Cited by 158Cancer survivorship and careClinical practice guidelines implementationFrailty in Older Adults

The DOI matches its Crossref record; 60 of the 60 references it cites were found in a registry or an index.

A Pan-Canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-Related Fatigue

Open access

Howell, D., Keller–Olaman, S., Oliver, T.K., Hack, T.F., Broadfield, L., Biggs, K., Chung, J., Gravelle, D., Green, E., Hamel, M., Harth, T., Johnston, P., McLeod, D., Swinton, N., Syme, A., Olson, K.·2013·Current Oncology

DOI 10.3747/co.20.1302PMC PMC3671030

Open this paper in CoChat — free account Open PDF

Abstract

Purpose: The purpose of the present systematic review was to develop a practice guideline to inform health care providers about screening, assessment, and effective management of cancer-related fatigue (CRF) in adults. Methods: The internationally endorsed adapte methodology was used to develop a practice guideline for pan-Canadian use. A systematic search of the literature identified a broad range of evidence: clinical practice guidelines, systematic reviews, and other guidance documents on the screening, assessment, and management of CRF. The search included MEDLINE, EMBASE, CINAHL, the Cochrane Library, and other guideline and data sources to December 2009. Results: Two clinical practice guidelines were identified for adaptation. Seven guidance documents and four systematic reviews also provided supplementary evidence to inform guideline recommendations. Health professionals across Canada provided expert feedback on the adapted recommendations in the practice guideline and algorithm through a participatory external review process. Conclusions: Practice guidelines can facilitate the adoption of evidence-based assessment and interventions for adult cancer patients experiencing fatigue. Development of an algorithm to guide decision-making in practice may also foster the uptake of a guideline into routine care.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.3747/co.20.1302

Cites

60 of 60 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

AGREE II: advancing guideline development, reporting and evaluation in health care
Brouwers, M. C., Kho, M. E., Browman, G. P., Burgers, J. S., Cluzeau, F., Feder, G., Fervers, B., Graham, I. D., Grimshaw, J., Hanna, S. E., et al. (2010) · Canadian Medical Association Journal · doi:10.1503/cmaj.090449 · Cited by 3,790
The National Comprehensive Cancer Network (NCCN).
Wood, E. H. (2004) · Europe PMC (PubMed Central) · Cited by 2,834
The Edmonton Symptom Assessment System (ESAS): A Simple Method for the Assessment of Palliative Care Patients
Bruera, E. D., Kuehn, N., Miller, M. J., Selmser, P., & Macmillan, K. (1991) · Journal of Palliative Care · doi:10.1177/082585979100700202 · Cited by 2,686
Closing the gap between research and practice: an overview of systematic reviews of interventions to promote the implementation of research findings
Bero, L. A., Grilli, R., Grimshaw, J. M., Harvey, E., Oxman, A. D., & Thomson, M. A. (1998) · BMJ · doi:10.1136/bmj.317.7156.465 · Cited by 2,396
Clinical practice guidelines : directions for a new program
Field, M. J., & Lohr, K. N. (1990) · Cited by 1,415
Impact of Cancer-Related Fatigue on the Lives of Patients: New Findings From the Fatigue Coalition
Curt, G. A., Breitbart, W., Cella, D., Groopman, J. E., Horning, S. J., Itri, L. M., Johnson, D. H., Miaskowski, C., Scherr, S. L., Portenoy, R. K., et al. (2000) · The Oncologist · doi:10.1634/theoncologist.5-5-353 · Cited by 1,248
Exercise for the management of cancer-related fatigue in adults
Cramp, F., & Byron-Daniel, J. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd006145.pub3 · Cited by 1,096
Defining knowledge translation
Straus, S. E., Tetroe, J., & Graham, I. D. (2009) · Canadian Medical Association Journal · doi:10.1503/cmaj.081229 · Cited by 984
Nutrition and physical activity during and after cancer treatment: An American Cancer Society guide for informed choices
Doyle, C., Kushi, L. H., Byers, T., Courneya, K. S., Demark-Wahnefried, W., Grant, B., McTiernan, A., Rock, C. L., Thompson, C., Gansler, T., et al. (2006) · CA: A Cancer Journal for Clinicians · doi:10.3322/canjclin.56.6.323 · Cited by 950
Comparison of adaptive pacing therapy, cognitive behaviour therapy, graded exercise therapy, and specialist medical care for chronic fatigue syndrome (PACE): a randomised trial
White, P., Goldsmith, K., Johnson, A., Potts, L., Walwyn, R., DeCesare, J., Baber, H., Burgess, M., Clark, L., Cox, D., et al. (2011) · The Lancet · doi:10.1016/s0140-6736(11)60096-2 · Cited by 897

Show all 58 references

Research works printed but not linked: 4

Brown L, Kroenke K. Cancer-related fatigue and its as- sociation with depression and anxiety: a systematic review. Psychosomatics 2009;50:440-7.
Chang VT, Hwang SS, Feuerman M. Validation of the Edmon- ton Symptom Assessment Scale. Cancer 2000;88:2164-71.
Bower JE, Ganz PA, Desmond KA, et al. Fatigue in long- term breast carcinoma survivors: a longitudinal investigation. Cancer 2006;106:751-8.
Fong DY, Ho JW, Hui BP, et al. Physical activity for cancer survivors: meta-analysis of randomized controlled trials. BMJ 2012;344:e70.

