Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review
Context: Cancer and its treatments cause fatigue in up to 90% of men with advanced prostate cancer. As men with prostate cancer are surviving longer, cancer-related fatigue is becoming increasingly important for clinicians to understand and proactively manage. Objective: The aim of this work is to i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | European Urology Open Science |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666168324003276 |
| _version_ | 1797220466205655040 |
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| author | Philip Cornford Esther Robijn Eamonn Rogers Richard Wassersug Louisa Fleure |
| author_facet | Philip Cornford Esther Robijn Eamonn Rogers Richard Wassersug Louisa Fleure |
| author_sort | Philip Cornford |
| collection | DOAJ |
| description | Context: Cancer and its treatments cause fatigue in up to 90% of men with advanced prostate cancer. As men with prostate cancer are surviving longer, cancer-related fatigue is becoming increasingly important for clinicians to understand and proactively manage. Objective: The aim of this work is to identify knowledge gaps that may support healthcare professionals to recommend personalised fatigue management strategies. Evidence acquisition: This manuscript is based on a roundtable discussion held during the European Association of Urology 2022 Annual Symposium, combined with a review of the literature. Five core themes were generated from the roundtable: (1) meaning of fatigue in prostate cancer patients, (2) impact of fatigue, (3) association between fatigue and treatment selection, (4) benefits of managing fatigue, and (5) barriers to exercise. Evidence synthesis: Cancer-related fatigue has complex underlying aetiology and is a subjective experience that may be under-reported. Some studies have shown that techniques such as education, cognitive behavioural therapy, guided imagery, and progressive muscle relaxation can result in clinically meaningful improvements in fatigue. However, the largest body of evidence, and a theme echoed in the roundtable discussions, was the benefit of exercise on fatigue. Despite the benefits of exercise, for some men, objective barriers to exercise exist and knowledge of benefits does not automatically translate into implementation and adherence. Conclusions: Understanding the specific health needs of individual patients and their desired health outcomes is essential to identify personalised strategies for minimising fatigue. As an outcome of the roundtable meeting, we developed a quick reference guide for healthcare providers. A high-resolution copy can be downloaded from https://patients.uroweb.org/library/fatigue-in-prostate-cancer-patients-guide/. Patient summary: This article is based on dialogue between a group of specialists, patients, and caregivers, which took place at a roundtable meeting during the European Association of Urology 2022 Annual Symposium. The group discussed how healthcare providers can best support their patients who experience fatigue. The group subsequently developed a guide to help healthcare providers during appointments. |
| first_indexed | 2024-04-24T12:49:59Z |
| format | Article |
| id | doaj.art-6c7110adc386401cb5c9b88c169253c3 |
| institution | Directory Open Access Journal |
| issn | 2666-1683 |
| language | English |
| last_indexed | 2024-04-24T12:49:59Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Urology Open Science |
| spelling | doaj.art-6c7110adc386401cb5c9b88c169253c32024-04-06T04:40:36ZengElsevierEuropean Urology Open Science2666-16832024-05-0163119125Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature ReviewPhilip Cornford0Esther Robijn1Eamonn Rogers2Richard Wassersug3Louisa Fleure4Liverpool University Hospitals NHS Foundation Trust, Liverpool, UKLiverpool University Hospitals NHS Foundation Trust, Liverpool, UK; Corresponding author. European Association of Urology, Mr E.N. van Kleffensstraat 5, Arnhem, None 6842CV, The Netherlands. Tel. +31 263 890 680.European Association of Urology, Arnhem, The NetherlandsUniversity of British Columbia, Vancouver, BC, CanadaGuy's and St Thomas' NHS Foundation Trust, London, UKContext: Cancer and its treatments cause fatigue in up to 90% of men with advanced prostate cancer. As men with prostate cancer are surviving longer, cancer-related fatigue is becoming increasingly important for clinicians to understand and proactively manage. Objective: The aim of this work is to identify knowledge gaps that may support healthcare professionals to recommend personalised fatigue management strategies. Evidence acquisition: This manuscript is based on a roundtable discussion held during the European Association of Urology 2022 Annual Symposium, combined with a review of the literature. Five core themes were generated from the roundtable: (1) meaning of fatigue in prostate cancer patients, (2) impact of fatigue, (3) association between fatigue and treatment selection, (4) benefits of managing fatigue, and (5) barriers to exercise. Evidence synthesis: Cancer-related fatigue has complex underlying aetiology and is a subjective experience that may be under-reported. Some studies have shown that techniques such as education, cognitive behavioural therapy, guided imagery, and progressive muscle relaxation can result in clinically meaningful improvements in fatigue. However, the largest body of evidence, and a theme echoed in the roundtable discussions, was the benefit of exercise on fatigue. Despite the benefits of exercise, for some men, objective barriers to exercise exist and knowledge of benefits does not automatically translate into implementation and adherence. Conclusions: Understanding the specific health needs of individual patients and their desired health outcomes is essential to identify personalised strategies for minimising fatigue. As an outcome of the roundtable meeting, we developed a quick reference guide for healthcare providers. A high-resolution copy can be downloaded from https://patients.uroweb.org/library/fatigue-in-prostate-cancer-patients-guide/. Patient summary: This article is based on dialogue between a group of specialists, patients, and caregivers, which took place at a roundtable meeting during the European Association of Urology 2022 Annual Symposium. The group discussed how healthcare providers can best support their patients who experience fatigue. The group subsequently developed a guide to help healthcare providers during appointments.http://www.sciencedirect.com/science/article/pii/S2666168324003276Prostate cancerCancer-related fatigueExerciseQuality of lifePatients and caregivers |
| spellingShingle | Philip Cornford Esther Robijn Eamonn Rogers Richard Wassersug Louisa Fleure Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review European Urology Open Science Prostate cancer Cancer-related fatigue Exercise Quality of life Patients and caregivers |
| title | Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review |
| title_full | Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review |
| title_fullStr | Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review |
| title_full_unstemmed | Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review |
| title_short | Fatigue in Prostate Cancer: A Roundtable Discussion and Thematic Literature Review |
| title_sort | fatigue in prostate cancer a roundtable discussion and thematic literature review |
| topic | Prostate cancer Cancer-related fatigue Exercise Quality of life Patients and caregivers |
| url | http://www.sciencedirect.com/science/article/pii/S2666168324003276 |
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