Evidence map›Paper›PMID 30084104›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2019

Prevalence, characteristics, and treatment of fatigue in oncological cancer patients in Italy: a cross-sectional study of the Italian Network for Supportive Care in Cancer (NICSO).

Fausto Roila, Guglielmo Fumi, Benedetta Ruggeri, Andrea Antonuzzo, Carla Ripamonti, Sonia Fatigoni, Luigi Cavanna, Stefania Gori, Alessandra Fabi, Nicola Marzano and 10 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 16% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Effectiveness of mat pilates on fatigue in women with breast cancer submitted to adjuvant radiotherapy: randomized controlled clinical trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Trial
  4. Trial
  5. Article
  6. Heterogeneous trajectory of cancer-related fatigue and its associated factors in patients with glioma during the perioperative period: a prospective longitudinal study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  7. Toward precision rehabilitation: a latent profile analysis of social support as a buffer against fatigue and reduced physical activity in breast cancer chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  8. Integrating English and Chinese evidence on acupuncture and moxibustion for cancer-related fatigue (CRF): a decade of research and clinical recommendations.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Review
  9. Review
  10. Relationship between fatigue and self-compassion and associated factors in patients with hematological cancer: A cross-sectional study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Observational
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Physicians' perspectives on cancer-related fatigue management and their suggestions for improvements in medical training: a cross-sectional survey study in Germany.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Observational
  17. Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 13 institutions in 1 country.

Fausto RoilaAzienda Ospedaliera S. Maria S.C. Oncologia, Terni, Italy. roila.fausto@libero.it.
Guglielmo FumiAzienda Ospedaliera S. Maria S.C. Oncologia, Terni, Italy.
Benedetta RuggeriClinical Governance, ASUR Marche, AV5, Ascoli Piceno, Italy.
Andrea AntonuzzoUniversity Hospital of Pisa, Pisa, Italy.
Carla RipamontiOncology Unit 2, Istituto Nazionale dei Tumori, Milan, Italy.
Sonia FatigoniAzienda Ospedaliera S. Maria S.C. Oncologia, Terni, Italy.
Luigi CavannaOncologia-Ematologia-AUSL PIACENZA, Piacenza, Italy.
Stefania GoriOncology Unit, Ospedale Sacro Cuore Don Calabria, Negrar, Verona, Italy.
Alessandra FabiDivision of Medical Oncology, "Regina Elena" National Cancer Institute, Rome, Italy.
Nicola MarzanoUOSD Oncologia Medica Ospedale S. Paolo, ASL, Bari, Italy.
Claudio GraiffOspedale Centrale di Bolzano, Bolzano, Italy.
Vitaliana De SanctisRadiotherapy, St. Andrea Hospital, Sapienza University, Rome, Italy.
Aurora MirabileAzienda Ospedaliera S.Antonio, Gallarate, Italy.
Samantha SerpentiniIstituto Oncologico Veneto IOV-IRCCS, Padua, Italy.
Chiara BocciFondazione Salvatore Maugeri, I.R.C.C.S., Pavia, Italy.
Maria Simona PinoSOC Oncologia Medica Ospedale S. Maria Annunziata, Florence, Italy.
Giuseppina CilentiOspedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, Foggia, Italy.
Claudio VerusioASST della Valle Olona, Hospital of Saronno, Saronno, Italy.
Enzo Ballatori, Spinetoli, Ascoli Piceno, Italy.
NICSO (Network Italiano per le Cure di Supporto in Oncologia)
Azienda Ospedaliera S.Maria · ITCasa Sollievo della Sofferenza · ITFondazione Salvatore Maugeri · ITOspedale Sacro Cuore Don Calabria · ITOspedale San Paolo · ITAccademia Italiana Medicina Osteopatica · ITAzienda Ospedaliera Sant’Antonio Abate di Gallarate · ITAzienda Ospedaliera Universitaria Pisana · ITAzienda Unità Sanitaria Locale Piacenza · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIstituto Oncologico Veneto · ITOspedale di Bolzano · ITSuperconducting and other Innovative Materials and Devices Institute · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFatigue is one of the most distressing symptoms of cancer patients. Its characteristics and impact on quality of life have not been fully explored and treatment of cancer-related fatigue in Italian oncological centers has not been codified.

methodsA cross-sectional study was carried out on all patients attending for any reason the 24 participating centers in two non-consecutive days. Patients with fatigue filled out the Brief Fatigue Inventory (BFI) questionnaire and reported any pharmacological or non-pharmacological treatment for fatigue.

resultsFrom October 2014 to May 2015, 1394 cancer patients agreed to participate in the study. Fatigue was referred by 866 (62.1%) of patients; its duration was > 4 months in 441 patients (50.9%). In the investigators' opinion, the most important (probable or almost sure) determinants of fatigue were reduced physical activity (271 patients), anxiety (149), pain (131), insomnia (125), anemia (123), and depression (123). Fatigue of moderate/severe intensity was reported by 43%/29.2% of patients, while usual fatigue in the last 24 h by 45%/33.1%, and the worst fatigue in the last 24 h by 33%/54.8%, respectively. Concerning the impact on quality of life, fatigue interfered moderately/severely with general activity in 30.8%/38.6% of patients, with mood in 26.1%/32.8%, with the ability to work in 27.9%/35.6%, with normal work in 26.7%/38.9%, with relationships with others in 21%/23.4% and with the ability to amuse themselves in 22.2%/33.1%. Only 117/866 patients (13.5%) received a pharmacological treatment represented by a corticosteroid in 101 patients (86.3%) while 188 patients (21.7%) received a non-pharmacological treatment such as physical exercise (120 patients, 63.8%) and various alimentary supplements (52 patients, 27.6%).

conclusionsCancer-related fatigue is frequently reported by oncological patients; its intensity and impact on quality of life is relevant.

Indexed as

AdultAgedAged, 80 and overAnxietyCancer PainCross-Sectional StudiesDepressionExerciseExercise TherapyFatigueFemaleHumansItalyMaleMiddle AgedNeoplasmsCancer-related fatigueCharacteristics of fatigueNon-pharmacological treatmentPharmacological treatment

Identifiers

PMID30084104
OpenAlexW2885275033

What OpenQuestion holds

Textmetadata
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.