Sorted by citations

Breast Cancer, Version 4.2017, NCCN Clinical Practice Guidelines in Oncology
Gradishar, W. J., Anderson, B. O., Balassanian, R., Blair, S. L., Burstein, H. J., Cyr, A. E., ELIAS, A. D., Farrar, W. B., Forero, A., Giordano, S. H., et al. (2018) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2018.0012 · Cited by 1,612
Cancer-Related Fatigue, Version 2.2015
Berger, A. M., Mooney, K. H., Alvarez-Perez, A., BREITBART, W. S., Carpenter, K. M., Cella, D. F., Cleeland, C. S., Dotan, E., Eisenberger, M. A., Escalante, C. P., et al. (2015) · Journal of the National Comprehensive Cancer Network · doi:10.6004/jnccn.2015.0122 · Cited by 997
Screening, Assessment, and Management of Fatigue in Adult Survivors of Cancer: An American Society of Clinical Oncology Clinical Practice Guideline Adaptation
Bower, J. E., Bak, K., Berger, A., Breitbart, W., Escalante, C. P., Ganz, P. A., Schnipper, H. H., Lacchetti, C., Ligibel, J. A., Lyman, G. H., et al. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.53.4495 · Cited by 671
“Data adapted with permission.(9) Fatigue in Adult Cancer Survivors”
Method
American Cancer Society Colorectal Cancer Survivorship Care Guidelines
El‐Shami, K., Oeffinger, K. C., Erb, N. L., Willis, A., Bretsch, J. K., Pratt‐Chapman, M. L., Cannady, R. S., Wong, S. L., Rose, J., Barbour, A. L., et al. (2015) · CA: A Cancer Journal for Clinicians · doi:10.3322/caac.21286 · Cited by 475
Prevalence and characteristics of moderate to severe fatigue: A multicenter study in cancer patients and survivors
Wang, X. S., Zhao, F., Fisch, M. J., O’Mara, A. M., Cella, D. F., Mendoza, T. R., & Cleeland, C. S. (2013) · Cancer · doi:10.1002/cncr.28434 · Cited by 367
Cancer-related fatigue and associated disability in post-treatment cancer survivors
Jones, J. M., Olson, K. L., Catton, P. A., Catton, C., Fleshner, N. E., Krzyzanowska, M. K., McCready, D. R., Wong, R. K. S., Jiang, H., & Howell, D. (2015) · Journal of Cancer Survivorship · doi:10.1007/s11764-015-0450-2 · Cited by 368
Self-citation
Beyond treatment – Psychosocial and behavioural issues in cancer survivorship research and practice
Aaronson, N. K., Mattioli, V., Minton, O., Weis, J., Johansen, C., Dalton, S. O., Leeuw, I. M. V., Stein, K., Alfano, C. M., Mehnert-Theuerkauf, A., et al. (2014) · European Journal of Cancer Supplements · doi:10.1016/j.ejcsup.2014.03.005 · Cited by 251
“[24] Howell D, Keller-Olaman S, Oliver TK, Hack TF, Broadfield L, Biggs K, et al.”
Clinical pathway for the screening, assessment and management of anxiety and depression in adult cancer patients: Australian guidelines
Butow, P., Price, M., Shaw, J., Turner, J., Clayton, J., Grimison, P., Rankin, N., & Kirsten, L. (2015) · Psycho-Oncology · doi:10.1002/pon.3920 · Cited by 178
Screening, evaluation, and management of cancer‐related fatigue: Ready for implementation to practice?
Berger, A. M., Mitchell, S. A., Jacobsen, P. B., & Pirl, W. F. (2015) · CA A Cancer Journal for Clinicians · doi:10.3322/caac.21268 · Cited by 207
“Evidence-based guidelines that support achievement of these expected outcomes were published by NCCN4 and ONS76 and provided the foundation for the fatigue multidisciplinary management guidelines articulated by CPAC/CAPO and ASCO.9,10 Evidence-based information about managing fatigue also is available for patients fro…”
Exercise interventions for individuals with advanced cancer: A systematic review
Dittus, K. L., Gramling, R. E., & Ades, P. A. (2017) · Preventive Medicine · doi:10.1016/j.ypmed.2017.07.015 · Cited by 191
“The pan-Canadian practice guideline for cancer related fatigue recommends exercise interventions for all stages of cancer including those receiving palliative care (Howell et al., 2013).”
Background
Longitudinal Changes in Depression Symptoms and Survival Among Patients With Lung Cancer: A National Cohort Assessment.
Sullivan, D. R., Forsberg, C., Ganzini, L., Au, D., Gould, M., Provenzale, D., & Slatore, C. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2016.66.8459 · Cited by 137
“High school 242 (22) 125 (18) 154 (24) 21 (20) 24 (15) 49 (19) Unknown 3 (, 1) 0 1 (, 1) 0 0 0 Marital status Married/partner 663 (60) 348 (51) 408 (64) 60 (57) 91 (58) 123 (48) Not married 373 (34) 301 (44) 188 (29) 39 (37) 59 (38) 119 (47) Refused/unknown/missing 73 (7) 32 (5) 44 (7) 6 (6) 6 (4) 12 (5) Smoking statu…”
Screening, Assessment, and Care of Anxiety and Depressive Symptoms in Adults With Cancer: An American Society of Clinical Oncology Guideline Adaptation
Andersen, B. L., Rowland, J. H., & Somerfield, M. R. (2015) · Journal of Oncology Practice · doi:10.1200/jop.2014.002311 · Cited by 123
Sleep-wake disturbance in patients with brain tumors
Armstrong, T. S., Shade, M. Y., Breton, G., Gilbert, M. R., Mahajan, A., Scheurer, M. E., Vera, E. M., & Berger, A. M. (2016) · Neuro-Oncology · doi:10.1093/neuonc/now119 · Cited by 102
Psychosocial care in cancer: an overview of psychosocial programmes and national cancer plans of countries within the International Federation of Psycho‐Oncology Societies
Grassi, L. G., Watson, M., & on behalf of the IPOS Federation of Psycho‐Oncology Societies' co‐authors (2012) · Psycho-Oncology · doi:10.1002/pon.3154 · Cited by 97
Influence of Yoga on Cancer-Related Fatigue and on Mediational Relationships Between Changes in Sleep and Cancer-Related Fatigue: A Nationwide, Multicenter Randomized Controlled Trial of Yoga in Cancer Survivors
Lin, P.-J., Kleckner, I. R., Loh, K. P., Inglis, J. E., Peppone, L. J., Janelsins, M. C., Kamen, C. S., Heckler, C. E., Culakova, E., Pigeon, W. R., et al. (2019) · Integrative Cancer Therapies · doi:10.1177/1534735419855134 · Cited by 92
“3 Gender, n (%) Female 344 (96) 169 (95) 175 (97) Male 14 (4) 8 (5) 6 (3) Race/ethnicity, n (%) White 334 (93) 170 (96) 164 (91) African American 21 (6) 6 (3) 15 (8) Other 3 (1) 1 (1) 2 (1) Marital status, n (%) Married or committed relationship 261 (73) 126 (71) 137 (75) Separated/divorced 52 (15) 25 (14) 27 (15) Wid…”
