Patient-physician communication about cancer-related fatigue: a survey of patient-perceived barriers

被引:6
作者
Milzer, Marlena [1 ,2 ,5 ,6 ]
Wagner, Anna S. [3 ]
Schmidt, Martina E. [1 ,5 ,6 ]
Maatouk, Imad [3 ]
Hermann, Silke [4 ]
Kiermeier, Senta [3 ]
Steindorf, Karen [1 ,5 ,6 ]
机构
[1] German Canc Res Ctr, Div Phys Act Prevent & Canc, Heidelberg, Germany
[2] Heidelberg Univ, Med Fac, Heidelberg, Germany
[3] Julius Maximilian Univ, Dept Internal Med 2, Sect Psychosomat Med Psychotherapy & Psychooncol, Wurzburg, Germany
[4] German Canc Res Ctr, Epidemiol Canc Registry Baden Wurttemberg, Heidelberg, Germany
[5] NCT Heidelberg, Partnership DKFZ, Natl Ctr Tumor Dis NCT, Heidelberg, Germany
[6] Univ Med Ctr Heidelberg, Heidelberg, Germany
关键词
Cancer-related fatigue; Patient participation; Patient-physician communication; Structural barriers; Supportive care; QUALITY-OF-LIFE; DEPRESSION; IMPLEMENTATION; PARTICIPATION; VALIDATION; MANAGEMENT; SEVERITY; LYMPHOMA; IMPACT; PHQ-9;
D O I
10.1007/s00432-023-05555-8
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
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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页数:16
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