Presence, communication and treatment of fatigue and pain complaints in incurable cancer patients

Collins, Susan E.; Vogel-Voogt, Elsbeth de; Visser, Adriaan; Heide, Agnes van der

doi:10.1016/j.pec.2008.02.011

Cited by 15 publications

(11 citation statements)

References 35 publications

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“…In the same line, fatigue was not correlated with the functional status as assessed by the care providers (ECOG performance status) but with the self-reported functional scales of quality of life questionnaire (EORTC-QLQ-C30). These results are congruent with other studies on the importance of psychological distress as a correlate of fatigue [32][33][34].…”

Section: Discussionsupporting

confidence: 92%

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

Luthy

Cedraschi

Pugliesi

et al. 2010

Support Care Cancer

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Section: Discussionsupporting

confidence: 92%

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

Luthy

Cedraschi

Pugliesi

et al. 2010

Support Care Cancer

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“…Fatigue is one of the most common and disabling symptoms experienced by cancer patients (46). Higher levels of hope also were associated with less coughing, which also can be quite a disabling symptom in lung cancer survivors.…”

Section: Discussionmentioning

confidence: 99%

Hope in the Context of Lung Cancer: Relationships of Hope to Symptoms and Psychological Distress

Berendes

Keefe

Somers

et al. 2010

Journal of Pain and Symptom Management

136

103

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Context-Hope may be important in explaining the variability in how patients adjust to lung cancer.Objectives-The aim of this study was to examine how hope, as conceptualized by Snyder and colleagues, is associated with multiple indices of adjustment to lung cancer. This theoretical model of hope suggests that people with high levels of hope are able to think about the pathways to goals (pathways) and feel confident that they can pursue those pathways to reach their goals (agency).Methods-We hypothesized that higher levels of hope, as measured by Snyder et al.'s hope scale, would be related to lower levels of pain and other lung cancer symptoms (i.e., fatigue, cough) and lower psychological distress (i.e., depression). Participants in this study included patients with a diagnosis of lung cancer (n = 51). All participants provided demographic and medical information and completed measures of hope, lung cancer symptoms, and psychological distress.Results-Data analyses found that hope was inversely associated with major symptoms of cancer (i.e., pain, fatigue, cough) and psychological distress (i.e., depression), even after accounting for important demographic and medical variables (i.e., age, cancer stage). Conclusion-The findings of this cross-sectional study highlight the potential importance of hope in understanding adjustment to lung cancer. Future longitudinal research could help reveal how hope and adjustment interact over the course of cancer survivorship.

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“…The authors of studies [14‐18] that span diverse populations suggest that screening and evaluation of fatigue in patients with cancer is suboptimal, that fatigue is undertreated, and that health‐care professionals may not fully appreciate the degree of distress and functional loss that fatigue produces. Identified barriers to communication between patients and their clinicians about fatigue include (1) the clinician's failure to offer interventions (47%), (2) patients' lack of awareness of effective treatments for fatigue (43%), (3) a desire on the patient's part to treat fatigue without the use of medications (40%), (4) and a tendency of the patient to be stoic about fatigue to avoid being labeled as a “complainer” (28%) [2,19].…”

Section: Scope Of the Problem Of Fatigue During And After Cancer And mentioning

confidence: 99%

Cancer‐Related Fatigue: State of the Science

Mitchell

2010

PM&R

152

145

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Cancer-related fatigue (CRF) is a disabling and distressing symptom that is highly prevalent across the cancer continuum from a patient's diagnosis and treatment through survivorship and end of life. It has a multifactorial etiology and significant individual variability in its clinical expression, determinants, and sequelae. Despite the significance of CRF, it is often underdiagnosed, and management is frequently suboptimal. This review synthesizes the state of the science concerning the features, possible mechanisms, and predictors of CRF; offers recommendations for the evaluation of CRF; and appraises the strength of the evidence for a wide range of pharmacologic and nonpharmacologic interventions to prevent and manage fatigue during and after cancer and its treatment. There is evidence from methodologically rigorous controlled trials that exercise, psycho-educational interventions, and cognitive-behavioral therapy for insomnia are effective in the treatment of CRF, and a wide range of pharmacologic and nonpharmacologic interventions has shown initial promise in single-arm pilot studies with small, heterogeneous samples. Rigorously designed and adequately powered randomized trials are warranted to (1) determine the effectiveness of promising approaches and (2) identify the interventions that are most effective in treating CRF in specific subpopulations (eg, stem cell transplant recipients, older adults, patients with lung or colorectal cancers, survivors, and those at the end of life). Studies to elucidate the biologic expression profiles of CRF, to explicate the mechanisms through which particular interventions impact CRF, and to identify the mediators and moderators of fatigue outcomes will ultimately permit individually tailored approaches for the treatment of CRF.

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Presence, communication and treatment of fatigue and pain complaints in incurable cancer patients

Cited by 15 publications

References 35 publications

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

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

Hope in the Context of Lung Cancer: Relationships of Hope to Symptoms and Psychological Distress

Cancer‐Related Fatigue: State of the Science

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