Long-term and Short-term Effects of Insomnia in Cancer and Effective Interventions
Davis, M. P., & Goforth, H. W. (2014) · The Cancer Journal · doi:10.1097/ppo.0000000000000071 · Cited by 87
Supportive care during treatment for breast cancer: Resource allocations in low- and middle-income countries. A Breast Health Global Initiative 2013 consensus statement
Cardoso, F., Beşe, N., Distelhorst, S. R., Bevilacqua, J. L. B., Ginsburg, O., Grunberg, S. M., Gralla, R. J., Steyn, A., Pagani, O., Partridge, A. H., et al. (2013) · The Breast · doi:10.1016/j.breast.2013.07.050 · Cited by 85
“vomiting[29e33], mucositis[34], diarrhea[35], depression and”
Clinical Practice Guidelines and Consensus Statements in Oncology – An Assessment of Their Methodological Quality
Jacobs, C. M., Graham, I. D., Makarski, J., Chassé, M., Fergusson, D. A., Hutton, B., & Clemons, M. J. (2014) · PLoS ONE · doi:10.1371/journal.pone.0110469 · Cited by 70
Fatigue, quality of life and physical fitness following an exercise intervention in multiple myeloma survivors (MASCOT): an exploratory randomised Phase 2 trial utilising a modified Zelen design
Koutoukidis, D. A., Land, J., Hackshaw, A. K., Heinrich, M., McCourt, O., Beeken, R. J., Philpott, S., De‐Silva, D., Rismani, A., Rabin, N. K., et al. (2020) · British Journal of Cancer · doi:10.1038/s41416-020-0866-y · Cited by 69
Academic Clinicians’ Workload Challenges and Burnout Analysis
Nassar, A. K., Waheed, A., & Tuma, F. (2019) · Cureus · doi:10.7759/cureus.6108 · Cited by 66
“This is in contrast to allied healthcare professionals who have had systems in place for decades due to the salaried nature of their roles and accountability requirements [7].”
Result
Prevalence, characteristics, and treatment of fatigue in oncological cancer patients in Italy: a cross-sectional study of the Italian Network for Supportive Care in Cancer (NICSO)
on behalf of NICSO (Network Italiano per le Cure di Supporto in Oncologia), Roila, F., Fumi, G., Ruggeri, B., Antonuzzo, A., Ripamonti, C. I., Fatigoni, S., Cavanna, L., Gori, S., Fabi, A., et al. (2018) · Supportive Care in Cancer · doi:10.1007/s00520-018-4393-9 · Cited by 57
Cancer-related fatigue: a survey of health practitioner knowledge and practice
Pearson, E. J. M., Morris, M. E., & McKinstry, C. (2015) · Supportive Care in Cancer · doi:10.1007/s00520-015-2723-8 · Cited by 57
“It is recommended that scope of practice for health professionals and clear referral pathways be locally defined for implementation of comprehensive care models for CRF [6].”
Background
Cancer related fatigue: implementing guidelines for optimal management
Pearson, E. J. M., Morris, M. E., & McKinstry, C. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2415-9 · Cited by 47
Screening and Assessment of Cancer-Related Fatigue: A Clinical Practice Guideline for Health Care Providers
Fisher, M. I., Cohn, J. C., Harrington, S., Lee, J. Q., & Malone, D. J. (2022) · Physical Therapy · doi:10.1093/ptj/pzac120 · Cited by 54
Cognitive Behavioral Therapy for Insomnia, Mindfulness, and Yoga in Patients With Breast Cancer with Sleep Disturbance: A Literature Review
Zeichner, S. B., Zeichner, R. L., Gogineni, K., Shatil, S., & Ioachimescu, O. (2017) · Breast Cancer Basic and Clinical Research · doi:10.1177/1178223417745564 · Cited by 43
Post-exertional Malaise in People With Chronic Cancer-Related Fatigue
Twomey, R., Yeung, S. T., Wrightson, J. G., Millet, G. Y., & Culos-Reed, S. N. (2020) · Journal of Pain and Symptom Management · doi:10.1016/j.jpainsymman.2020.02.012 · Cited by 38
Patient-Reported Quality of Supportive Care Among Patients With Colorectal Cancer in the Veterans Affairs Health Care System
van Ryn, M., Phelan, S. M., Arora, N., Haggstrom, D. A., Jackson, G. L., Zafar, S. Y., Griffin, J. M., Zullig, L. L., Provenzale, D., Yeazel, M. W., et al. (2014) · Journal of Clinical Oncology · doi:10.1200/jco.2013.49.4302 · Cited by 38
“specify several interpersonal processes of care, including rapid and comprehensive assessment and clear communication and information, as essential to quality of care.(1,9-13) These interpersonal quality-of-care processesarealsodifficult toassessfrommedicalrecorddataalone, indicating thatmeasuringpatients’ self-report…”
Background
The evidence on effectiveness of weekly vs triweekly cisplatin concurrent with radiotherapy in locally advanced head and neck squamous cell carcinoma (HNSCC): a systematic review and meta-analysis
Jacinto, J. K. M., Co, J. L., Mejia, M. B. A., & Regala, E. E. (2017) · British Journal of Radiology · doi:10.1259/bjr.20170442 · Cited by 38
RESTORE: an exploratory trial of a web-based intervention to enhance self-management of cancer-related fatigue: findings from a qualitative process evaluation
Myall, M., May, C. R., Grimmett, C., May, C., Calman, L. A., Richardson, A. M., & Foster, C. L. (2015) · BMC Medical Informatics and Decision Making · doi:10.1186/s12911-015-0214-y · Cited by 40
“Reasons cited included: lack of awareness and information about CRF; needing advice and suggestions for managing CRF; and reassurance that how they felt was ‘normal’: It would have been nicer earlier … because I think it was for the first couple of years that I really kind of struggled the most … it really was the fir…”
BackgroundInfluential
Cancer-related fatigue: appraising evidence-based guidelines for screening, assessment and management
Pearson, E. J. M., Morris, M. E., & McKinstry, C. (2016) · Supportive Care in Cancer · doi:10.1007/s00520-016-3228-9 · Cited by 36
“The 2015 CAPO guideline for cancer-related fatigue appears to be appropriate for clinical use worldwide.”
BackgroundInfluential
Association between cancer-related fatigue and traditional Chinese medicine body constitution in female patients with breast cancer
Deng, S.-M., Chiu, A., Wu, S.-C., Huang, Y., Huang, S.-C., Chen, S., & Tsai, M.-Y. (2020) · Journal of Traditional and Complementary Medicine · doi:10.1016/j.jtcme.2020.08.005 · Cited by 34
