Patients’ views about causes and preferences for the management of cancer-related fatigue—a case for non-congruence with the physicians?

Luthy, Christophe; Cedraschi, Christine; Pugliesi, Angela; Silvestro, Katie Di; Mugnier-Konrad, Béatrice; Rapiti, Elisabetta; Allaz, Anne‐Françoise

doi:10.1007/s00520-010-0826-9

Cited by 28 publications

(15 citation statements)

References 31 publications

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“…Fatigue is the most universally reported symptom and is considered by many patients as more distressing than pain (9,10). For example, when 600 postings from pancreas cancer patients and their families in a monitored Internet pancreas cancer Frequently Asked Questions chat room were analyzedpain, fatigue, and anorexia were the most frequently reported symptoms by post-operative patients as well as those who did not have surgery (11).…”

Section: Introductionmentioning

confidence: 99%

A Progressive Postresection Walking Program Significantly Improves Fatigue and Health-Related Quality of Life in Pancreas and Periampullary Cancer Patients

Yeo

Burrell

Sauter

et al. 2012

Journal of the American College of Surgeons

106

148

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A progressive postresection walking program significantly improves fatigue and health-related quality of life in pancreas and periampullary cancer patients. Recommended Citation Yeo, Theresa; Burrell, Sherry A; Sauter, Patricia K; Kennedy, Eugene P; Lavu, Harish; Leiby, Benjamin E; and Yeo, Charles, "A progressive postresection walking program significantly improves fatigue and health-related quality of life in pancreas and periampullary cancer patients." (2012 Methods:One hundred and two patients with resected PPC consented to participate in this study and were randomized to either an Intervention Group (IG) or a Usual Care Group (UCG).Subjects completed visual analog scales, the FACIT-Fatigue Scale (FFS) and the Short Form36v2® after surgery and again 3 to 6 months after hospital discharge. Results:Patients in the IG and UCG were comparable with regard to demographics, comorbidities, cancer type and staging, type of resection, pre-op fatigue and pain levels, adjuvant therapy and baseline walking distance. Patients in the IG had significantly improved scores on the FFS at study completion, improved fatigue and pain scores, as well as overall physical functioning and mental health composite scores. At study completion, participants in the IG were walking twice as far and were significantly more likely to have continued walking or another form of exercise as compared to the UCG. Using hierarchical cluster analysis three mutually exclusive symptom groupings were identified in the cohort. Kaplan-Meier survival analysis did not indicate an overall survival benefit for the IG. Conclusion:This is the first prospective, randomized and controlled trial to report that participation in a home walking program confers a significant benefit in resected PPC patients

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Section: Introductionmentioning

confidence: 99%

A Progressive Postresection Walking Program Significantly Improves Fatigue and Health-Related Quality of Life in Pancreas and Periampullary Cancer Patients

Yeo

Burrell

Sauter

et al. 2012

Journal of the American College of Surgeons

106

148

View full text Add to dashboard Cite

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“…As studies have shown an association of anxiety with CRF (Brown and Kroenke, 2009; Luthy et al, 2010) and with sleep disruption (van den Berg et al, 2009; van Mill et al, 2010), levels of anxiety in both groups were also examined.…”

Section: Introductionmentioning

confidence: 99%

A comparison of disrupted sleep patterns in women with cancer-related fatigue and postmenopausal women without cancer

