Assessment of Cancer-Related Fatigue, Pain, and Quality of Life in Cancer Patients at Palliative Care Team Referral: A Multicenter Observational Study (JORTC PAL-09)
Cancer-related fatigue greatly influences quality of life in cancer patients; however, no specific treatments have been established for cancer-related fatigue, and at present, no medication has been approved in Japan. Systematic research using patient-reported outcome to examine symptoms, particular...
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creator | Iwase, Satoru Kawaguchi, Takashi Tokoro, Akihiro Yamada, Kimito Kanai, Yoshiaki Matsuda, Yoshinobu Kashiwaya, Yuko Okuma, Kae Inada, Shuji Ariyoshi, Keisuke Miyaji, Tempei Azuma, Kanako Ishiki, Hiroto Unezaki, Sakae Yamaguchi, Takuhiro |
description | Cancer-related fatigue greatly influences quality of life in cancer patients; however, no specific treatments have been established for cancer-related fatigue, and at present, no medication has been approved in Japan. Systematic research using patient-reported outcome to examine symptoms, particularly fatigue, has not been conducted in palliative care settings in Japan. The objective was to evaluate fatigue, pain, and quality of life in cancer patients at the point of intervention by palliative care teams.
Patients who were referred to palliative care teams at three institutions and met the inclusion criteria were invited to complete the Brief Fatigue Inventory, Brief Pain Inventory, and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative.
Of 183 patients recruited, the majority (85.8%) were diagnosed with recurrence or metastasis. The largest group (42.6%) comprised lung cancer patients, of whom 67.2% had an Eastern Cooperative Oncology Group Performance Status of 0-1. The mean value for global health status/quality of life was 41.4, and the highest mean European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative symptom item score was for pain (51.0). The mean global fatigue score was 4.1, and 9.8%, 30.6%, 38.7%, and 20.8% of patients' fatigue severity was classified as none (score 0), mild (1-3), moderate (4-6), and severe (7-10), respectively.
Cancer-related fatigue, considered to occur more frequently in cancer patients, was successfully assessed using patient-reported outcomes with the Brief Fatigue Inventory for the first time in Japan. Results suggested that fatigue is potentially as problematic as pain, which is the main reason for palliative care. |
doi_str_mv | 10.1371/journal.pone.0134022 |
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Patients who were referred to palliative care teams at three institutions and met the inclusion criteria were invited to complete the Brief Fatigue Inventory, Brief Pain Inventory, and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative.
Of 183 patients recruited, the majority (85.8%) were diagnosed with recurrence or metastasis. The largest group (42.6%) comprised lung cancer patients, of whom 67.2% had an Eastern Cooperative Oncology Group Performance Status of 0-1. The mean value for global health status/quality of life was 41.4, and the highest mean European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative symptom item score was for pain (51.0). The mean global fatigue score was 4.1, and 9.8%, 30.6%, 38.7%, and 20.8% of patients' fatigue severity was classified as none (score 0), mild (1-3), moderate (4-6), and severe (7-10), respectively.