The association of cancer-related fatigue on the social, vocational and healthcare-related dimensions of cancer survivorship
Jones, J. M., Howell, D., Longo, C. J., Olson, K. L., Bedard, P. L., Amir, E., Zheng, S., Chow, B., & Avery, L. M. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-023-01451-9 · Cited by 39
“Based on a growing body of intervention research, guidelines for the management of CRF have been developed and adopted by cancer organisations [13, 17, 116, 117].”
Self-citation
The Interdisciplinary Rehabilitation Care Team and the Role of Physical Therapy in Survivor Exercise
McNeely, M. L., Dolgoy, N. D., Onazi, M. M. A., & Suderman, K. (2016) · Clinical journal of oncology nursing · doi:10.1188/16.cjon.s2.8-16 · Cited by 34
“The pathology of CRF is not well understood, and the presentation can vary widely among survivors, rendering treatment of CRF a challenge from the perspective of prescribing exercise (Howell et al., 2013).”
Background
Fatigue, a major still underestimated issue
Ripamonti, C. I., Antonuzzo, A., Bossi, P., Cavalieri, S., Roila, F., & Fatigoni, S. (2018) · Current Opinion in Oncology · doi:10.1097/cco.0000000000000451 · Cited by 32
Cooking for Vitality: Pilot Study of an Innovative Culinary Nutrition Intervention for Cancer-Related Fatigue in Cancer Survivors
Pritlove, C., Capone, G., Kita, H., Gladman, S., Maganti, M. D., & Jones, J. M. (2020) · Nutrients · doi:10.3390/nu12092760 · Cited by 32
The importance of self-care for fatigue amongst patients undergoing chemotherapy for primary cancer
Regan, P., & Hegarty, J. M. (2017) · European Journal of Oncology Nursing · doi:10.1016/j.ejon.2017.02.005 · Cited by 35
“…symptom that has been shown to contribute to: impaired physical and cognitive functioning, significant socioeconomic costs, shorter hegarty@ucc.ie (J. Hegarty). survival and increased mortality rates (Piper et al., 2008; Howell et al., 2013; Jones et al., 2015; Weis and Horneber, 2015).”
Background
Multi-stakeholder perspectives on managing insomnia in cancer survivors: recommendations to reduce barriers and translate patient-centered research into practice
Garland, S. N., Trevino, K. M., Liou, K. T., Gehrman, P., Spiguel, E., MacLeod, J., Walker, D. A. H., Glosik, B., Seluzicki, C. M., Barg, F. K., et al. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-021-01001-1 · Cited by 30
Trends in the prevalence and treatment of comorbid depression among US adults with and without cancer, 2005–2020
Yan, G., Zhang, Q., Yan, Y., Zhang, Y., Li, Y., Liu, M., & Tian, W. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.08.091 · Cited by 29
Cancer-related fatigue: benefits of information booklets to improve patients’ knowledge and empowerment
Schmidt, M. E., Milzer, M., Weiß, C., Reinke, P., Grapp, M., & Steindorf, K. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-06833-w · Cited by 28
Neuromuscular, Psychological, and Sleep Predictors of Cancer-Related Fatigue in Cancer Patients
Chartogne, M., Rahmani, A., Landry, S., Bourgeois, H. P., Peyrot, N., & Morel, B. (2020) · Clinical Breast Cancer · doi:10.1016/j.clbc.2020.12.002 · Cited by 27
Clinical Predictors of Fatigue in Men With Non-Metastatic Prostate Cancer Receiving External Beam Radiation Therapy
Feng, L., Chen, M., Lukkahatai, N., Hsiao, C., Kaushal, A., SECHREST, L. B., & Saligan, L. N. (2015) · Clinical journal of oncology nursing · doi:10.1188/15.cjon.744-750 · Cited by 24
“CJON.744-750 © Mark Kostich/iStock/Thinkstock C ancer-related fatigue (CRF) is defined as a sense of tiredness that persists over time, interferes with activities of daily living, and is not relieved by adequate rest (Hall, Mishel, & Germino, 2014; Piper & Cella, 2010; Weis & Horneber, 2015).”
BackgroundInfluential
Best Practice: psychoonkologisches Screening an Comprehensive Cancer Centers
Stengel, A., Dinkel, A., Karger, A., Kusch, M., Hentschel, L., Herschbach, P., Hönig, K., Hornemann, B., Maatouk, I., Senf, B., et al. (2021) · Forum · doi:10.1007/s12312-021-00944-x · Cited by 24
Association of persistent morbidity after radiotherapy with quality of life in locally advanced cervical cancer survivors
Spampinato, S., Tanderup, K., Lindegaard, J. C., Schmid, M. P., Sturdza, A. E., Šegedin, B., Jurgenliemk-Schulz, I. M., de Leeuw, A. A. C., Bruheim, K., Mahantshetty, U. M., et al. (2023) · Radiotherapy and Oncology · doi:10.1016/j.radonc.2023.109501 · Cited by 24
A qualitative evaluation of the use of interventions to treat fatigue among cancer survivors: A healthcare provider’s view
Martin, É., Zingarello, A., Meglio, A. D., Baciarello, G., Matias, M., Charles, C., Arvis, J., Dumas, A., Menvielle, G., & Vaz-Luís, I. (2020) · European Journal of Cancer Care · doi:10.1111/ecc.13370 · Cited by 26
Cancer-related fatigue: impact on patient quality of life and management approaches
Yeo, T. P., & Cannaday, S. (2015) · Nursing: Research and Reviews · doi:10.2147/nrr.s41957 · Cited by 21
“The evaluation should include consideration of the disease stage, evidence of disease spread or recurrence, current and past treatment received (both for cancer and psychiatric disorders), current medications, over-thecounter preparations, herbal remedies used, and a review of associated symptoms such as pain, depress…”
Background
The role of behavioural modification and exercise in the management of cancer-related fatigue to reduce its impact during and after cancer treatment
Minton, O., Foster, J., & Jane, M. (2015) · Acta Oncologica · doi:10.3109/0284186x.2014.996660 · Cited by 20
Quality of Life and Survivorship in Lymphoma
Rosenthal, A. C. (2022) · Current Oncology Reports · doi:10.1007/s11912-022-01283-3 · Cited by 21
A Systematic Review of Randomized Controlled Trials for Management of Persistent Post-Treatment Fatigue in Thyroid Cancer Survivors
To, J., Goldberg, A. S., Jones, J. M., Zhang, J., LOWE, J. M., Ezzat, S., Gilbert, J. D., Zahedi, A., Segal, P., & Sawka, A. M. (2014) · Thyroid · doi:10.1089/thy.2014.0418 · Cited by 19
