations
- Hashemite University (JO)
- Venue
- Journal of Pain and Symptom Management
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 61
- Issue
- 1
- Pages
- 167-189.e14
- ISSN
- 0885-3924 (ISSN-L)
- OpenAlex
- W3047104495
- Cited by
- 288
- References
- 170
- Citations by year
- 2026: 55 · 2025: 65 · 2024: 67 · 2023: 49 · 2022: 35 · 2021: 17
- FWCI
- 2.71
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of Pain and Symptom Management (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (Queen's University Belfast) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Oncology › Cancer-related cognitive impairment studies
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- cancer-related fatigue, fatigue prevalence, cancer patients, advanced cancer, cancer therapy, gynecologic cancer, gender differences, quality of life, symptom monitoring
- MeSH terms
- Fatigue, Female, Humans, Neoplasms, Quality of Life, Prevalence
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