Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related Management

Cancer-related fatigue (CRF) is the most common somatic discomfort in patients with gynecological cancers. CRF is often overlooked; however, it can impair the patients' quality of life considerably. This cross-sectional study aimed to identify the clinical characteristics of CRF in gynecologica...

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Bibliographic Details
Published in:Cancers 2023-04, Vol.15 (7), p.2181
Main Authors: Wang, Ying-Wen, Ou, Yu-Che, Lin, Hao, Huang, Kun-Siang, Fu, Hung-Chun, Wu, Chen-Hsuan, Chen, Ying-Yi, Huang, Szu-Wei, Tu, Hung-Pin, Tsai, Ching-Chou
Format: Article
Language:English
Subjects:
Cancer therapies
Care and treatment
Cervical cancer
Clinical medicine
Complications and side effects
Cross-sectional studies
Disease
Endometrial cancer
Endometrium
Fatigue
Generalized linear models
Genital cancer
Gynecology
Hair loss
Management
Obstetrics
Oncology
Ovarian cancer
Patients
Prediction models
Quality of life
Questionnaires
Risk factors
Risk groups
Sleep
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Summary:Cancer-related fatigue (CRF) is the most common somatic discomfort in patients with gynecological cancers. CRF is often overlooked; however, it can impair the patients' quality of life considerably. This cross-sectional study aimed to identify the clinical characteristics of CRF in gynecological cancer patients. Questionnaires and the International Classification of Diseases 10th Revision (ICD-10) criteria were used to identify CRF. The enrolled patients were further categorized according to the amount of fatigue-related management received. Of the enrolled 190 patients, 40.0% had endometrial cancer, 28.9% had cervical cancer, and 31.1% had ovarian cancer. On the basis of the ICD-10 diagnostic criteria, 42.6% had non-cancer-related fatigue, 10% had CRF, and 51% had BFI-T questionnaire-based fatigue. Moreover, 77.9% of the study cohort had ever received fatigue-related management. Further analysis showed that patients with endometrial/cervical cancer, International Federation of Gynecology and Obstetrics stage >1, Eastern Cooperative Oncology Group performance status score ≥1, inadequate cancer treatment response, and receiving cancer treatment in the past week had a higher probability of receiving more fatigue-related management. The five-item predictive model developed from these factors may help physicians recognize patients seeking more fatigue-related management more efficiently. This is important as they may suffer from a more profound CRF.
ISSN:2072-6694
2072-6694
DOI:10.3390/cancers15072181