“15 Exercise is a mainstay in recommended management of cancer-related fatigue in general oncology populations (60-62).”
Background
Psychiatric benefits of integrative therapies in patients with cancer
Cassileth, B. R. (2014) · International Review of Psychiatry · doi:10.3109/09540261.2013.838153 · Cited by 19
“…refl ect a growing body of evidence that supports the integration of certain nonpharmacological therapies as part of a multidisciplinary approach to mainstream cancer care (Deng et al., 2013c; Howell et al., 2013; National Comprehensive Cancer Network, 2013; Society for Integrative Oncology, 2009).”
Background
A Systematic Review of Systematic Reviews and Pooled Meta-Analysis on Psychosocial Interventions for Improving Cancer-Related Fatigue
Belloni, S., Arrigoni, C., Arcidiacono, M. A., Baroni, I., Conte, G., Dellafiore, F., Ghizzardi, G., Magon, A., Villa, G., & Caruso, R. (2022) · Seminars in Oncology Nursing · doi:10.1016/j.soncn.2022.151354 · Cited by 19
Sleep and Fatigue in Cancer Patients
Savard, J., Savard, M., & Ancoli‐Israel, S. (2016) · Elsevier eBooks · doi:10.1016/b978-0-323-24288-2.00130-6 · Cited by 18
Early palliative care and its translation into oncology practice in Canada: barriers and challenges.
Fassbender, K., & Watanabe, S. (2015) · PubMed · doi:10.3978/j.issn.2224-5820.2015.06.01 · Cited by 18
Living with Metastatic Breast Cancer
Ganz, P. A., & Stanton, A. L. (2015) · Advances in Experimental Medicine and Biology · doi:10.1007/978-3-319-16366-6_16 · Cited by 15
Assessment and Management of Cognitive Function in Patients with Prostate Cancer Treated with Second-Generation Androgen Receptor Pathway Inhibitors
Wefel, J. S., Ryan, C. J., Van, J., Jackson, J. C., & Morgans, A. K. (2022) · CNS Drugs · doi:10.1007/s40263-022-00913-5 · Cited by 17
Effects of a Cancer Survivorship Clinic—preliminary results
Jammu, A. S., Chasen, M. R., van Heest, R., Hollingshead, S., Kaushik, D., Gill, H., & Bhargava, R. (2019) · Supportive Care in Cancer · doi:10.1007/s00520-019-05067-7 · Cited by 14
Pharmacological Interventions for the Management of Cancer-Related Fatigue Among Cancer Survivors: Systematic Review and Meta-Analysis
Sun, X., Chen, Y., Cheung, W. K. W., Wu, X., Xiao, F., & Chung, V. C. (2021) · Integrative Cancer Therapies · doi:10.1177/15347354211038008 · Cited by 14
Complementary and alternative medicine mention and recommendations in guidelines for anxiety: A systematic review and quality assessment
Ng, J. Y., & Jain, A. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114388 · Cited by 12
Effects of traditional Chinese medicine Shu Gan Jian Pi granules on patients with breast cancer and cancer-related fatigue: study protocol for a randomized controlled trial
Li, C., Yang, G., Yu, M., Xu, Y.-M., Xue, N., Nan, N., & Wang, X. (2015) · Trials · doi:10.1186/s13063-015-0723-0 · Cited by 12
“Pharmacological measures that have shown potential include the psycho-stimulants methylphenidate, dexmethylphenidate, erythropoietin, darbepoetin, progestational steroids (medroxyprogesterone acetate, megestrol acetate), modafinil, and paroxetine [1,7].”
Background
Developing an Integrative Treatment Program for Cancer-Related Fatigue Using Stakeholder Engagement – A Qualitative Study
Canella, C., Mikolasek, M., Rostock, M., Beyer, J., Gückenberger, M., Jenewein, J., Linka, E., Six, C., Stoll, S., Stupp, R., et al. (2017) · Integrative Cancer Therapies · doi:10.1177/1534735417740629 · Cited by 16
“CRF has been associated with shorter survival(8,9) and a significant decrease in overall quality of life.(10) Additional consequences are significant health care costs, staying off work or sick leave and lost earnings and productivity.”
Background
Understanding sleep quality in a national cohort of young adult cancer survivors: Results from the YACPRIME study
Garland, S. N., Tulk, J., Cotter, R., Zhou, E. S., Daniel, L. C., Schulte, F., Bender, J. L., Chalifour, K., & Eaton, G. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.07.017 · Cited by 14
“There are existing guidelines in Canada and the United States for the prevention, screening, assessment, and treatment of sleep disturbances in adults with cancer [48,49].”
Background
Risk Factors for Late Persistent Fatigue After Chemoradiotherapy in Patients With Locally Advanced Cervical Cancer: An Analysis From the EMBRACE-I Study
Smet, S., Spampinato, S., Pötter, R., Jurgenliemk-Schulz, I. M., Nout, R. A., Chargari, C., Mahantshetty, U. M., Sturdza, A. E., Šegedin, B., Bruheim, K., et al. (2021) · International Journal of Radiation Oncology*Biology*Physics · doi:10.1016/j.ijrobp.2021.11.022 · Cited by 11
Challenges to Standardizing the Care for Adult Cancer Survivors: Highlighting ASCO's Fatigue and Anxiety and Depression Guidelines
Partridge, A. H., Jacobsen, P. B., & Andersen, B. L. (2015) · American Society of Clinical Oncology Educational Book · doi:10.14694/edbook_am.2015.35.188 · Cited by 11
Translating 2019 ACSM Cancer Exercise Recommendations for a Physiatric Practice: Derived Recommendations from an International Expert Panel
Parke, S. C., Ng, A., Martone, P., Gerber, L. H., Zucker, D. S., Engle, J. P., Gupta, E., Power, K., Sokolof, J., Shahpar, S., et al. (2021) · PM&R · doi:10.1002/pmrj.12664 · Cited by 11
“CRF is often treated with exercise; in fact, the pan-Canadian practice guideline for CRF recommends exercise interventions for all stages of cancer including palliative care patients.(46) Potential explanations for the improvement in fatigue associated with exercise include enhanced fitness, attenuation of muscle wast…”
Background
Chronic fatigue in adult cancer survivors
Reinertsen, K. V., Loge, J. H., Brekke, M., & Kiserud, C. E. (2017) · Tidsskrift for Den norske legeforening · doi:10.4045/tidsskr.17.0040 · Cited by 11
The definitions, assessment, and dimensions of cancer-related fatigue: A scoping review
Keane, K. F., Wickstrom, J., Livinski, A. A., Blumhorst, C., Wang, T.-F., & Saligan, L. N. (2024) · Supportive Care in Cancer · doi:10.1007/s00520-024-08615-y · Cited by 10
