Cited by 438Cancer survivorship and careCancer-related cognitive impairment studiesFrailty in Older Adults

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Cancer-related fatigue: Inevitable, unimportant and untreatable? Results of a multi-centre patient survey

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Stone, P., Richardson, A., Ream, E., Smith, A.G., Kerr, D.J., Kearney, N.·2000·Annals of Oncology

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Abstract

Objectives To investigate cancer patients' experience of fatigue and their perceptions about the causes, management and impact of this symptom.Design Cross-sectional, questionnaire-based survey.Settings Three regional cancer centres; Glasgow, Birmingham and Southampton.Participants One thousand three hundred seven outpatients with cancer attending the three units over a 30-day period.Main outcome measures Investigator designed questionnaire and the fatigue sub-scale of the Functional Assessment of Cancer Therapy Fatigue (FACT-F) questionnaire.Results The response rate was 576 of 1307 (44%). Fatigue was reported to affect 58% of patients 'somewhat or very much'. The comparable figures for pain and nausea/vomiting were 22% and 18%, respectively. Fatigue had never been reported to the hospital doctor by 52% (281 of 538) of patients with this symptom. Only 75 patients (14%) had received treatment or advice about the management of their fatigue. Fatigue was reported to be not well-managed by 33% (180 of 538) of patients with this symptom. The comparable figures for pain and nausea/vomiting were 9% (46 of 538) and 7% (37 of 538), respectively. The median FACT-F score was 18 (range 0-52). On multivariate analysis 54% of the variation in FACT-F scores could be explained by the combination of quality of life, depression, dyspnoea, weight loss/anorexia and use of analgesics in the previous month.Conclusions Fatigue has been identified as an important problem by patients with cancer. It affects more patients for more of the time than any other symptom and is regarded by patients as being more important than either pain or nausea/vomiting. Research into the aetiology and management of this symptom should be regarded as a priority.

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Authors: Stone, P., Richardson, A., Ream, E., Smith, A. G., Kerr, D. J., & Kearney, N.
Affiliations: King's College London (GB)
Royal South Hants Hospital (GB)
University of Birmingham (GB)
University of Glasgow (GB)
ORCID: Stone, P.
Richardson, A.
Ream, E.
Smith, A.G.
Kearney, N.
Venue: Annals of Oncology
Publisher: Elsevier BV
Published: 2000-08
Volume: 11
Issue: 8
Pages: 971-976
ISSN: 0923-7534 (ISSN-L)
DOI: 10.1023/a:1008318932641
OpenAlex: W2267597394
Cited by: 438
References: 16
Citations by year: 2026: 2 · 2025: 15 · 2024: 9 · 2023: 12 · 2022: 12 · 2021: 13 · 2020: 16 · 2019: 7 · 2018: 13 · 2017: 16 · 2016: 25 · 2015: 24 · 2014: 22 · 2013: 27 · 2012: 13
FWCI: 5.78
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 7084 d)
Locations: Annals of Oncology (publishedVersion)
PubMed (publishedVersion)
Open Research (University of Surrey) (submittedVersion)
UCL Discovery (University College London) (submittedVersion)
Surrey Research Insight Open Access (The University of Surrey) (submittedVersion)
Research Portal (King's College London) (submittedVersion)
Funders: University Hospitals Birmingham NHS Foundation Trust
University of Birmingham
Cilag
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, patient experience, fatigue management, symptom management, quality of life, depression, dyspnea, weight loss, analgesic use, cancer outpatients, symptom burden
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Fatigue, Female, Health Surveys, Humans, Male, Middle Aged, Nausea, Neoplasms, Pain, Quality of Life, Vomiting, Weight Loss, Incidence

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Cancer-related fatigue: Inevitable, unimportant and untreatable? Results of a multi-centre patient survey

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