Fatigue in patients receiving localized radiation

Haylock, Pamela J.; Hart, Laura K.

doi:10.1097/00002820-197912000-00005

Cited by 131 publications

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“…1989). Fatigue is commonly associated with both radiation and chemotherapy (Haylock and Hart, 1979). Lifestyle effects include disrupted activity level, change in relationships, and emotional distress related to life changes (Meyerowitz et al, 1983).…”

Section: Introductionmentioning

confidence: 99%

Medical factors and patterns of adjustment to breast cancer

1996

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Section: Introductionmentioning

confidence: 99%

Medical factors and patterns of adjustment to breast cancer

1996

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“…The simplest one-dimensional measure of tiredness is the Rhoten Fatigue Scale (RFS), in which a visual analogue scale is combined with a numerical ten points rating scale, ranging from 'not tired, full of energy' to 'total exhaustion' (Rhoten, 1982;Blesch et al, 1991). Pearson and Byars (1956) developed a ten item Fatigue Feeling Checklist (PBFFC), that was used in studies on the effects of radiotherapy (Haylock & Hart, 1979) and chemotherapy (Cristensen, 1989). This instrument contains ten adjectives, ranging from 'extremely peppy' to 'extremely tired'.…”

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confidence: 99%

“…It was used by Haylock and Hart (1979) and by Kobashi and co-workers (Kobashi et al, 1985) in a study on radiotherapy patients. The Piper and colleagues set out to develop an instrument to measure the experience of fatigue of patients, the Piper Fatigue Self-report Scale (PFS) (Piper et al, 1989 (King et al, 1985).…”

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Fatigue in cancer patients

Smets

Garssen²,

Schuster-Uitterhoeve³

et al. 1993

Br J Cancer

272

139

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(Cristensen, 1989).To date there are few studies which systematically register how many cancer patients experience fatigue, in which stage of the disease process and to what extent. To give an indication, a literature-search using MEDLINE with CD-ROM over the period 1980 to 1991 yielded nine references in which 'fatigue' was included in the title and 'cancer' was included in title, keyword or abstract. Eight of these references pertained to nursing research.An appraisal of the research literature concerning fatigue in cancer is presented in this paper to give an overview of what is currently known. Literature, other than obtained using the MEDLINE-procedure, was gathered either by searching for studies in which fatigue was assessed as part of patient functioning or through references of the papers obtained. This procedure does evidently not lead to an exhaustive list of all the studies which included fatigue as an outcome-variable. However, we think to have obtained a representative sample. Topics that will be discussed are: the conceptualisation of fatigue and its measurement, prevalence rates of fatigue during and after treatment and somatic and psychological correlates of fatigue. Finally, considerations with regard to research and interventions will be discussed.

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“…The complaint of tiredness is puzzling. Lethargy and fatigue are known concomitants of cancer and its treatment (Court Brown, 1953;Haylock & Hart, 1979). It could be that tiredness, along with the sleep disorders and dry mouth, is simply a somatic manifestation of the worry and anxiety which so obviously concern the patients in this study.…”

Section: Discussionmentioning

confidence: 85%

Distress associated with radiotherapy for malignant disease: a quantitative analysis based on patients perceptions

Munro

Biruls²,

Griffin³

et al. 1989

Br J Cancer

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Summary Distress associated with attendance at a radiotherapy department was assessed in 80 consecutive patients. All patients were interviewed within 24h of their first fraction of radiotherapy; 31 patients were also interviewed at the end of treatment. The problem identified at first interview as causing the most distress was worry about the effects of disease and its treatment upon the patient's family. At second interview the dominant complaint was of not being allowed to wash. Psychological problems, including anxiety and sleep disturbances, caused more overall distress than did physical symptoms. The method used in this study for eliciting information on the side-effects of therapy is straightforward and has yielded data that are provocative and suggest interesting avenues for futher investigation.For nearly 100 years radiotherapy has been used in the treatment of malignant disease. Somewhat surprisingly there are very few quantitative data on the distress and toxicity experienced by patients treated with radiation therapy. The few studies so far published have used restricted lists of possible symptoms and have made little attempt to assess the relative severity of various symptoms (King et al., 1985; Court Brown, 1953).Informed choice for patients is increasingly important in oncology. In order to inform patients usefully about the relative risks and benefits of radiotherapy we need to be able to give them accurate information on the nature and types of side-effects they are likely to experience. Qualitative information is insufficient for balanced judgement; quantitative information is also necessary.We wished to devise a method for obtaining quantitative information on the distress experienced by patients attending for radiotherapy. Our aim was to use a technique that was simple, reproducible, comprehensive and which did not require specially trained staff for its administration. The technique devised by Coates et al. (1983) for the assessment of side-effects experienced by patients undergoing chemotherapy seemed to fulfil many of the above criteria. We have therefore applied an adapted form of their technique to an unselected series of patients treated with radiotherapy. Patients and methodsEighty consecutive patients being treated with radiotherapy were the subjects of this study. The only exclusions were patients being treated with single fractions of radiotherapy or patients being treated for HIV related malignant disease. A total of 85 patients were eligible during this study period, no patient declined to be interviewed but five patients were not interviewed at the appropriate time and were therefore excluded. Details on patients and treatment are summarised in Tables I and II. Only 20 patients in this study had metastatic disease. The study was carried out according to a written protocol and informed consent was obtained from all patients.The method used to obtain information from patients was adapted from that used from Coates et al. (1983) was written (for full list see Appendix). The list of...

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Fatigue in patients receiving localized radiation

Cited by 131 publications

References 0 publications

Medical factors and patterns of adjustment to breast cancer

Medical factors and patterns of adjustment to breast cancer

Fatigue in cancer patients

Distress associated with radiotherapy for malignant disease: a quantitative analysis based on patients perceptions

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