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 gynecological can...
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MDPI AG
2023-04-01
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author | Ying-Wen Wang Yu-Che Ou Hao Lin Kun-Siang Huang Hung-Chun Fu Chen-Hsuan Wu Ying-Yi Chen Szu-Wei Huang Hung-Pin Tu Ching-Chou Tsai |
author_facet | Ying-Wen Wang Yu-Che Ou Hao Lin Kun-Siang Huang Hung-Chun Fu Chen-Hsuan Wu Ying-Yi Chen Szu-Wei Huang Hung-Pin Tu Ching-Chou Tsai |
author_sort | Ying-Wen Wang |
collection | DOAJ |
description | 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. |
first_indexed | 2024-03-11T05:41:05Z |
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id | doaj.art-942686cd904641e0a37d9d7cb4cf94cf |
institution | Directory Open Access Journal |
issn | 2072-6694 |
language | English |
last_indexed | 2024-03-11T05:41:05Z |
publishDate | 2023-04-01 |
publisher | MDPI AG |
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series | Cancers |
spelling | doaj.art-942686cd904641e0a37d9d7cb4cf94cf2023-11-17T16:27:20ZengMDPI AGCancers2072-66942023-04-01157218110.3390/cancers15072181Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related ManagementYing-Wen Wang0Yu-Che Ou1Hao Lin2Kun-Siang Huang3Hung-Chun Fu4Chen-Hsuan Wu5Ying-Yi Chen6Szu-Wei Huang7Hung-Pin Tu8Ching-Chou Tsai9Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanDepartment of Obstetrics and Gynecology, Chia-Yi Chang Gung Memorial Hospital, Chiayi 613, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanDepartment of Family Medicine, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanDepartment of Public Health and Environmental Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 807, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital-Kaohsiung Medical Center, Kaohsiung 833, TaiwanCancer-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.https://www.mdpi.com/2072-6694/15/7/2181cancer-related fatiguegynecological cancerquality of lifeendometrial cancercross-sectional studyfatigue |
spellingShingle | Ying-Wen Wang Yu-Che Ou Hao Lin Kun-Siang Huang Hung-Chun Fu Chen-Hsuan Wu Ying-Yi Chen Szu-Wei Huang Hung-Pin Tu Ching-Chou Tsai Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related Management Cancers cancer-related fatigue gynecological cancer quality of life endometrial cancer cross-sectional study fatigue |
title | Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related Management |
title_full | Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related Management |
title_fullStr | Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related Management |
title_full_unstemmed | Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related Management |
title_short | Characteristics of Cancer-Related Fatigue and an Efficient Model to Identify Patients with Gynecological Cancer Seeking Fatigue-Related Management |
title_sort | characteristics of cancer related fatigue and an efficient model to identify patients with gynecological cancer seeking fatigue related management |
topic | cancer-related fatigue gynecological cancer quality of life endometrial cancer cross-sectional study fatigue |
url | https://www.mdpi.com/2072-6694/15/7/2181 |
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