Evidence map›Paper›PMID 31407525›Full record

Observational studyCancer medicine2019

Cognitive and motor aspects of cancer-related fatigue.

Li Rebekah Feng, Jeniece Regan, Joseph A Shrader, Josephine Liwang, Alexander Ross, Saloni Kumar, Leorey N Saligan

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Cancer-related fatigue during treatment with neoadjuvant and/or adjuvant immune checkpoint inhibitors: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  2. Herbal and pharmacological treatments in cancer-related fatigue.Translational gastroenterology and hepatology · 2026
    Article
  3. Article
  4. Objective measurement of cancer-related fatigue.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Review
  5. Review
  6. Incidence and predictors of immune checkpoint inhibitor treatment-related cognitive impairment in a racial and ethnic diverse population.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Multidisciplinary analysis of cancer-related fatigue at the time of diagnosis: preliminary results of the BIOCARE FActory cohort.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  12. Cancer: A model topic for misinformation researchers.Current opinion in psychology · 2024
    Review
  13. Review
  14. Longitudinal Associations Between Higher Self-Reported Energy, Gait Speed, and Cognition in Older Adults With Fatigue.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
  15. Absence of risk of sarcopenia protects cancer patients from fatigue.European journal of clinical nutrition · 2022
    Article
  16. A Critical Review of Symptom Management Nursing Science on HIV-Related Fatigue and Sleep Disturbance.International journal of environmental research and public health · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Article
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

7 authors at 2 institutions in 1 country.

Li Rebekah FengNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0003-0445-4088
Jeniece ReganNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.
Joseph A ShraderClinical Center Rehabilitation Medicine, National Institutes of Health, Bethesda, Maryland.
Josephine LiwangNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0003-2140-7048
Alexander RossNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.
Saloni KumarNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.
Leorey N SaliganNational Institute of Nursing Research, National Institutes of Health, Bethesda, Maryland.ORCID 0000-0001-9481-7836
National Institutes of Health · USNational Institutes of Health Clinical Center · US

Funding

Investigating Correlates of Fatigue in Cancer Patients receiving TreatmentZIANR000020 · NINR · NATIONAL INSTITUTE OF NURSING RESEARCH · PI SALIGAN, LEOREY · 2011 to 2022
$15.1M
Division of Intramural Research of the National Institute of Nursing Research of the NIH
6 · The paper itself

Abstract

backgroundCancer-related fatigue (CRF) is a debilitating symptom frequently reported by patients during and after treatment for cancer. CRF is a multidimensional experience and is often solely assessed by self-report measures. The goal of the study is to examine the physical and cognitive aspects of self-reported CRF using a cognitive function test and a physical fatigue index in order to provide objective measures that can characterize the CRF phenotype.

methodsA total of 59 subjects with nonmetastatic prostate cancer receiving external beam radiation therapy were included in the study. Fatigue was measured using the Functional Assessment of Cancer Therapy-Fatigue (FACT-F) questionnaire. Cognitive characteristics of CRF was measured using the Stroop Color-Word Interference computerized test and the motor aspect of fatigue was measured using the static fatigue test using a handgrip dynamometer.

findingsFunctional Assessment of Cancer Therapy-Fatigue scores significantly correlated with the Stroop Interference score, but not performance accuracy in all test conditions. Fatigued subjects exhibited a more rapid decline to 50% of maximal strength and increased static fatigue index in the handgrip test, whereas maximal grip strength was not affected.

conclusionsThe results suggest that CRF exhibits both cognitive and physical characteristics. Subjective fatigue was associated with increased time required to overcome cognitive interference, but not cognitive performance accuracy. Fatigued patients exhibited decreased physical endurance and the ability to sustain maximal strength over time. These objective measures may serve as valuable tools for clinicians to detect cognitive and physical impairment associated with CRF.

Indexed as

CognitionHand StrengthAgedFatigueHumansMaleMiddle AgedPhenotypeProstatic NeoplasmsStroop Testcancer-related fatiguecognitive impairmenthand gripphysical fatigueprostate cancerradiation therapyStroop interference

Identifiers

PMID31407525
PMCPMC6792503
OpenAlexW2967198097

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.