Evidence map›Paper›PMID 39537876›Full record

Observational studySupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

Physicians' perspectives on cancer-related fatigue management and their suggestions for improvements in medical training: a cross-sectional survey study in Germany.

Anna S Wagner, L Wehlen, Marlena Milzer, Martina E Schmidt, Senta Kiermeier, Imad Maatouk, Karen Steindorf

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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.

NCT04921644 active not recruitingnot on this map

Longitudinal Investigation of Cancer-related Fatigue and Its Treatment (LIFT Project)

TypeobservationalSponsorGerman Cancer Research CenterRan2021 to 2028Enrolled1,183ConditionsCancer-related Fatigue
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Observational
  2. Observational
  3. Article
  4. 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.

Anna S WagnerDepartment of Internal Medicine II, Section of Psychosomatics, Psychotherapy and Psychooncology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0009-0008-9272-4036
L WehlenDepartment of Internal Medicine II, Section of Psychosomatics, Psychotherapy and Psychooncology, University Hospital Würzburg, Würzburg, Germany.
Marlena MilzerDepartment of Psychosomatic Medicine and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.ORCID http://orcid.org/0000-0002-5864-068X
Martina E SchmidtDivision of Physical Activity, Prevention and Cancer (C110), German Cancer Research Center (DKFZ), Heidelberg, Germany.ORCID http://orcid.org/0000-0002-2095-2426
Senta KiermeierDepartment of Internal Medicine II, Section of Psychosomatics, Psychotherapy and Psychooncology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0002-5815-5713
Imad MaatoukDepartment of Internal Medicine II, Section of Psychosomatics, Psychotherapy and Psychooncology, University Hospital Würzburg, Würzburg, Germany.ORCID http://orcid.org/0000-0002-8030-1182
Karen SteindorfDivision of Physical Activity, Prevention and Cancer (C110), German Cancer Research Center (DKFZ), Heidelberg, Germany. K.Steindorf@dkfz-heidelberg.de.ORCID http://orcid.org/0000-0001-5215-5651

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeContrary to guidelines, many cancer patients are not screened for cancer-related fatigue (CRF) and do not receive information or adequate treatment. As physicians play a key role in cancer therapy, their knowledge of this common sequela and perspectives on its management are of major interest.

methodsFor an online survey, physicians working in oncology in Germany were systematically drawn from registers and invited by using institutional newsletters or colleagues. Descriptive analyses, logistic regression analysis of physicians' knowledge, and Mann‒Whitney U tests were performed.

resultsTwo-thirds of the 148 surveyed physicians felt (rather) well informed about CRF and capable of counseling patients. Only 32% of the sample were aware of CRF-specific guidelines. Despite of this, participants rated the scientific evidence for recommending physical activity, exercise programs, and psychotherapeutic interventions in accordance with guidelines as being mostly (very) strong. However, despite 82.4% of the physicians being (rather) aware of its evidence, only 56.1% often to almost always recommended psychotherapeutic interventions. CRF was rarely covered in medical studies and medical specialist training. The completion of advanced training for palliative care increased the likelihood of knowing guidelines (OR = 2.6, 95% CI [1.1-6.0], p < 0.05). Suggestions for improving training included the mandatory coverage of CRF in medical training or its consideration in interprofessional supportive care workshops.

conclusionAlthough awareness and recommendation rates were adequate for some interventions in CRF treatment (such as physical activity), there were lower recommendation rates for others, including psychotherapy. Studies are required assessing for the reasons of this knowledge-to-practice gap. Moreover, training is needed among physicians in order to enhance knowledge of CRF guidelines.

trial registrationClinicaltrials.gov , identifier: NCT04921644. Registered in June 2021.

Indexed as

FatigueNeoplasmsPhysiciansAdultAttitude of Health PersonnelCross-Sectional StudiesFemaleGermanyHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedSurveys and QuestionnairesCancer-related fatigueCross-sectional designPhysiciansSupportive careSurvey study

Identifiers

PMID39537876
PMCPMC11560979

What OpenQuestion holds

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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.