Davis

Padiyar

et al. 2011

European Journal of Oncology Nursing

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Purpose-Fatigue and disrupted sleep often coexist and both are prominent clinical problems in cancer affecting quality of life. Disrupted sleep patterns are likely related to cancer-related fatigue. The relationship needs further investigation. This study aimed to characterize and compare disrupted sleep patterns in fatigued breast cancer patients receiving chemotherapy with postmenopausal women without a history of cancer. Anxiety levels were also examined.Methods-Data for this secondary analysis came from two studies. Global sleep quality and state anxiety were self-reported by 30 fatigued female breast cancer chemotherapy outpatients and 32 non-cancer postmenopausal women using Pittsburgh Sleep Quality Index (PSQI) and State-Trait Anxiety Inventory, respectively.Results-Fatigued breast cancer patients showed significant sleep difficulties, characterized by prolonged sleep onset latency (M= 54.3, SD= 49.2 minutes) and frequent nighttime awakenings, despite 40% of the patients using sleep medications three or more times a week. Compared to the non-cancer comparison group, fatigued patients reported significantly longer sleep latency (p=0.041), more use of sleep medications (p=0.006), and higher total PSQI scores (p=0.005). State anxiety levels did not differ between the two groups (p=0.88).Conclusions-Sleep is disrupted in fatigued breast cancer women undergoing chemotherapy. Nearly all fatigued patients (97%) had trouble sleeping (global PSQI scores >5), indicating significant difficulties in overall sleep quality among those patients. Knowledge of the nature of sleep disruption among cancer patients may contribute to CRF symptom management leading to tailored interventions designed to improve sleep quality in cancer patients thereby managing fatigue and improving quality of life.

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“…By understanding this process of individualization, the benefits of goal-setting for improved symptom management can be realized. 24,25 Given patients’ hesitancy to report CRF because of misperceptions that it is either unavoidable or will result in changes to their primary cancer treatment, 26 individualization of goals and strategies such as those described here for CRF among women with recurrent ovarian cancer may address patient barriers to symptom management.…”

Section: Discussionmentioning

confidence: 99%

Creating Individualized Symptom Management Goals and Strategies for Cancer-Related Fatigue for Patients With Recurrent Ovarian Cancer

Hagan

Arida

Hughes³

et al. 2017

Cancer Nurs

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Background Cancer-related fatigue (CRF) is one of the most common symptoms among women with recurrent ovarian cancer, yet it remains extremely difficult to manage. Symptom management typically requires patients to set goals and strategies to manage their CRF, but little is known about how to create individualized CRF symptom management goals and strategies. Objective To describe cancer patients’ goals and strategies for managing cancer-related fatigue along with their process of individualizing both. Methods This study is a qualitative analysis with supportive quantitative description of a web-based symptom management RCT, the WRITE Symptom Study. Researchers conducted a content analysis on N=47 participants’ CRF symptom care-plans to identify common themes in participants’ goals, categorize strategies, and describe the individualization process. Results Four general themes were identified among participants’ CRF goals: 1) Enjoying time with friends and family, 2) Doing the things I enjoy, 3) Having energy to be physically active, and 4) Keeping up with what I need to do. CRF strategies were categorized into 13 groups including conserving energy, increasing activity, and talking with healthcare providers. A multistep individualization process resulted in personally-meaningful strategies. Conclusions The process by which participants individualized their CRF strategies consisted of identifying, confirming, testing, and evaluating different CRF strategies and resulted in refined, specific and individualized strategies intended to eventually ensure participants achieve their goal. Implications for Practice Clinicians can assist patients in individualizing their CRF goals and strategies. Individualization of CRF goals and strategies assists patients in visualizing how improving CRF will impact their life.

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Patients’ views about causes and preferences for the management of cancer-related fatigue—a case for non-congruence with the physicians?

Abstract: Patients mostly consider that CRF must be tolerated. Guidelines emphasize activity enhancement strategies as beneficial. The patients' preferences for rest rather than activity may be related to their high level of fatigue, which leads them to disregard activity as a possible treatment.

Cited by 28 publications

References 31 publications

A Progressive Postresection Walking Program Significantly Improves Fatigue and Health-Related Quality of Life in Pancreas and Periampullary Cancer Patients

A Progressive Postresection Walking Program Significantly Improves Fatigue and Health-Related Quality of Life in Pancreas and Periampullary Cancer Patients

A comparison of disrupted sleep patterns in women with cancer-related fatigue and postmenopausal women without cancer

Creating Individualized Symptom Management Goals and Strategies for Cancer-Related Fatigue for Patients With Recurrent Ovarian Cancer

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