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.
引用
收藏
页数:16
相关论文
共 44 条
  • [1] Use of a case definition approach to identify cancer-related fatigue in women undergoing adjuvant therapy for breast cancer
    Andrykowski, MA
    Schmidt, JE
    Salsman, JM
    Beacham, AO
    Jacobsen, PB
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2005, 23 (27) : 6613 - 6622
  • [2] [Anonymous], 2023, NCCN Clinical Practice Guidelines in Oncology - Biliary Tract Cancers Version 3
  • [3] A population-based study of the impact of specific symptoms on quality of life in women with breast cancer 1 year after diagnosis
    Arndt, Volker
    Stegmaier, Christa
    Ziegler, Hartwig
    Brenner, Hermann
    [J]. CANCER, 2006, 107 (10) : 2496 - 2503
  • [4] Validation of PHQ-2 and PHQ-9 to Screen for Major Depression in the Primary Care Population
    Arroll, Bruce
    Goodyear-Smith, Felicity
    Crengle, Susan
    Gunn, Jane
    Kerse, Ngaire
    Fishman, Tana
    Falloon, Karen
    Hatcher, Simon
    [J]. ANNALS OF FAMILY MEDICINE, 2010, 8 (04) : 348 - 353
  • [5] Cancer-Related Fatigue in Patients With and Survivors of Hodgkin Lymphoma: The Impact on Treatment Outcome and Social Reintegration
    Behringer, Karolin
    Goergen, Helen
    Mueller, Horst
    Thielen, Indra
    Brillant, Corinne
    Kreissl, Stefanie
    Halbsguth, Teresa Veronika
    Meissner, Julia
    Greil, Richard
    Moosmann, Peter
    Shonukan, Oluwatoyin
    Rueffer, Jens Ulrich
    Flechtner, Hans-Henning
    Fuchs, Michael
    Diehl, Volker
    Engert, Andreas
    Borchmann, Peter
    [J]. JOURNAL OF CLINICAL ONCOLOGY, 2016, 34 (36) : 4329 - +
  • [6] Dissemination and Implementation of Guidelines for Cancer-Related Fatigue
    Berger, Ann M.
    Mooney, Kathi
    [J]. JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK, 2016, 14 (11): : 1336 - 1336
  • [7] Screening, evaluation, and management of cancer-related fatigue: Ready for implementation to practice?
    Berger, Ann M.
    Mitchell, Sandra A.
    Jacobsen, Paul B.
    Pirl, William F.
    [J]. CA-A CANCER JOURNAL FOR CLINICIANS, 2015, 65 (03) : 190 - 211
  • [8] The role of neuro-immune interactions in cancer-related fatigue: Biobehavioral risk factors and mechanisms
    Bower, Julienne E.
    [J]. CANCER, 2019, 125 (03) : 353 - 364
  • [9] A review of the content and psychometric properties of cancer-related fatigue (CRF) measures used to assess fatigue in intervention studies
    Campbell, Rachel
    Bultijnck, Renee
    Ingham, Gemma
    Sundaram, Chindhu Shunmuga
    Wiley, Joshua F.
    Yee, Jasmine
    Dhillon, Haryana M.
    Shaw, Joanne
    [J]. SUPPORTIVE CARE IN CANCER, 2022, 30 (11) : 8871 - 8883
  • [10] Cancer-related fatigue: ESMO Clinical Practice Guidelines for diagnosis and treatment
    Fabi, A.
    Bhargava, R.
    Fatigoni, S.
    Guglielmo, M.
    Horneber, M.
    Roila, F.
    Weis, J.
    Jordan, K.
    Ripamonti, C., I
    [J]. ANNALS OF ONCOLOGY, 2020, 31 (06) : 713 - 723