ArticleJournal of cancer research and clinical oncology2024
Patient-physician communication about cancer-related fatigue: a survey of patient-perceived barriers.
Article in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04921644 (Longitudinal Investigation of Cancer-related Fatigue and Its Treatment), which is not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Longitudinal Investigation of Cancer-related Fatigue and Its Treatment (LIFT Project)
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 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 · 2024Guideline
- Patient Activation, Patient-Physician Communication Quality, and Cancer-Related Fatigue: A Longitudinal Study of Cancer Survivors.Psycho-oncology · 2026Observational
- Tendencies in the association between fatigue and quality of life in terminally ill patients with cancer admitted to a palliative care unit.Palliative & supportive care · 2026Article
- Communication barriers in aftercare: a qualitative study of allogeneic stem cell transplant patients.BMC cancer · 2026Article
- Current non-pharmacological practices for cancer-related fatigue in oncology rehabilitation: results of a national provider survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- A mixed-methods study of how cancer-related fatigue affects occupational participation and engagement, and is managed in daily life.The British journal of occupational therapy · 2026Article
- Exploring the current status of barriers to cancer-related fatigue management in Chinese patients with breast cancer and its relationship with self-disclosure and adaptive cognitive emotion regulation strategies: a cross-sectional study from the perspective of emotion self-regulation theory.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Patient and Physician Preferences for Add-On Systemic Therapy to Transarterial Chemoembolization for Hepatocellular Carcinoma in Japan: A Discrete Choice Experiment.Liver cancer · 2026Article
- An interdisciplinary challenge: responsibilities in German cancer-related fatigue management from the professional and patient perspective.The oncologist · 2025Article
- Co-designing a web-based intervention (RESTORE) to support self-management of cancer-related fatigue in people living with a brain tumour.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Barriers to discussing fatigue in oncological care: a comparative study of patient perspectives after two decades.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Fear of Cancer Recurrence and Its Associated Factors in Bladder Cancer Patients of Different Age Stages: A Cross-Sectional Study.Cancer management and research · 2025Article
- 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 · 2024Observational
- Fear of cancer recurrence in adolescent patients with malignant bone tumors: a cross-section survey.BMC public health · 2024Article
- Do Terminally Ill Cancer Patients' Self-Assessments and Nurses' Assessments Agree on Cancer-Related Fatigue? A Cross-Sectional Study.Palliative medicine reports · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
purposeCancer-related fatigue is a subjective, distressing, and common sequela of cancer which is often disregarded and underdiagnosed. Fatigue is assessed by self-report requiring communication between patient and physician. In this study, we investigated the patients' perspective on the patient-physician communication about fatigue.
methodsOn average five months after diagnosis 1179 cancer patients, recruited in Germany, completed a survey as part of the LIFT project. The survey included questions on sociodemographic data, fatigue, depression, fatigue management, patient-physician communication, and communication barriers. Data were analyzed descriptively and using logistic regression analyses.
resultsHalf of the participants reported that their physician had never asked them whether they felt exhausted. Patients undergoing chemo-, radio-, or immunotherapy were more likely to be asked about fatigue, while older age and major depression decreased the likelihood. Sixty-four percent of the patients felt impeded by communication barriers. Common barriers were not knowing who to turn to for fatigue (39%), time constraints (31%), and the fear of being perceived as weak (22%). Almost half of the participants indicated that their physicians were not appreciative and did not deal adequately with fatigue-related questions.
conclusionThis study revealed gaps in the patient-physician communication regarding cancer-related fatigue. Contrary to guideline recommendations a minority of physicians addressed fatigue. On the other hand, cancer patients felt reluctant to bring up this topic due to structural barriers and fears. Physicians should routinely address fatigue and adopt a communication style which encourages patients to likewise state their symptoms and raise their questions.
trial registrationClinicaltrials.gov, identifier: NCT04921644. Registered in June 2021.
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