“…no gold standard for how to define CRF [8], but several organizations have proposed definitions, including the National Comprehensive Cancer Network (NCCN) [9], the European Society for Medical Oncology [10], American Society of Clinical Oncology [11], and the Pan Canadian Practice Guidelines [12].”
Background
Nurses’ Knowledge of Cancer-Related Fatigue and the Coverage of This Subject in Nursing Training: A Cross-Sectional Study
Wagner, A. S., Milzer, M., Schmidt, M. E., Kiermeier, S., Maatouk, I., & Steindorf, K. (2025) · Journal of Nursing Research · doi:10.1097/jnr.0000000000000666 · Cited by 10
Uncertainty and sense‐of‐self as targets for intervention for cancer‐related fatigue
Dolgoy, N. D., Krishnasamy, M., & McNeely, M. L. (2019) · European Journal of Cancer Care · doi:10.1111/ecc.13048 · Cited by 11
CBT-I during and after a cancer diagnosis
Garland, S. N. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-822872-2.00003-7 · Cited by 10
Psychometric properties of the Spanish version of the hospital anxiety and depression scale in cancer patients
Vilela-Estrada, A. L., Villarreal‐Zegarra, D., Copez-Lonzoy, A. J. E., Valencia, L. E., Sanchez‐Ramirez, J. C., Delgado, F. L., Ambrosio-Melgarejo, J. I., Reátegui-Rivera, C. M., & Finkelstein, J. (2025) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1497946 · Cited by 9
“The literature highlights various instruments used to assess these affective disorders in cancer patients: the Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI), and the Hospital Anxiety and Depression Scale (HADS) (Howell et al., 2015).”
Knowledge regarding cancer-related fatigue: a survey of physical therapists and individuals diagnosed with cancer
Harrington, S., Fisher, M. I., Lee, J. Q., Cohn, J. C., & Malone, D. J. (2022) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2022.2056554 · Cited by 9
“A pan-Canadian clinical practice guideline on the screening, assessment, and supportive care of those with cancer-related fatigue was published in 2013 (Howell et al., 2013).”
Background
Distress, Fatigue, and Sexuality: Understanding and Treating Concerns and Symptoms in Patients With Multiple Myeloma
Catamero, D., Noonan, K. A., Richards, T. A., Faiman, B. M., Manchulenko, C., Devine, H., Bertolotti, P., Gleason, C. L., & and Board (2017) · Clinical journal of oncology nursing · doi:10.1188/17.cjon.s5.7-18 · Cited by 9
“Diagnosing the underlying cause of fatigue in patients with cancer is problematic because no diagnostic test is specific for it (Howell et al., 2013).”
Epoetin beta for the treatment of chemotherapy-induced anemia: an update
Egan, C. G., Galli, L., & Ricci, C. (2015) · OncoTargets and Therapy · doi:10.2147/ott.s77497 · Cited by 9
“A high percentage of oncologists overlook this symptom even if current guidelines recommend routine screening and management of fatigue.(9,11) A study conducted in anemic patients, non-anemic cancer patients, and the general population based on a questionnaire from the Functional Assessment of Chronic Illness Therapy…”
Fatigue bei chronisch körperlichen Erkrankungen
Weis, J. (2024) · Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz · doi:10.1007/s00103-024-03951-0 · Cited by 8
Quality assessment of clinical practice guidelines on psychological distress of cancer patients using the AGREE II instrument
Hao, R., Jin, H., Zuo, J., Zhao, R., Hu, J., & Qi, Y. (2022) · Frontiers in Oncology · doi:10.3389/fonc.2022.942219 · Cited by 8
“The CAPO (27) and CCO (30) guidelines did not consider the views and preferences of the target population.”
BackgroundMethodInfluential
Legitimising fatigue after breast-cancer treatment
Mackereth, P., Farrell, C., Bardy, J., Molassiotis, A., & Finnegan-John, J. (2015) · British Journal of Nursing · doi:10.12968/bjon.2015.24.sup4.s4 · Cited by 8
A step in the right direction: making cognitive-behavioral therapy for insomnia more accessible to people diagnosed with cancer
Garland, S. N. (2021) · Sleep · doi:10.1093/sleep/zsab202 · Cited by 7
Functional, work-related rehabilitative programming for cancer survivors experiencing cancer-related fatigue
Dolgoy, N. D., Brose, J. M., Dao, T., Suderman, K., Gross, D. P., Ho, C., Culos-Reed, S. N., & McNeely, M. L. (2020) · British Journal of Occupational Therapy · doi:10.1177/0308022620927351 · Cited by 7
“Moreover, the original NCCN guidelines did not include strategies for the practice of occupational therapy in CRF management, and did not provide suggestions for workability and CRF (Bower et al., 2014; Howell et al., 2013).”
Method
Multimodal rehabilitation to improve quality of life and fatigue after radiotherapy in esophageal cancer patients: a randomized trial
Chen, X., Zhong, L., Wang, J., Dai, T., Li, M., Luo, J. M., Zhu, L., Liu, X., Lin, T., Li, L., et al. (2025) · The Oncologist · doi:10.1093/oncolo/oyaf073 · Cited by 6
The Effects of the Bali Yoga Program for Breast Cancer Patients on Cancer Related Fatigue: Results of a Randomized Partially Blinded Controlled Trial
Anestin, A. S., Dupuis, G., & Lanctôt, D. (2022) · Integrative and Complementary Therapies · doi:10.1089/ict.2022.29005.asa · Cited by 6
Analysis of cancer-related fatigue based on smart bracelet devices
Shen, H., Hou, H., Tian, W., Wu, M., Chen, T., & Zhong, X. (2016) · Technology and Health Care · doi:10.3233/thc-161134 · Cited by 6
“Regular screening for cancer-related fatigue is recommended in clinical practice by many expert guidelines [5,6].”
Development of a Taiwan cancer-related fatigue cognition questionnaire: reliability and validity
Lai, S.-C., Lin, W., Chen, C.-H., & Wu, S. (2017) · Oncotarget · doi:10.18632/oncotarget.16285 · Cited by 6
“Moreover, guidelines from expert groups, including the National Comprehensive Cancer Network (NCCN), concerning the screening and assessment of CRF do not recommend using the diagnostic criteria outlined in ICD-10 [1, 11, 12].”
Method
