However, the correlation was lower than we expected. The European Organization for Research and Treatment of Cancer QLQ-C30. DOI: https://doi.org/10.1016/S0885-3924(99)00138-4. Focused Health Assessment PHYSICAL ASSESSMENT SYMPTOM ASSESSMENT Vital Signs A cancer that affects your hormone levels could cause fatigue. It is possible to manage fatigue.  |  We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). We developed a 58-item draft questionnaire. The average age of the participants was 61 years (range, 35–84 years). Phys Ther Res. Published by Elsevier Inc. American Academy of Hospice and Palliative Medicine, National Hospice and Palliative Care Organization, A Brief, Three-Dimensional, Self-Rating Scale for Assessment of Fatigue in Cancer Patients. J Pain Symptom Manage. A qualitative study to explore the concept of fatigue/tiredness in cancer patients and in healthy individuals. Vainio A, Auvinen A, with Members of the Symptom Prevalence Group. Patients describe fatigue as feeling tired, weak, worn-out, heavy, slow, or that they have no energy or get-up-and-go. It can range from mild to severe, and may be either temporary or a long-term effect. For example, guidelines developed by the National Comprehensive Cancer Network recommend that fatigue severity be rated on a 0-10 scale and that patients reporting “moderate” or “severe” fatigue (identified as 4-6 and 7-10, respectively), but not “mild” fatigue (identified as 1-3), receive further evaluation and treatment. This can cause a number of side effects including fatigue. Third, this scale showed good validity and reliability in a number of cancer patients sufficient for testing the psychometric properties of this 15-item scale. 1 2 3 4 5, 14 Can you encourage yourself to do anything? All of the patients easily completed this scale. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale We gratefully acknowledge the assistance of Dr. Satoshi Sasaki, MD, PhD, of the Epidemiology and Biostatistics Division, National Cancer Center Research Institute East, Japan for supervising the statistical analysis. Cancer and cancer treatment may cause fatigue. Evaluating patient distress from cancer-related fatigue: an instrument development study. An increasing focus on cancer-related fatigue emphasized the need for sensitive tools to assess this most frequently reported symptom. February 26, This report describes the development and validation of the Cancer Fatigue Scale, which is composed of 3 factors and 15 items. Returning to the first point, the strongest correlation between the subscales was that between the physical and cognitive subscales. The number of factors was identified by the Scree test. However, the affective and cognitive subscale scores had slightly weaker correlations with the VAS scores than did the physical subscale score. Depression and anxiety are two of the most prevalent psychiatric symptoms in cancer patients. Psychological problems associated with diagnosis and treatment of lymphomas. Anxiety significantly correlated with each CFS subscale and, like depression, may play a role in cancer-related fatigue. It may not end - even when treatment is complete. Journal of Pain and Symptom Management 2000;19:5-14 Each of the three subscales and the total scale of the CFS demonstrated high internal consistency, and the strong correlation in the test–retest reliability data suggests that each subscale and total scale provides good reliability. Cancer 2000;89:1634-1646, with permission from John Wiley & Sons, Inc. Overview. This study had some limitations. Thus, the cognitive aspect of fatigue might overlap the physical aspect of fatigue to some extent. It can be caused by the cancer itself, or the side effects of treatments. Patients are typically asked, “How would you rate your fatigue on a scale of 0–10 over the past 7 days?” Cancer Fatigue Scale-マニュアル-Okuyama T, Akechi T, Kugaya A, Okamura H, Shima Y, Maruguchi M, Hosaka T, Uchitomi Y. Fatigue is defined as a condition characterized by a subjective feeling of a decrease in energy, and it has both physical and psychological aspects. 2020 Nov 10;56(11):601. doi: 10.3390/medicina56110601. Your healthcare team may be able to help prevent or relieve fatigue and improve your quality of life. This questionnaire will ask you about any sense of fatigue you might be experiencing. Late effects of adjuvant chemotherapy and postoperative radiotherapy on quality of life among breast cancer patients. After reviewing the existing scales for measuring fatigue in cancer patients, Richardson. Factors contributing to emotional distress during cancer chemotherapy. Medical data, including the specific cancer diagnosis and the patients' Performance Status as defined by the Eastern Cooperative Oncology Group (ECOG), were recorded by physicians. Palliative care in Kerala problems at presentation in 440 patients with advanced cancer in a south Indian state. Cross-cultural adaptation, reliability, and validity of the Turkish version of the Cancer Fatigue Scale in patients with breast cancer. Fighting Cancer Fatigue. Psychological problems associated with diagnosis and treatment of lymphomas. What do cancer patients mean when they complain of concentration and memory problems?. Questions arise as to whether