Consultation Program for Patients with Cancer-Related Fatigue: A Systematic Evaluation of the Experiences of the Bavarian Cancer Society

Fischer, Irene; Riedner, Carola; Bojko, Peter; Heim, Manfred; Rüffer, Jens Ulrich; Besseler, Markus; Heußner, Pia; Milani, Valeria; Rinas, N.; Schlimok, G.; Schneider, E.; Koller, Michael

doi:10.1159/000448907

Cited by 10 publications

(9 citation statements)

References 15 publications

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“…This is an important finding, since fatigue is increasingly being recognized as an unmet need of cancer patients (33). Cancer-related fatigue can occur at any time, at diagnosis, during treatment or even after treatment and is not only a burden on its own but is also associated with an increase in mortality (34,35).…”

Section: Discussionmentioning

confidence: 99%

Gender effects on quality of life and symptom burden in patients with lung cancer: results from a prospective, cross-cultural, multi-center study

Koch¹,

Hjermstad²,

Tomaszewski³

et al. 2020

J Thorac Dis

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Background: Lung cancer causes impairment of health-related quality of life (QoL), but little is known about gender aspects in QoL and symptom burden of lung cancer patients. The aim of this study was to investigate gender differences in QoL as assessed by the European Organization for Research and Treatment of Cancer (EORTC) QLQ-C30 and the updated lung cancer module. Methods: In a prospective, international, cross-cultural, multicenter study that was undertaken to update the lung cancer-specific module EORTC QLQ-LC13, patients filled in the core questionnaire EORTC QLQ-C30 and the updated lung cancer module. Gender differences were calculated for all QoL scores using ANCOVAs that controlled for known and suspected confounders. Comparisons with historic data were drawn. Results: A total of 200 patients (82 female and 118 male, median age 65 years) were recruited. With the exception of coughing (estimated marginal means: women 33.86 and men 43.52, P=0.022) and diarrhea (estimated marginal means: women 26.01 and men 17.93, P=0.038) there were no significant QoL gender differences. Fatigue was the most pronounced symptom in both, men and women, outpacing typical respiratory symptoms. Quite generally, our sample of lung cancer patients showed considerably worse QoL in all scores when compared to EORTC reference data (lung cancer and combined cancer diagnoses, mean differences up to 13.70 and 21.54 score points, respectively) and to a German norm reference sample (up to 35.37 score points). Conclusions: This study adds to the literature in showing that the typical QoL gender difference effect 4254 Koch et al. Gender effects and lung cancer QoL

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Section: Discussionmentioning

confidence: 99%

Gender effects on quality of life and symptom burden in patients with lung cancer: results from a prospective, cross-cultural, multi-center study

Koch¹,

Hjermstad²,

Tomaszewski³

et al. 2020

J Thorac Dis

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“…31,32 Cancer-related fatigue can occur at any time, at diagnosis, during treatment or even after treatment and reduces quality of life itself. 33,34 A life-threatening disease results in the feeling of "existential fear" in many of these cancer patients. And patients who feel "existential fear" need more social support to cope with their disease.…”

Section: Discussionmentioning

confidence: 99%

Psychosocial Burden and Quality of Life of Lung Cancer Patients: Results of the EORTC QLQ-C30/QLQ-LC29 Questionnaire and Hornheide Screening Instrument

Koch¹,

Gräfenstein²,

Karnosky³

et al. 2021

CMAR

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Background: Overall survival is the ultimate criterion for the therapy of lung cancer, but psychosocial care, which helps the patient to cope with the disease, becomes a more and more important issue in the treatment of this life-threatening disease. Methods: We report the satellite project within a prospective, international, cross-cultural, multicenter study to validate the EORTC QLQ-LC29, a new designed module to assess the quality of life of lung cancer patients. The participants filled in the EORTC QLQ-C30, the recently updated lung cancer module QLQ-LC29 and the Hornheide questionnaire (HSI). Results: A total of 81 patients (32 female and 49 male, mean age 65.2 years, SD = 9.7) were enrolled in this study by completing the questionnaires. Fatigue (mean 55.4, SD = 26.3) and dyspnea (mean 46.3, SD = 36.2) were the most prominent symptoms. Thirty-nine patients (48.1%) according to the HSI needed psychosocial support. When using the EORTC questionnaires as screening instrument with 50 as cut-off in contrast only 29.5% of our patients needed psychosocial support. The need for psychosocial support according to the HSI correlated most with the EORTC scales "fatigue" (38.3% overlap between the two questionnaires), "existential fear" (38.3% overlap between the two questionnaires) and worse "global quality of life" (27.2% overlap between the two questionnaires). Conclusion: If psychosocial distress is at the core, the HSI is a suitable instrument for quick screening. The EORTC measures help to specify impaired quality of life areas and also cover somatic symptoms that are specific for cancer patients. Once psychosocial distress has been ascertained, clinicians should be particularly aware of specific problems regarding "fatigue", "existential fear" and diminished "global quality of life".

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“…TF ist ein persistierender, sehr belastender Zustand von Müdigkeit, Schwäche und Energiemangel auf körperlicher, affektiver und kognitiver Ebene, der im Kontext einer Tumorerkrankung und deren Therapie auftritt und der mit Einschränkungen von Alltagsfunktionalität, Lebensqualität, Compliance und Überlebenszeit einher geht [1,2]. Jeder fünfte Patient ist durch TF so stark beeinträchtigt, dass er ärztliche Empfehlungen nicht umsetzen kann [3].…”

Section: Tumor-assoziierte Fatigue ( Tf)unclassified

Tumor-Fatigue-Sprechstunde der Bayerischen Krebsgesellschaft e. V.

2022

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Consultation Program for Patients with Cancer-Related Fatigue: A Systematic Evaluation of the Experiences of the Bavarian Cancer Society

Cited by 10 publications

References 15 publications

Gender effects on quality of life and symptom burden in patients with lung cancer: results from a prospective, cross-cultural, multi-center study

Gender effects on quality of life and symptom burden in patients with lung cancer: results from a prospective, cross-cultural, multi-center study

Psychosocial Burden and Quality of Life of Lung Cancer Patients: Results of the EORTC QLQ-C30/QLQ-LC29 Questionnaire and Hornheide Screening Instrument

Tumor-Fatigue-Sprechstunde der Bayerischen Krebsgesellschaft e. V.

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