Cancer-related fatigue: the scale of the problem
Open accessAbstract
Fatigue is one of the most common and debilitating symptoms experienced by patients with cancer. Cancer-related fatigue (CRF) is characterized by feelings of tiredness, weakness, and lack of energy, and is distinct from the "normal" drowsiness experienced by healthy individuals in that it is not relieved by rest or sleep. It occurs both as a consequence of the cancer itself and as a side effect of cancer treatment, although the precise underlying pathophysiology is largely unknown. CRF may be an early symptom of malignant disease and is reported by as many as 40% of patients at diagnosis. Virtually all patients expect fatigue from cancer therapy. Up to 90% of patients treated with radiation and up to 80% of those treated with chemotherapy experience fatigue. CRF continues for months and even years ollowing completion of treatment in approximately one third of the patients with cancer. The impact of CRF on a patient's quality of life (QoL), particularly in relation to physical functioning and the ability to perform activities of daily living, is both profound and pervasive. In addition, CRF is associated with considerable psychological distress and can impose a significant financial burden by limiting a patient's ability to work. These effects can extend to caregivers and family members, who may also have to reduce their working capacity in order to provide additional care for a patient with CRF. This paper examines the prevalence of CRF and explores the impact of this distressing symptom on patients' functioning and QoL. Disclosure of potential conflicts of interest is found at the end of this article.
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Fatigue is the most common side effect experienced by patients with advanced cancer.
“fatigue is the most common side effect experienced by patients with advanced cancer [41]”
From Pilot randomized trial of an acceptance-based telehealth intervention for women with ovarian cancer and PARP inhibitor-related fatigue (2023) · cites this paper as [41]
The section “Patients with a Variety of Cancers Experience Fatigue” reports that fatigue was the most commonly experienced side effect in a subset of breast-cancer patients receiving radiotherapy. The paper does not establish that it is the most common side effect specifically among patients with advanced cancer; its Introduction describes fatigue more broadly as one of the most prevalent symptoms in cancer patients. Page numbers are unavailable in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredCancer-related fatigue has a profound deleterious emotional, psychological, and social impact, as it interferes with daily activities and QOL and can ultimately reduce compliance with treatment.
“In addition, cancer-related fatigue has a profound deleterious emotional, psychological, and social impact, as it interferes with daily activities and QOL43 and can ultimately reduce compliance with treatment.44”
From Individualized, Single Session Yoga Therapy to Reduce Physical and Emotional Symptoms in Hospitalized Hematological Cancer Patients. (2019) · cites this paper as [43]
Cancer-related fatigue is frequently experienced disproportionate to exertion and is often not relieved by rest, making it distinct from and relatively intractable compared with non-cancer fatigue.
“Caused by both the cancer itself and by aggressive treatments, cancer-related fatigue is frequently experienced disproportionate to exertion and is often not relieved by rest, making it distinct from and relatively intractable compared with non-cancer fatigue.43”
From Individualized, Single Session Yoga Therapy to Reduce Physical and Emotional Symptoms in Hospitalized Hematological Cancer Patients. (2019) · cites this paper as [43]
Fatigue is a common health problem among cancer patients in recovery and cancer survivors.
“Fatigue is a common health problem among cancer patients in recovery and cancer survivors.1920)”
From Factors Associated with Depression Assessed by the Patient Health Questionnaire-2 in Long-Term Cancer Survivors (2016) · cites this paper as [19]
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“Subjects were split into 3 groups (low [9–17], intermediate [18–30], and high [31–63]) according to FSS score distribution (9–63 points).”
MethodWright, A. A., Poort, H., Tavormina, A., Schmiege, S. J., Matulonis, U. A., Campos, S. M., Liu, J. F., Slivjak, E. T., Gilmour, A. L., Salinger, J. M., et al. (2023) · Gynecologic Oncology · doi:10.1016/j.ygyno.2023.08.020 · Cited by 11 · see citing works
van Roozendaal, A. S., Schellekens, M. P. J., van Woezik, R. A. M., & van der Lee, M. L. (2023) · Psycho-Oncology · doi:10.1002/pon.6235 · Cited by 6 · see citing works
Clara, M. I., Stein, K., Canavarro, M. C., & Allen Gomes, A. (2023) · Acta Médica Portuguesa · doi:10.20344/amp.18797 · Cited by 5 · see citing works
- Authors
- Hofman, M., Ryan, J. L., Figueroa-Moseley, C. D., Jean-Pierre, P., & Morrow, G. R.
- Affiliations
- University of Rochester Medicine (US)
- a Department of Radiation Oncology, James P. Wilmot Cancer Center, Rochester, New York, USA
- Corresponding author
- Ryan, Julie L.
- Venue
- The Oncologist
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-05-01
- Volume
- 12
- Issue
- S1
- Pages
- 4-10
- ISSN
- 1083-7159 (ISSN-L)
- 1549-490X
- OpenAlex
- W2150471053
- Cited by
- 895
- References
- 51
- Citations by year
- 2026: 28 · 2025: 43 · 2024: 42 · 2023: 47 · 2022: 56 · 2021: 58 · 2020: 69 · 2019: 44 · 2018: 59 · 2017: 80 · 2016: 66 · 2015: 44 · 2014: 51 · 2013: 49 · 2012: 49
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- The Oncologist (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NCI (1R25-CA102618-01A1, 2U10 CA037420-20)
- American Cancer Society (RSG01071-01-PBP)
- Cephalon, Inc., Frazer, PA
- 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, prevalence, quality of life, physical function, activities of daily living, psychological distress, financial burden, work disability, caregiver burden, chemotherapy side effects, radiotherapy complications, tumor pathophysiology
- MeSH terms
- Fatigue, Humans, Neoplasms, Quality of Life
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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