these cutoff scores, intended as aids … CFS: This is a cancer patient fatigue scale developed in Japan, and is a questionnaire consisting of 15 items from 3 subscales (physical, affective and cognitive). Psycho-Oncology Division, National Cancer Center Research Institute East, Chiba, Japan, Psychiatry Division, National Cancer Center Hospital, Tokyo, Japan, Palliative Care Unit, National Cancer Center Research Institute East, Chiba, Japan, Department of Psychiatry and Behavioral Science, Tokai University School of Medicine, Kanagawa USA, Address reprint requests to: Yosuke Uchitomi, MD, PhD, Psycho-Oncology Division, National Cancer Center Research Institute, East 6-5-1, Kashiwanoha, Kashiwa, Chiba, 277-8577 Japan, We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. In addition, ambulatory cancer patients from the Palliative Care Unit were asked to complete the questionnaire on two occasions to investigate the possibility of using the CFS over the telephone. The associations between the CFS and the ECOG Performance Status, HADS, and MMS were also assessed by calculating Pearson's correlation coefficients. We use cookies to help provide and enhance our service and tailor content and ads. Second, a multidimensional approach is needed, because fatigue is thought to be a multidimensional symptom that has aspects of at least physical and affective sensations. Schad F, Thronicke A, von Trott P, Oei SL. Finally, the third factor, the affective aspect of fatigue, is unlikely to be related to positive wording because several items that had negative wording and were concerned with the affective aspect of fatigue also loaded this factor in the development phase, although these items were deleted because their loadings were less than 0.65. They took this survey by mail with an interval of about 8 days. Please enable it to take advantage of the complete set of features! The fatigue felt by people with cancer is different from the fatigue of daily life and different from the tired feeling people might remember having before they had cancer. Frequency and correlates of fatigue in lung cancer patients receiving radiation therapy. Factor analysis was used to evaluate the structure and content of the new scale. 1. Integr Cancer Ther. Its validation was made in a sample of 50 patients with cancer with various cancer diagnoses. eCollection 2020. Twelve items for which the factor loading was less than 0.65 were deleted from each subscale. The development of an instrument to measure the subjective dimension of fatigue. Convergent validity, confirmed by a correlation between CFS and a visual analogue scale for fatigue, was also shown to be good (r = 0.67, P < 0.001). Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C). Long-term cancer survivor fatigue is under-reported, underdiagnosed, and undertreated. All statistical procedures were performed using the SAS statistical software package (SAS Institute Inc., 1997). Fatigue in women treated with bone marrow transplantation for breast cancer. Second, we did not investigate the cross-cultural validity of the CFS, even though we expect that there are differences in the cultural experience of fatigue. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. Fatigue is one of the most common and debilitating symptoms experienced by patients with cancer. Thirty-two patients asked to complete both HADS and MMS concurrently. The six interference items correlate with standard quality-of … Prior studies showed that the prevalence of fatigue is greater than 50% for advanced cancer patients. This method was used to explore the underlying structure that adequately explains the overall observed variation and to reduce the complexity of the data. J Pain Symptom Manage 1996;12:3–10. It is a reliable, valid and parsimonious, 6-item, instrument that measures cancer-related fatigue on a physical and perceptual dimension. Measuring fatigue and other anemia-related symptoms with the functional assessment of cancer therapy (FACT) measurement system. The most frequent cancer site was the lung (26.2%), followed by the colon (18.7%). Purpose Fatigue is a symptom with a relevant impact on the daily lives of cancer patients and is gaining importance as an outcome measure.  |  Based on the responses to the draft, 31 items were eliminated. Fatigue was specifically measured by the Schwartz Cancer Fatigue scale, a reliable and valid 6-item scale that assesses the level of subjective fatigue a person currently is experiencing [16]. On average, cancer-related fatigue is "more severe, more distressing, and less likely to be relieved by rest" than fatigue experienced by healthy people. The Performance Status significantly correlated with the physical subscale scores. Development of the Hirai Cancer Fatigue Scale: Testing its reliability and validity. Howell D, Rosberger Z, Mayer C, Faria R, Hamel M, Snider A, Lukosius DB, Montgomery N, Mozuraitis M, Li M; iPEHOC Collaborative Team. Development and validation of the Cancer Fatigue Scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. We and others have found that patients with cancer can easily and reliably rate their fatigue and its severity on a simple numeric scale ranging from 0 to 10. In particular, item 9, which uses the word “fed-up” (. The Brief Fatigue Inventory (BFI) is used to rapidly assess the severity and impact of cancer-related fatigue. Items with low factor loadings were deleted from each subscale. Fatigue and its associated factors in ambulatory cancer patients a preliminary study. Clipboard, Search History, and several other advanced features are temporarily unavailable. Character of terminal illness in the advanced cancer patient pain and other symptoms during the last four weeks of life. 7 Most commonly, fatigue is found as one item on a scale measuring functional status or evaluating mood or as an item in a toxicity report. Two possible explanations for this are researcher bias, which may have changed the results even though the telephone interview was conducted using a structured interview format, and the influence of the interview environment, in the hospital and at home. The present study indicates that the CFS is a brief, valid, and feasible measure of fatigue for use with cancer patients. ECOG, Eastern Cooperative Oncology Group. Late psychosocial sequelae in Hodgkin's disease survivors a French population-based case-control study. 2020 Mar 12;23(1):53-58. doi: 10.1298/ptr.E10003. Cancer-related fatigue (CRF) is characterized by feelings of tiredness, weakness, and lack of energy, and is distinct from the "normal" drowsiness experienced by … 1999. 1 2 3 4 5, 4 Do you feel you have become careless? It can be a symptom of the cancer itself or a side effect of treatment. Relations between the symptoms and the feeling of fatigue. The factor analysis gave the same solution in both the development and validation phases, which confirms the structure of the scale. People with cancer might describe it as feeling very weak, listless, drained, or “washed out” that may decrease for a while but then comes back. The prevalence of psychiatric disorders among cancer patients. First, patient populations were large but heterogeneous. 1 2 3 4 5, 6 Does your body felt heavy and tired? 2020 Jan-Dec;19:1534735420963780. doi: 10.1177/1534735420963780. The written and telephone survey responses did not correlate as strongly as we had expected. The Functional Assessment of Cancer Therapy Fatigue (FACT-F) subscale 31 is a 13-item scale, mainly used in interventional studies. Fatigue is a normal and expected side effect of most forms of chemotherapy, radiation therapy, and biotherapy. Turk J Med Sci. Factors associated with fatigue one month after surgery in patients with gastrointestinal cancer. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). Construct validity, confirmed by repeating factor analysis, was good. The lack of a suitable tool for assessing fatigue has been a barrier to progress in the research and clinical treatment of fatigue. The Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) is a 40-item measure that assesses self-reported fatigue and its impact upon daily activities and function. The CFS has a maximum scores of 28, 16, and 16 for the physical, affective, and cognitive subscales, respectively. Some of the patients were asked to complete the HADS and/or MMS concurrently. Rockville, MD: Aspen Publishers, 1982:277–300. 2004 Apr;27(4):322-32. doi: 10.1016/j.jpainsymman.2003.09.008. 2008 Jan;17(1):33-41. doi: 10.1111/j.1365-2354.2007.00799.x. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. 2018 Feb 23;48(1):124-130. doi: 10.3906/sag-1707-125. The possible response range for the total score is from 0 to 60. Is the Presence of Dyspnea a Risk Factor for Morbidity in Cancer Patients? The validation study was conducted in another sample of cancer patients. Application of the Multidimensional Fatigue Inventory (MFI-20) in cancer patients receiving radiotherapy. This multidimensional concept of fatigue has been described previously by Glaus et al.. Assessment of malaise in cancer patients treated with radiotherapy. Please enter a term before submitting your search. The third subscale consisted of 4 items that assessed attention and memory, and we called it the cognitive subscale. Cancer – Related Fatigue (CRF): A distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning. 2015 Aug;19(4):427-32. doi: 10.1016/j.ejon.2014.12.004. Late psychosocial sequelae in Hodgkin's disease survivors. Existing fatigue scales can be divided into three categories: there are subscales that assess fatigue as a component of cancer-specific quality-of-life measures. 1 2 3 4 5, 10 Do you feel you have become forgetful? On both subscales, each item is rated using a five‐point scale. There is no association between the CFS, or even the cognitive subscale, and the MMS score, perhaps because cognitive impairment caused by fatigue is assessed on the CFS as a subjective feeling in everyday experience, whereas the MMS is an objective assessment. © 2000 U.S. Cancer Pain Relief Committee. Given that fatigue is a subjective experience, the patient’s self-report using the 0 (no fatigue) to 10 (severe fatigue) scale is suggested by the National Comprehensive Cancer Network (NCCN).1However, patient, professional, and system barriers exist that hinder effective fatigue assess- mentandmanagement.Studieshaverevealedthatpatients … The medical term for this is "cancer-related fatigue." 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