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a National Cancer Institute, Bethesda, Maryland; b Memorial Sloan-Kettering Cancer Center, New York, New York; c Evanston Northwestern Healthcare, Evanston, Illinois; d Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, Massachusetts; e Stanford University Medical Center, Stanford, California; f Ortho Biotech Products, L.P., Raritan, New Jersey; g Vanderbilt University, Nashville, Tennessee; h University of California San Francisco, San Francisco, California; i The National Coalition for Cancer Survivorship, Silver Spring, Maryland; j Beth Israel Medical Center, New York, New York; k The University of Chicago, Chicago, Illinois
Correspondence: Gregory A. Curt, M.D., National Cancer Institute, 12N214 Room Bldg. 10, Bethesda, Maryland 20892-0001, USA; Telephone: 301-496-4251; Fax: 301-496-9962; e-mail: gc45e{at}nih.gov
Purpose. This survey was designed to confirm the prevalence and duration of fatigue in the cancer population and to assess its physical, mental, social, and economic impacts on the lives of patients and caregivers.
Patients and Methods. A 25-minute telephone interview was completed with 379 cancer patients having a prior history of chemotherapy. Patients were recruited from a sample of 6,125 households in the United States identified as having a member with cancer. The median patient age was 62 years, and 79% of respondents were women. Patients reporting fatigue at least a few times a month were asked a series of questions to better describe their fatigue and its impact on quality of life.
Results. Seventy-six percent of patients experienced fatigue at least a few days each month during their most recent chemotherapy; 30% experienced fatigue on a daily basis. Ninety-one percent of those who experienced fatigue reported that it prevented a "normal" life, and 88% indicated that fatigue caused an alteration in their daily routine. Fatigue made it more difficult to participate in social activities and perform typical cognitive tasks. Of the 177 patients who were employed, 75% changed their employment status as a result of fatigue. Furthermore, 65% of patients indicated that their fatigue resulted in their caregivers taking at least one day (mean, 4.5 days) off work in a typical month. Physicians were the health care professionals most commonly consulted (79%) to discuss fatigue. Bed rest/ relaxation was the most common treatment recommendation (37%); 40% of patients were not offered any recommendations.
Conclusions. Cancer-related fatigue is common among cancer patients who have received chemotherapy and results in substantial adverse physical, psychosocial, and economic consequences for both patients and caregivers. Given the impact of fatigue, treatment options should be routinely considered in the care of patients with cancer.
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