Evaluation and management of fatigue in oncology: A multidimensional approach
Open accessAbstract
Fatigue, one of the most common symptoms experienced by cancer patients, is multidimensional and is associated with significant impairment in functioning and overall quality of life. Although the precise pathophysiology of cancer-related fatigue (CRF) is not well understood, a number of metabolic, cytokine, neurophysiologic, and endocrine changes have been described in these patients. A better understanding of these abnormalities is likely to lead to novel therapeutic interventions. Clinically, all patients presenting with significant fatigue should be evaluated for treatable conditions that might contribute to this symptom. Exercise and treatment of anemia are the two most established interventions for CRF. Psychostimulants seem promising based on early studies. Several complementary medicine treatments that showed efficacy in preliminary studies merit further testing.
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Careful assessment of patients will produce objective and comprehensive subjective data.
“Therefore, the careful assessment of patients will produce objective data and comprehensive subjective data [16].”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [16]
The “Fatigue Assessment in Patients with Cancer” section recommends assessing symptoms, reversible conditions, quality of life, and performance status, which supports collecting varied patient information. It does not say that assessment will produce objective data, and its guidance is specific to cancer-related fatigue rather than patients generally. No page number is available in our copy. (LLM, conf=0.83)
Experimental — accuracy not yet measuredFatigue in cancer is caused by disease processes and treatment side effects.
“Fatigue in cancer is caused by disease processes as well as treatment side effects and becomes a serious problem compared to pain and nausea due to limited physical function, and psychological and social welfare.”
From Empowerment in the treatment of fatigue in breast cancer patients (2021) · cites this paper as [16]
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BackgroundMohamed, H. F., & El-Hay, S. A. A. (2019) · Journal of Health, Medicine and Nursing · doi:10.7176/jhmn/63-10
Murray, J., Bennett, H., Perry, R., Bezak, E., & Davison, K. (2022) · Research Square · doi:10.21203/rs.3.rs-2236450/v1
- Authors
- Tazi, E. M., & Errihani, H.
- Affiliations
- Institut National d'Oncologie (MA)
- Corresponding author
- Tazi, El Mehdi
- ORCID
- Errihani, Hassan
- Venue
- Indian Journal of Palliative Care
- Publisher
- Scientific Scholar
- Published
- 2011
- Volume
- 17
- Issue
- 2
- Pages
- 92
- ISSN
- 0973-1075 (ISSN-L)
- PMC
- PMC3183614
- OpenAlex
- W1965531654
- Cited by
- 10
- References
- 64
- Citations by year
- 2023: 2 · 2022: 1 · 2021: 2 · 2020: 1 · 2019: 1 · 2015: 1 · 2013: 1 · 2012: 1
- FWCI
- 0.32
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Indian Journal of Palliative Care (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-sa)
- PubMed Central (publishedVersion, cc-by-nc-sa)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cancer-related cognitive impairment studies
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- cancer-related fatigue, fatigue management, quality of life, cytokines, endocrine changes, neurophysiology, anemia, exercise therapy, psychostimulants, complementary therapy, cancer patients
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