Development of an evidence-informed recommendation guide to facilitate physical activity counseling between oncology care providers and patients in Canada
Fong, A. J., Sabiston, C. M., Nadler, M. B., SUSSMAN, J. S., Langley, H., Holden, R. M., Stokes-Noonan, M., & Tomasone, J. R. (2021) · Translational Behavioral Medicine · doi:10.1093/tbm/ibaa127 · Cited by 6
Cancer-Related Fatigue
Olson, K. L., Saligan, L. N., & Piper, B. F. (2018) · Springer eBooks · doi:10.1007/978-3-319-90990-5_3 · Cited by 6
Self-citation
Synthèse actualisée des recommandations internationales sur le traitement de la fatigue par des interventions non pharmacologiques
Charles, C., Vaz-Luís, I., Chiesa, S., Boiron, C., Bourgier, C., Cavalcanti, A., Dauchy, S., Favré, E., Ferrandez, J.-C., Guéroult-Accolas, L., et al. (2021) · Bulletin du Cancer · doi:10.1016/j.bulcan.2021.02.006 · Cited by 5
Ensuring a high-quality response to s creening for Distress data Systematic knowledge translation is needed to improve patient experience
Howell, D., Bultz, B. D., Fitch, M. I., Groff, S. L., Williams, A. M., & Cleghorn, L. (2012) · Cited by 5
Self-citation
Yaşlı Kanser Hastalarının Destekleyici Bakım Gereksinimleri: Gereksinimler de Yaşlanıyor mu?
Ayvat, İ., & Özbaş, A. A. (2021) · Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi · doi:10.31125/hunhemsire.907936 · Cited by 5
Symptoms and Symptom Management in Survivorship Patients
Klein, G., & Jodocy, D. (2021) · Springer eBooks · doi:10.1007/978-3-030-78648-9_10 · Cited by 5
Usefulness of a patient experience study to adjust psychosocial oncology and spiritual care services according to patients’ needs
Bélanger, L., Rainville, F., Coulombe, M., & Tremblay, A. (2015) · Patient Experience Journal · doi:10.35680/2372-0247.1066 · Cited by 5
Providing acupuncture in a breast cancer and fatigue trial: The therapists' experience
Bardy, J., Finnegan-John, J., Molassiotis, A., & Mackereth, P. (2015) · Complementary Therapies in Clinical Practice · doi:10.1016/j.ctcp.2015.08.003 · Cited by 5
An interdisciplinary challenge: responsibilities in German cancer-related fatigue management from the professional and patient perspective
Wagner, A. S., Milzer, M., Steindorf, K., Kiermeier, S., Nguyen, T. D., Schmidt, M. E., & Maatouk, I. (2025) · The Oncologist · doi:10.1093/oncolo/oyaf233 · Cited by 4
Physical Activity in Adults With Fatigue After Cancer Treatment
Twomey, R., Yeung, S. T., Wrightson, J. G., Sung, L., Robinson, P. D., Millet, G. Y., & Culos-Reed, S. N. (2021) · Communications in Kinesiology · doi:10.51224/cik.v1i3.40 · Cited by 4
“Six of these used a threshold score of ≥ 4 (Table 2) as recommended for routine CRF screening (Fabi et al., 2020; Howell et al., 2013; Pearson et al., 2016).”
BackgroundMethodInfluential
Fatigue bei Krebs: Wie (gut) sind Betroffene an onkologischen Einrichtungen in Deutschland versorgt?
Wagner, A. S., Milzer, M., Kiermeier, S., Schmidt, M. E., Nguyen, T. D., Steindorf, K., & Maatouk, I. (2025) · Zeitschrift für Evidenz Fortbildung und Qualität im Gesundheitswesen · doi:10.1016/j.zefq.2025.02.003 · Cited by 3
Facilitating the interpretation of the multidimensional EORTC QLQ-FA12 fatigue questionnaire: Establishing thresholds for clinical importance
Blickle, P., Storz, L. M., Schmidt, M. E., Lehmann, J., Pilz, M. J., Milzer, M., Maatouk, I., Giesinger, J. M., & Steindorf, K. (2025) · European Journal of Cancer · doi:10.1016/j.ejca.2025.116134 · Cited by 3
A cross-sectional survey of the prevalence and patterns of using cannabis as a sleep aid in Canadian cancer survivors
Lee, R. M., Donnan, J. R., Harris, N., & Garland, S. N. (2023) · Journal of Cancer Survivorship · doi:10.1007/s11764-023-01474-2 · Cited by 3
“Despite guidelines that recommend screening and treatment for insomnia, CBT-I is inaccessible to many cancer survivors [23].”
Risk of fatigue in patients with solid tumors treated with everolimus, temsirolimus or ridaforolimus: a comparative meta-analysis
Abdel-Rahman, O. M., & Fouad, M. (2015) · Expert Review of Anticancer Therapy · doi:10.1586/14737140.2015.1014342 · Cited by 3
“Fatigue is one of the most distressing symptoms that patients with cancer may experience, and it has been attributed to many patient treatment- and disease-related factors [11].”
Background
The Experiences of Cancer-Related Fatigue among Adult Cancer Patients: A Systematic Review
Arizona, I. K. L. T., Sukartini, T., Efendi, F., Estiadewi, P. S., & Anggraeni, N. P. D. A. (2019) · Jurnal NERS · doi:10.20473/jn.v14i3.16973 · Cited by 4
A Prospective Evaluation of Fatigue in Pediatric Brain Tumor Patients Treated With Radiation Therapy
Gandy, K. C., Chambers, T. M., Raghubar, K. P., Okcu, M. F., Chintagumpala, M., Taylor, O. A., Mahajan, A., Kahalley, L. S., Chan, W., Grosshans, D. R., et al. (2022) · Journal of Pediatric Hematology/Oncology Nursing · doi:10.1177/275275302110560011068754 · Cited by 4
“The symptoms of fatigue have been shown to correlate with long-term outcomes including overall survival in various cancer populations (Bower et al., 2014; Howell et al., 2013; Kazak et al., 2015; Peters et al., 2014; Portenoy & Itri, 1999).”
Background
Pain Management for Post-Treatment Survivors of Complex Cancers: A Qualitative Study of Opioids and Cannabis
Salz, T., Chimonas, S. C., Jinna, S., Brens, J., Kriplani, A., Salner, A., Rabinowits, G., Currier, M. B., Daly, B., & Korenstein, D. R. (2024) · Pain Management · doi:10.2217/pmt-2023-0067 · Cited by 3
Including people with fatigue: a systematic review and meta-analysis of physical activity after cancer treatmentPreprint
Twomey, R., Yeung, S. T., Wrightson, J. G., Sung, L., Robinson, P. D., Millet, G. Y., & Culos-Reed, S. N. (2020) · SportRxiv (OSF Preprints) · doi:10.31236/osf.io/snhya · Cited by 3
Cardiovascular Disease Meets Cancer: Exploring the Epidemiology in China and Homotherapy Targeting Intersectional Mechanisms
Xiang, S., Shan, Y., Shi-hong, X., Wang, J., Luo, M., Zhou, J., & Chen, Q. (2025) · Advanced Science · doi:10.1002/advs.202501820 · Cited by 2

