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Measuring and Quantifying Outcomes
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Amy J. Litterini, Christopher M. Wilson
Regarding fatigue assessment, there are various tools available. Much like pain assessment, fatigue intensity can be assessed with appropriate unidimensional measures such as a visual analog scale and a 10-point numeric scale (analogous to the NPRS). When attempting to assess interference of fatigue with function and QoL, assessments such as the Fatigue Severity Scale, the Brief Fatigue Inventory, and the Functional Assessment of Chronic Illness Therapy - Fatigue (FACIT-F) can be utilized.15 A systematic review by Fisher, Davies, Lacy, and Doherty16 for fatigue assessment in cancer survivorship concluded the unidimensional questionnaires of the Modified Brief Fatigue Inventory (mBFI), the Cancer-Related Fatigue Distress Scale, and the 10-point Rating Scale for Fatigue were highly recommended, while the MD Anderson Symptom Inventory and Wu Cancer Fatigue Scale were recommended. Regarding multidimensional questionnaires, Fisher et al.16 found the Multidimensional Fatigue Symptom Inventory to be highly recommended.
Nutrition Therapy for the Cancer Patient
Published in James M. Rippe, Lifestyle Medicine, 2019
Sandeep (Anu) Kaur, Elaine Trujillo
Cancer patients are often looking to take an active role in their lifestyle and nutrition choices. Patients often feel a loss of control after a cancer diagnosis, which is often accompanied by feelings of vulnerability and loss. Patients seek ways to manage the behavior-related symptoms of a cancer diagnosis, including anxiety, stress, and cancer-fatigue.93,97,98 The possibility of cancer reoccurrence and pending death often augments an individual’s inclination to try novel and often unproven choices such as alternative diets.99
Fatigue
Published in Margaret O’Connor, Sanchia Aranda, Susie Wilkinson, Palliative Care Nursing, 2018
The problem of fatigue is prevalent in all chronic and life-limiting illness, and this symptom and the way it affects people’s wellbeing is therefore an important focus of palliative care. In particular, in people suffering from cancer, fatigue is the most prevalent symptom throughout the trajectory of the illness, and has been prominent in oncology nursing research and practice for many years (Mooney et al. 1991; Ropka et al. 2002; Stetz et al. 1995). To patients and their families, fatigue in the advanced stages of chronic illness can be an overwhelming symptom impairing quality of life through its impact on: ‘In palliative care, fatigue is the most prevalent symptom.’sense of wellbeing;daily performance;activities of daily living;relationships with family and friends;mood; andadherence to treatment.
Exercise interventions to combat cancer-related fatigue in cancer patients undergoing treatment: a review
Published in Cancer Investigation, 2022
In 2009, Minton and Stone reviewed the scales commonly used to measure CRF (37). They reviewed five validated unidimensional scales and nine validated multidimensional scales. Unidimensional scales only investigate the physical aspect of fatigue. Multidimensional scales investigate two to five different aspects of fatigue. The following scales were examined; Brief Fatigue Inventory (BFI), EORTC QLQ C30, Fatigue Severity Scale (FSS), Functional Assessment of Cancer Therapy Fatigue (FACT F) subscale, Profile of Mood States, Chalder Fatigue Scale (i.e., Fatigue Questionnaire (FQ)), Fatigue Symptom Inventory (FSI), Lee fatigue scale (i.e., Visual Analogue Scale for Fatigue (VASF)), Multidimensional Assessment of Fatigue (MAF), Multidimensional Fatigue Inventory (MFI-20), Multidimensional Fatigue Symptom Inventory short form (MFSI-30), revised Piper Fatigue Scale (PFS), Schwartz Cancer Fatigue Scale, and Wu Cancer Fatigue Scale. Table 1 provides a list of the commonly used fatigue scales.
The effects of multidisciplinary psychosocial interventions on adult cancer patients: a systematic review and meta-analysis*
Published in Disability and Rehabilitation, 2020
Hilde Tinderholt Myrhaug, Julia Aneth Mbalilaki, Nataskja-Elena Kersting Lie, Tone Hansen, Jan Egil Nordvik
We conducted a meta-analysis on fatigue (Figure 2) that included five randomized controlled trials [26,27,33,34,41] of 280 breast cancer patients. The articles included physical exercise and psychosocial interventions (e.g., education, mood management, and psychological support) led by nurses, social workers, psychiatrists, physicians, and experts in yoga, meditations, and acupuncture. More information about the interventions included in these studies is provided in Supplementary Table S1. Fatigue was measured with either the Multidimensional Fatigue Inventory, The Profile of Mood States (Inertia-POMS), EORTC-QlQ-C30, Self-reported post-cancer fatigue (Somatic and Psychological HEalth REport 0–12), or Brief Fatigue Inventory, which are all patient reported outcome measures. The meta-analysis showed reductions in fatigue favoring the multidisciplinary psychosocial intervention group (SMD 0.30 (95% CI 0.04, 0.56)) at the 2–6 month follow-up (Figure 2).
Fatigue and its management in cancer patients undergoing VEGFR-TKI therapy
Published in Expert Opinion on Drug Safety, 2022
Fatigue is the most common side effect of cancer and cancer treatment and is often called cancer fatigue or cancer-related fatigue (CRF) [1–3]. Fatigue has been reported in many cancer patients during treatment, but figures vary according to patient population, type of treatment, and method of assessment [4,5]. Fatigue in healthy adults is usually remedied by sleep or rest, but CRF reportedly continues for a long time after the end of treatment in 25–30% of patients [6]. For cancer patients, CRF has a negative impact on participation in work and social activities, mood, and daily activities, thus significantly impairing quality of life [6,7].