Evidence map›Paper›PMID 25980742›Full record

ArticleHealth and quality of life outcomes2015

Qualitative and quantitative validation of the FACIT-fatigue scale in iron deficiency anemia.

Sarah Acaster, Rene Dickerhoof, Kendra DeBusk, Kristine Bernard, William Strauss, Lee F Allen

Registry-linked trialOpen access · goldAbstract readValidation Study
In one paragraph

Article in Health and quality of life outcomes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05314803 (Yoga for Young Adults Affected by Cancer), which is not on this map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05314803 narecruitingnot on this mapstarted 2021, after this paper: background citation

Yoga for Young Adults Affected by Cancer: Exploring Implementation and Effectiveness of an Online Program

TypeinterventionalSponsorUniversity of CalgaryRan2021 to 2028Enrolled500ConditionsYoung Adult Cancer, Young Adult OncologyArmsYoga
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 97 citations in OpenAlex.

  1. Pooled it
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  11. High prevalence of undiagnosed iron deficiency in endometriosis patients: A cross-sectional study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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  14. Sutimlimab for Cold Agglutinin Disease.Journal of the advanced practitioner in oncology · 2024
    Article
  15. Observational
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  17. Radiotherapy-induced fatigue in Palestinian breast cancer survivors.Health psychology and behavioral medicine · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Sarah AcasterOxford Outcomes, 188 Embarcadero, Suite 200, San Francisco, CA, 94105, USA. sarah@acaster.org.
Rene DickerhoofOxford Outcomes, 188 Embarcadero, Suite 200, San Francisco, CA, 94105, USA. renemdickerhoof@outlook.com.
Kendra DeBuskOxford Outcomes, 188 Embarcadero, Suite 200, San Francisco, CA, 94105, USA. kpadebusk@gmail.com.
Kristine BernardAMAG Pharmaceuticals, 1100 Winter St., Waltham, MA, 02451, USA. kbernard@amagpharma.com.
William StraussAMAG Pharmaceuticals, 1100 Winter St., Waltham, MA, 02451, USA. wstrauss@amagpharma.com.
Lee F AllenAMAG Pharmaceuticals, 1100 Winter St., Waltham, MA, 02451, USA. leeallen@amagpharma.com.
AMAG Pharmaceuticals (United States) · USHealth Outcomes Solutions (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFatigue is a burdensome symptom in iron deficiency anemia (IDA). To capture the severity and impact of fatigue appropriately it must be measured using validated scales. This study evaluated the content validity and psychometric validity of the Functional Assessment of Chronic Illness Therapy - fatigue scale (FACIT-fatigue) in IDA patients.

methodsQualitative patient interviews were conducted in the United States to evaluate content validity. The psychometric properties of the FACIT-fatigue scale were investigated using data from a phase 3 clinical trial assessing ferumoxytol in patients with a history of unsatisfactory oral iron therapy or in whom oral iron cannot be used. The statistical analysis assessed the acceptability, reliability, validity and responsiveness of the FACIT-fatigue scale.

resultsQualitative interviews showed that fatigue is a central concern to IDA patients and that the FACIT-fatigue scale sufficiently assessed this construct. Psychometric assessment demonstrated that the FACIT-fatigue scale was stable over time (ICC = 0.87) and internally consistent (α = 0.93). The scale demonstrated convergence with other conceptually relevant scales such as SF-36 Vitality (r = 0.74), and distinguished between known groups [i.e., treatment arms (mean difference (95 % CI) = 3.56 (1.68, 5.43), p <0.001) and high vs. low hemoglobin groups (mean difference (95 % CI) = 5.51 (8.59, 2.44) p <0.001)]. Responsiveness was also demonstrated; significant improvements in FACIT-fatigue scale scores corresponded with significant differences between minimal, moderate, and much improved vitality cohorts (p < 0.05).

conclusionsThis research demonstrated that the FACIT-fatigue scale has sound measurement properties and is an appropriate and interpretable assessment of fatigue among IDA patients with various underlying conditions.

Indexed as

Severity of Illness IndexAdultAnemia, Iron-DeficiencyCross-Sectional StudiesFatigueFemaleFerrosoferric OxideHumansMaleMiddle AgedPsychometricsQuality of LifeReproducibility of ResultsSurveys and QuestionnairesUnited StatesFerrosoferric Oxide

Identifiers

PMID25980742
PMCPMC4434873
OpenAlexW2151811972

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.