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...

Full description

Bibliographic Details
Main Authors: 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
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/7/2181
_version_ 1797608196748083200
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
format Article
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
record_format Article
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
work_keys_str_mv AT yingwenwang characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT yucheou characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT haolin characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT kunsianghuang characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT hungchunfu characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT chenhsuanwu characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT yingyichen characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT szuweihuang characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT hungpintu characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement
AT chingchoutsai characteristicsofcancerrelatedfatigueandanefficientmodeltoidentifypatientswithgynecologicalcancerseekingfatiguerelatedmanagement