Management of cancer-related fatigue in Taiwan: an evidence-based consensus for screening, assessment and treatment

Author:

Rau Kun-Ming12,Shun Shiow-Ching3,Hung Shih-Hsin4,Chou Hsiu-Ling567,Ho Ching-Liang89,Chao Ta-Chung101112,Liu Chun-Yu1314151617,Lien Ching-Ting18,Hong Ming-Ying19,Wu Ching-Jung202122,Tsai Li-Yun23,Jane Sui-Whi242526,Hsieh Ruey-Kuen27ORCID

Affiliation:

1. Department of Hematology Oncology, E-Da Cancer Hospital , Kaohsiung, Taiwan

2. School of Medicine, College of Medicine, I-Shou University , Kaohsiung, Taiwan

3. College of Nursing, Institute of Clinical Nursing, National Yang Ming Chiao Tung University , Taipei, Taiwan

4. Department of Nursing, Taipei Veterans General Hospital , Taipei, Taiwan

5. Department of Nursing, Asia Eastern University of Science and Technology , New Taipei City, Taiwan

6. Department of Nursing, Far Eastern Memorial Hospital , New Taipei City, Taiwan

7. School of Nursing, National Yang Ming Chiao Tung University , Taipei, Taiwan

8. Division of Hematology and Oncology, Tri-Service General Hospital , Taipei, Taiwan

9. Division of Oncology, National Defense Medical Center , Taipei, Taiwan

10. Department of Oncology and Comprehensive Breast Health Center, Taipei Veterans General Hospital , Taipei, Taiwan

11. Faculty of Medicine , School of Medicine, , Taipei, Taiwan

12. National Yang Ming Chiao Tung University , School of Medicine, , Taipei, Taiwan

13. Division of Transfusion Medicine , Department of Medicine and Comprehensive Breast Health Center, , Taipei, Taiwan

14. Taipei Veterans General Hospital , Department of Medicine and Comprehensive Breast Health Center, , Taipei, Taiwan

15. Division of Medical Oncology , Department of Oncology, , Taipei, Taiwan

16. Taipei Veterans General Hospital , Department of Oncology, , Taipei, Taiwan

17. School of Medicine, National Yang Ming Chiao Tung University , Taipei, Taiwan

18. Department of Nursing, MacKay Memorial Hospital , Taipei, Taiwan

19. Department of Nursing, National Taiwan University Hospital , Taipei, Taiwan

20. Department of Radiation Oncology, Cathay General Hospital , Taipei, Taiwan

21. Department of Radiation Oncology, National Defense Medical Center , Taipei, Taiwan

22. Department of Biomedical Engineering, I-Shou University , Kaohsiung, Taiwan

23. College of Nursing, Central Taiwan University of Science and Technology , Taichung, Taiwan

24. Division of Hematology-Oncology , Department of Internal Medicine, , Taoyuan, Taiwan

25. Chang Gung Memorial Hospital , Department of Internal Medicine, , Taoyuan, Taiwan

26. Graduate Institute of Nursing, Chang Gung University of Science and Technology , Taoyuan, Taiwan

27. Department of Hematology and Oncology, MacKay Memorial Hospital , Taipei, Taiwan

Abstract

Abstract Background Cancer-related fatigue is one of the most common and persistent issues experienced by cancer patients. Cancer-related fatigue is a distinct form of fatigue that is subjective, long-lasting and unalleviated by rest or sleep. Studies have shown that almost all cancer patients experience severe fatigue that disrupts the quality of life and physical function, but cancer-related fatigue remains under-addressed in clinical care, and only about half of all patients receive treatment. Methods To increase the awareness of cancer-related fatigue and improve current management, the Taiwan Society of Cancer Palliative Medicine and the Taiwan Oncology Nursing Society convened a consensus committee to develop recommendations for the screening, assessment and treatment of cancer-related fatigue. Results Thirteen consensus recommendations were subsequently developed based on the best available evidence and the clinical experience of committee members. Conclusions These recommendations are expected to facilitate the standardization of cancer-related fatigue management across Taiwan and may also serve as a reference for other clinicians.

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Radiology, Nuclear Medicine and imaging,Oncology,General Medicine

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