ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Cancer patients' symptom reporting gaps in fatigue, pain, and emotional distress: a cross-sectional study of symptom management in China.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study examined the prevalence, reporting, and perceived management of fatigue, pain, and emotional distress among hospitalized patients with cancer in China and their associations with demographic, clinical, and laboratory characteristics.
methodsA cross-sectional study included 1,280 patients from secondary and tertiary hospitals across 16 cities in Shandong Province. Data were obtained through medical record review and patient questionnaires. Twelve binary symptom-related outcomes were assessed. Separate multivariable multilevel logistic regression models examined demographic and clinical characteristics and laboratory parameters, accounting for city-level clustering. Both sets of models included cancer type.
resultsDuring the current hospitalization, 88%, 74%, and 94% of patients experienced fatigue, pain, and emotional distress, respectively. Among patients experiencing the corresponding symptom, reporting rates were 55%, 63%, and 40%. In the demographic and clinical models, male, unmarried, and divorced patients had lower odds of reporting all three symptoms than their respective reference groups. Among patients who discussed the respective symptom, male patients had higher odds of reporting definite receipt of desired help for all three symptoms than female patients. In the laboratory models, low neutrophil counts and high hemoglobin levels were associated with higher odds of reporting pain, whereas low potassium levels were associated with lower odds.
conclusionSymptom reporting was incomplete, particularly for emotional distress, highlighting the need for person-centered symptom assessment and communication. Among patients who discussed the respective symptom with a clinician, the proportion reporting definite receipt of desired help was highest for pain (97%), followed by fatigue (47%) and emotional distress (40%).
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