Cancer-related fatigue, considered to occur more frequently in cancer patients, was successfully assessed using patient-reported outcomes with the Brief Fatigue Inventory for the first time in Japan. Results suggested that fatigue is potentially as problematic as pain, which is the main reason for palliative care.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0134022</identifier><identifier>PMID: 26244975</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Analysis ; Cancer ; Cancer patients ; Cancer research ; Cancer therapies ; Care and treatment ; Clinical trials ; Diagnosis ; Fatigue ; Fatigue - diagnosis ; Fatigue - etiology ; Fatigue - therapy ; Female ; Global health ; Health aspects ; Hospitals ; Humans ; Insomnia ; Internal medicine ; Life sciences ; Lung cancer ; Lung diseases ; Lung Neoplasms - complications ; Lung Neoplasms - therapy ; Male ; Management ; Medicine ; Metastases ; Metastasis ; Middle Aged ; Neoplasms - complications ; Neoplasms - therapy ; Observational studies ; Outcome Assessment, Health Care - methods ; Outcome Assessment, Health Care - statistics & numerical data ; Pain ; Pain - diagnosis ; Pain - etiology ; Pain - rehabilitation ; Palliation ; Palliative care ; Palliative Care - methods ; Patients ; Pharmacy ; Quality of Life ; Questionnaires ; Referral and Consultation ; Risk factors ; Surveys and Questionnaires</subject><ispartof>PloS one, 2015-08, Vol.10 (8), p.e0134022-e0134022</ispartof><rights>COPYRIGHT 2015 Public Library of Science</rights><rights>2015 Iwase et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2015 Iwase et al 2015 Iwase et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c758t-e1680364d0367e1968f219bc836c3226dba49f872843c2e91ba55907d77af5083</citedby><cites>FETCH-LOGICAL-c758t-e1680364d0367e1968f219bc836c3226dba49f872843c2e91ba55907d77af5083</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526465/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4526465/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,2100,2926,23864,27922,27923,53789,53791,79370,79371</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26244975$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Aggarwal, Ashutosh Nath</contributor><creatorcontrib>Iwase, Satoru</creatorcontrib><creatorcontrib>Kawaguchi, Takashi</creatorcontrib><creatorcontrib>Tokoro, Akihiro</creatorcontrib><creatorcontrib>Yamada, Kimito</creatorcontrib><creatorcontrib>Kanai, Yoshiaki</creatorcontrib><creatorcontrib>Matsuda, Yoshinobu</creatorcontrib><creatorcontrib>Kashiwaya, Yuko</creatorcontrib><creatorcontrib>Okuma, Kae</creatorcontrib><creatorcontrib>Inada, Shuji</creatorcontrib><creatorcontrib>Ariyoshi, Keisuke</creatorcontrib><creatorcontrib>Miyaji, Tempei</creatorcontrib><creatorcontrib>Azuma, Kanako</creatorcontrib><creatorcontrib>Ishiki, Hiroto</creatorcontrib><creatorcontrib>Unezaki, Sakae</creatorcontrib><creatorcontrib>Yamaguchi, Takuhiro</creatorcontrib><title>Assessment of Cancer-Related Fatigue, Pain, and Quality of Life in Cancer Patients at Palliative Care Team Referral: A Multicenter Observational Study (JORTC PAL-09)</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Cancer-related fatigue greatly influences quality of life in cancer patients; however, no specific treatments have been established for cancer-related fatigue, and at present, no medication has been approved in Japan. Systematic research using patient-reported outcome to examine symptoms, particularly fatigue, has not been conducted in palliative care settings in Japan. The objective was to evaluate fatigue, pain, and quality of life in cancer patients at the point of intervention by palliative care teams.
Patients who were referred to palliative care teams at three institutions and met the inclusion criteria were invited to complete the Brief Fatigue Inventory, Brief Pain Inventory, and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative.
Of 183 patients recruited, the majority (85.8%) were diagnosed with recurrence or metastasis. The largest group (42.6%) comprised lung cancer patients, of whom 67.2% had an Eastern Cooperative Oncology Group Performance Status of 0-1. The mean value for global health status/quality of life was 41.4, and the highest mean European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative symptom item score was for pain (51.0). The mean global fatigue score was 4.1, and 9.8%, 30.6%, 38.7%, and 20.8% of patients' fatigue severity was classified as none (score 0), mild (1-3), moderate (4-6), and severe (7-10), respectively.
