Evidence map›Paper›PMID 28196066›Full record

Trial reportBritish journal of cancer2017

Cancer-related fatigue management: evaluation of a patient education program with a large-scale randomised controlled trial, the PEPs fatigue study.

A Bourmaud, A Anota, C Moncharmont, F Tinquaut, M Oriol, V Trillet-Lenoir, A Bajard, S Parnalland, C Rotonda, F Bonnetain and 2 more

Open access · hybridAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in British journal of cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Effect of exercise on fatigue and depression in breastcancer women undergoing chemotherapy: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
  2. Management of Fatigue in Adult Survivors of Cancer: ASCO-Society for Integrative Oncology Guideline Update.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Guideline
  3. Effectiveness of creative arts therapy for adult patients with cancer: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Pooled it
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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

12 authors at 6 institutions in 1 country.

A BourmaudPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institute, Saint Priest en Jarez, France.
A AnotaFrench National Platform Quality of Life and Cancer, Besançon, France.
C MoncharmontPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institute, Saint Priest en Jarez, France.
F TinquautPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institute, Saint Priest en Jarez, France.
M OriolPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institute, Saint Priest en Jarez, France.
V Trillet-LenoirMedical Oncology Department, Lyon-Sud Lyon-Sud teaching hospital, Lyon, France.
A BajardDirection of Clinical Research and of Innovation, Léon Bérard Cancer Center, Lyon, France.
S ParnallandFrench National Platform Quality of Life and Cancer, Besançon, France.
C RotondaFrench National Platform Quality of Life and Cancer, Besançon, France.
F BonnetainFrench National Platform Quality of Life and Cancer, Besançon, France.
D PérolDirection of Clinical Research and of Innovation, Léon Bérard Cancer Center, Lyon, France.
F ChauvinPublic Health Department, Hygée Centre, Lucien Neuwirth Cancer Institute, Saint Priest en Jarez, France.
Methodology and Quality of Life Unit in Oncology · FRInstitute Cancer De La Loire Lucien Neuwirth · FRCentre de Recherche en Cancérologie de Lyon · FRHealth Services and Performance Research Laboratory · FRHôpital Lyon Sud · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo assess the efficacy of a patient educational program built according to guidelines that aims at reducing cancer-related fatigue (CRF).

methodsRandomised controlled trial, multicentre, comparing a patient education program, vs the standard of care. Patients were adult cancer outpatients with any tumour site. The primary outcome was fatigue severity assessed with a visual analogical scale (VAS), between the day of randomisation and week 7. Secondary outcomes were fatigue assessed with other scales, health-related quality of life, anxiety and depression. The time to fatigue severity deterioration was assessed. Analyses were performed in a modified intent-to-treat way, that is, including all patients with at least one baseline and 1 week 7 score.

resultsA total of 212 patients were included. Fatigue severity assessment was made on 79 patients in the experimental group and 65 in the control group. Between randomisation and week 7, the fatigue (VAS) improved by 0.96 (2.85) points in the experimental group vs 1.63 (2.63) points in the control group (P=0.15). No differences with the secondary outcomes were highlighted between two groups. No other factors were found to be associated with fatigue severity deterioration.

conclusionsDespite rigorous methodology, this study failed to highlight the program efficacy in fatigue reduction for cancer patients. Other assessment tools should be developed to measure the effect of the program on CRF and behaviour. The implementation of the program should also be explored in order to identify its mechanisms and longer-term impact.

Indexed as

Quality of LifeActivities of Daily LivingAdultAnxietyCase-Control StudiesDepressionDisease ManagementFatigueFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasmsNeoplasm StagingPain Measurement

Identifiers

PMID28196066
PMCPMC5379143
OpenAlexW2588208283

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

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.