Authors: Howell, D., Keller–Olaman, S., Oliver, T. K., Hack, T. F., Broadfield, L., Biggs, K., Chung, J., Gravelle, D., Green, E., Hamel, M., Harth, T., Johnston, P., McLeod, D., Swinton, N., Syme, A., & Olson, K.
Affiliations: University Health Network (CA)
Canadian Partnership Against Cancer (CA)
University of Manitoba (CA)
Cancer Care Nova Scotia (CA)
Juravinski Cancer Centre (CA)
BC Children's Hospital (CA)
Élisabeth Bruyère Hospital (CA)
Montreal General Hospital (CA)
CancerCare Manitoba (CA)
Jewish General Hospital (CA)
Covenant Health (CA)
University of Alberta (CA)
ORCID: Howell, D.
Hack, T.F.
Harth, T.
McLeod, D.
Olson, K.
Venue: Current Oncology
Publisher: MDPI AG
Published: 2013-06-01
Volume: 20
Issue: 3
Pages: 233-246
ISSN: 1198-0052 (ISSN-L)
1718-7729
DOI: 10.3747/co.20.1302
PMC: PMC3671030
OpenAlex: W2053212646
Cited by: 158
References: 58
Citations by year: 2026: 4 · 2025: 14 · 2024: 8 · 2023: 10 · 2022: 13 · 2021: 23 · 2020: 14 · 2019: 8 · 2018: 11 · 2017: 9 · 2016: 7 · 2015: 20 · 2014: 12 · 2013: 3
FWCI: 7.45
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by-nc-nd
creativecommons.org/licenses/by/4.0/ (vor)
Locations: Current Oncology (publishedVersion, cc-by-nc-nd)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords: cancer-related fatigue, fatigue screening, fatigue analysis, supportive care, cancer patients, adults, decision-making algorithm, evidence-based practice, guideline adaptation

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.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

A Pan-Canadian Practice Guideline and Algorithm: Screening, Assessment, and Supportive Care of Adults with Cancer-Related Fatigue

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Self-check

Citations

Cites

Cited by

Related

Metadata

Record

About these checks