Cancer-Related Fatigue

The use of a visual analogue scale is recommended for recording the intensity of symptoms in the week leading up to the moment of inquiry

Markus Horneber; Irene Fischer; Fernando Dimeo; Jens Ulrich Rüffer; Joachim Weis

2018

Scholarcy highlights

  • Many cancer patients suffer from cancerrelated fatigue both during and after their treatment
  • Many randomized trials and meta-analyses have documented the efficacy of pharmacological and non-pharmacological treatments for CRF
  • This article is based on a selective review of the pertinent literature, taking account of the guidelines of the National Comprehensive Cancer Network and the German College of General Practitioners and Family Physicians, as well as a consensus statement of Medical Clinic 5—Nuremberg Hospital: Internal Medicine, Oncology, Hematology: Dr med
  • Clinical features of cancer-related fatigue ● CRF involves a vicious circle of diminished physical performance, inactivity, avoidance of effort, absence of regeneration, helplessness, and depressed mood
  • Many studies have shown that physicians generally fail to ask cancer patients systematically about the symptoms and signs of CRF
  • Effective training involves elevating the heart rate to 70% to 80% of maximum
  • The use of visual analogue scales is recommended for assessing the degree to which CRF impairs the patient in various areas of everyday life; values of 5 and above are taken to imply a severe limitation of the patient’s
  • For many patients this means that they will have to endure arduous treatment regimens, and in addition may suffer long term sequelae subsequent to their illness and its treatment

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