Cancer-related fatigue, considered to occur more frequently in cancer patients, was successfully assessed using patient-reported outcomes with the Brief Fatigue Inventory for the first time in Japan. Results suggested that fatigue is potentially as problematic as pain, which is the main reason for palliative care.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Analysis</subject><subject>Cancer</subject><subject>Cancer patients</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Clinical trials</subject><subject>Diagnosis</subject><subject>Fatigue</subject><subject>Fatigue - diagnosis</subject><subject>Fatigue - etiology</subject><subject>Fatigue - therapy</subject><subject>Female</subject><subject>Global health</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Insomnia</subject><subject>Internal medicine</subject><subject>Life sciences</subject><subject>Lung cancer</subject><subject>Lung diseases</subject><subject>Lung Neoplasms - complications</subject><subject>Lung Neoplasms - therapy</subject><subject>Male</subject><subject>Management</subject><subject>Medicine</subject><subject>Metastases</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasms - complications</subject><subject>Neoplasms - therapy</subject><subject>Observational studies</subject><subject>Outcome Assessment, Health Care - methods</subject><subject>Outcome Assessment, Health Care - statistics & numerical data</subject><subject>Pain</subject><subject>Pain - diagnosis</subject><subject>Pain - etiology</subject><subject>Pain - rehabilitation</subject><subject>Palliation</subject><subject>Palliative care</subject><subject>Palliative Care - methods</subject><subject>Patients</subject><subject>Pharmacy</subject><subject>Quality of Life</subject><subject>Questionnaires</subject><subject>Referral and Consultation</subject><subject>Risk factors</subject><subject>Surveys and 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Takashi</au><au>Tokoro, Akihiro</au><au>Yamada, Kimito</au><au>Kanai, Yoshiaki</au><au>Matsuda, Yoshinobu</au><au>Kashiwaya, Yuko</au><au>Okuma, Kae</au><au>Inada, Shuji</au><au>Ariyoshi, Keisuke</au><au>Miyaji, Tempei</au><au>Azuma, Kanako</au><au>Ishiki, Hiroto</au><au>Unezaki, Sakae</au><au>Yamaguchi, Takuhiro</au><au>Aggarwal, Ashutosh Nath</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of Cancer-Related Fatigue, Pain, and Quality of Life in Cancer Patients at Palliative Care Team Referral: A Multicenter Observational Study (JORTC PAL-09)</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2015-08-05</date><risdate>2015</risdate><volume>10</volume><issue>8</issue><spage>e0134022</spage><epage>e0134022</epage><pages>e0134022-e0134022</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Cancer-related fatigue greatly influences quality of life in cancer patients; however, no specific treatments have been established for cancer-related fatigue, and at present, no medication has been approved in Japan. Systematic research using patient-reported outcome to examine symptoms, particularly fatigue, has not been conducted in palliative care settings in Japan. The objective was to evaluate fatigue, pain, and quality of life in cancer patients at the point of intervention by palliative care teams.
Patients who were referred to palliative care teams at three institutions and met the inclusion criteria were invited to complete the Brief Fatigue Inventory, Brief Pain Inventory, and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative.
Of 183 patients recruited, the majority (85.8%) were diagnosed with recurrence or metastasis. The largest group (42.6%) comprised lung cancer patients, of whom 67.2% had an Eastern Cooperative Oncology Group Performance Status of 0-1. The mean value for global health status/quality of life was 41.4, and the highest mean European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Core 15-Palliative symptom item score was for pain (51.0). The mean global fatigue score was 4.1, and 9.8%, 30.6%, 38.7%, and 20.8% of patients' fatigue severity was classified as none (score 0), mild (1-3), moderate (4-6), and severe (7-10), respectively.
Cancer-related fatigue, considered to occur more frequently in cancer patients, was successfully assessed using patient-reported outcomes with the Brief Fatigue Inventory for the first time in Japan. Results suggested that fatigue is potentially as problematic as pain, which is the main reason for palliative care.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>26244975</pmid><doi>10.1371/journal.pone.0134022</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1932-6203 |
ispartof | PloS one, 2015-08, Vol.10 (8), p.e0134022-e0134022 |
issn | 1932-6203 1932-6203 |
language | eng |
recordid | cdi_plos_journals_1701896191 |
source | MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS); EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Adult Aged Aged, 80 and over Analysis Cancer Cancer patients Cancer research Cancer therapies Care and treatment Clinical trials Diagnosis Fatigue Fatigue - diagnosis Fatigue - etiology Fatigue - therapy Female Global health Health aspects Hospitals Humans Insomnia Internal medicine Life sciences Lung cancer Lung diseases Lung Neoplasms - complications Lung Neoplasms - therapy Male Management Medicine Metastases Metastasis Middle Aged Neoplasms - complications Neoplasms - therapy Observational studies Outcome Assessment, Health Care - methods Outcome Assessment, Health Care - statistics & numerical data Pain Pain - diagnosis Pain - etiology Pain - rehabilitation Palliation Palliative care Palliative Care - methods Patients Pharmacy Quality of Life Questionnaires Referral and Consultation Risk factors Surveys and Questionnaires |
title | Assessment of Cancer-Related Fatigue, Pain, and Quality of Life in Cancer Patients at Palliative Care Team Referral: A Multicenter Observational Study (JORTC PAL-09) |
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