Supportive Care in Cancer

, Volume 15, Issue 7, pp 891–896 | Cite as

Assessment of clinical relevant fatigue level in cancer

  • Yoon Jung Chang
  • Jung Suk Lee
  • Chang Geol Lee
  • Won Sup Lee
  • Keun Seok Lee
  • Soo-Mee Bang
  • Xin Shelley Wang
  • Tito R. Mendoza
  • Charles S. Cleeland
  • Young Ho Yun
Original Article

Abstract

Goals of work

Fatigue is highly prevalent in cancer and greatly inferences with daily life. The goal of this study was to identify the most informative score in the Brief Fatigue Inventory and to define cut points for “mild,” “moderate,” and “severe” fatigue based on their relevance to quality of life (QOL).

Patients and methods

We surveyed cancer patients at five hospitals in Korea with self-administrated questionnaires. The patients were older than 18 years, have a histological diagnosis of malignancy, gave informed consent to participate, and were able to understand the questionnaires. We analyzed 150 cancer patients who reported fatigue.

Main result

“Usual fatigue” was a sensitive and reliable indicator of fatigue severity and was defined as mild (1–3), moderate (4–7), or severe (8–10) because it had the strongest correlation with the functional interference, symptoms, depression, and QOL.

Conclusion

These cutpoints might be useful in clinical evaluation of fatigue in cancer. Our findings suggest a simple technique for the rapid screening of fatigue and for evaluating its impact on the symptoms and daily functioning of cancer patients.

Keywords

Fatigue severity Cancer fatigue Functional interference 

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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Yoon Jung Chang
    • 1
  • Jung Suk Lee
    • 2
  • Chang Geol Lee
    • 3
  • Won Sup Lee
    • 4
  • Keun Seok Lee
    • 5
  • Soo-Mee Bang
    • 6
  • Xin Shelley Wang
    • 7
  • Tito R. Mendoza
    • 7
  • Charles S. Cleeland
    • 7
  • Young Ho Yun
    • 2
  1. 1.Research Institute for National Cancer Control and EvaluationNational Cancer CenterGoyangSouth Korea
  2. 2.Chief, Quality of Cancer Care Branch, Research Institute for National Cancer Control and Evaluation and HospitalNational Cancer CenterGoyangSouth Korea
  3. 3.Yonsei Cancer Center, Department of Radiation OncologyYonsei University College of MedicineSeoulSouth Korea
  4. 4.Department of Internal MedicineGyeong-Sang National University HospitalJinjuSouth Korea
  5. 5.Breast Cancer Branch, Research Institute and HospitalNational Cancer CenterGoyangSouth Korea
  6. 6.Department of Internal Medicine, Gachon Medical SchoolGhil Medical CenterIncheonSouth Korea
  7. 7.M. D. Anderson Cancer Center, Department of Symptom ResearchUniversity of TexasHoustonUSA

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