Cancer related fatigue: a focus on breast cancer and Hodgkin’s disease survivors
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BACKGROUND AND PURPOSE: Fatigue is one of the most common and troubling symptoms in cancer survivors. In this paper we review information about cancer related fatigue in survivors of breast cancer and Hodgkin's disease, discuss some of the potential biological mechanisms for this problem in cancer survivors, and briefly discuss potential interventions. FINDINGS: Cancer-related fatigue persists long after cancer treatments end, and is associated with more intensive treatments (combined chemotherapy and radiation therapy) in these cancers. Fatigue prior to the onset of treatment is a strong predictor of persistent fatigue. Studies in breast cancer survivors suggest elevated levels of pro-inflammatory cytokines in association with persistent fatigue, as well as abnormalities in the hypothalamic-pituitary axis. Psychosocial and physical activity interventions have been shown in some studies to alleviate fatigue. CONCLUSIONS: Recognizing the syndrome of cancer-related fatigue is a high priority for the many cancer survivors who continue to experience this complaint as a chronic health problem.
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Both CPSP and chronic fatigue are common consequences of breast cancer surgery, with disabling effects on recovery outcomes and quality of life.
“Even though both CPSP and chronic fatigue are common consequences of breast cancer surgery [7,52], with disabling effects on recovery outcomes and quality of life, hardly any studies have looked at preventive interventions from a psychological perspective.”
From Pre- and post-operative psychological interventions to prevent pain and fatigue after breast cancer surgery (PREVENT): Protocol for a randomized controlled trial (2022) · cites this paper as [52]
In “Fatigue after cancer and its treatments” (page not provided), the paper describes persistent fatigue as prevalent and disabling among breast cancer survivors, with substantial effects on functioning and quality of life. The Abstract (page not provided) lists surgery among cancer treatments associated with fatigue, but the paper does not establish how common chronic fatigue is specifically after breast cancer surgery or its effect on recovery outcomes. The separate CPSP claim is not assessed against this fatigue-focused citation. (LLM, conf=0.84)
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- Authors
- Ganz, P. A., & Bower, J. E.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Ganz, Patricia A.
- Venue
- Acta Oncologica
- Published
- 2007-01
- Volume
- 46
- Issue
- 4
- Pages
- 474-479
- ISSN
- 0284-186X (ISSN-L)
- 1651-226X
- OpenAlex
- W2066571531
- Cited by
- 88
- References
- 55
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 7 · 2015: 6 · 2014: 5 · 2013: 9 · 2012: 7
- FWCI
- 0.80
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Acta Oncologica (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Childhood Cancer Survivors' Quality of Life
- Keywords
- cancer-related fatigue, breast cancer survivors, inflammatory cytokines, hypothalamic-pituitary axis, psychosocial interventions, physical activity interventions, chronic fatigue
- MeSH terms
- Breast Neoplasms, Fatigue, Hodgkin Disease, Humans, Radiotherapy, Survivors, Drug-Related Side Effects and Adverse Reactions
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