Main Article Content

Authors

D. J. Tanigaiselvane

Dr. Ravi Shankar Ravi

Dr. Anil Kumar Singh

Abstract

Background/Objective: Cancer-related fatigue (CRF) is a multidimensional symptom impacting physical, cognitive, behavioral, and emotional domains. This study evaluates the prevalence of CRF using the Revised Piper Fatigue Scale (PFS-R) across sensory, behavioral, cognitive, and affective domains and Heart rate variability (HRV) among cancer patients’ post-chemotherapy.


Methods: A cross-sectional prevalence study was conducted among 253 post-chemotherapy cancer patients. Demographic data, fatigue severity (assessed using PFS-R and Brief Fatigue Inventory), and biometric measures (HRV) were analyzed.


Results: The sample consisted of 57.3% males and 42.7% females. Fatigue was most prevalent in the 50–60 age group (34.4%). Lung cancer patients reported the highest fatigue levels (BFI: 8.31 ± 0.88), and breast cancer patients the lowest (BFI: 8.06 ± 0.95). Sensory fatigue was the highest domain-specific score (7.85 ± 1.12). Gender and age showed minimal variation.


Conclusion: CRF is highly prevalent among cancer patients, particularly in lung cancer cases. These findings emphasize the importance of comprehensive fatigue management strategies to improve quality of life.

Downloads

Download data is not yet available.

Article Details

Section

Articles

References

  1. Aaronson, N. K., Ahmedzai, S., & Bergman, B. (1993). The European Organization for Research and Treatment of Cancer QLQ-C30: A quality-of-life instrument for use in international clinical trials in oncology. Journal of the National Cancer Institute, 85(5), 365–376. https://doi.org/10.1093/jnci/85.5.365
  2. Bower, J. E. (2014). Cancer-related fatigue-Mechanisms, risk factors, and treatments. Nature Reviews Clinical Oncology, 11(10), 597–609. https://doi.org/10.1038/nrclinonc.2014.127
  3. Benedict, C., et al. (2016). Affective and sensory fatigue domains in cancer patients: A comprehensive review. Journal of Clinical Oncology, 34(5), 341-349. https://doi.org/10.1200/JCO.2015.63.5432
  4. Butt, Z., Rosenbloom, S. K., Abernethy, A. P., Beaumont, J. L., Paul, D., Hampton, D., & Cella, D. (2008). Fatigue is the most important symptom for advanced cancer patients who have had chemotherapy. Journal of the National Comprehensive Cancer Network, 6(5), 448–455. https://doi.org/10.6004/jnccn.2008.0034
  5. Cella, D., et al. (2003). Fatigue in cancer patients: A longitudinal perspective. Cancer, 97(4), 958-965. https://doi.org/10.1002/cncr.11180
  6. Curt, G. A., Breitbart, W., Cella, D., Groopman, J. E., Horning, S. J., Itri, L. M., & Vogelzang, N. J. (2000). Impact of cancer-related fatigue on the lives of patients: New findings from the Fatigue Coalition. The Oncologist, 5(5), 353–360. https://doi.org/10.1634/theoncologist.5-5-353
  7. Das, S., & Bhowmick, A. (2018). A cross-sectional study on the prevalence and impact of fatigue in breast cancer patients undergoing chemotherapy in an Indian tertiary care hospital. South Asian Journal of Cancer, 7(4), 223–227. https://doi.org/10.4103/sajc.sajc_115_18
  8. Feng, W., et al. (2020). Gender differences in cancer-related fatigue and interventions: A systematic review. International Journal of Cancer Care, 26(3), 235-247. https://doi.org/10.1002/ijc.33052
  9. Gupta, D., Lis, C. G., & Grutsch, J. F. (2007). Perceived cancer-related fatigue: Indian experience. Supportive Care in Cancer, 15(10), 1203–1209. https://doi.org/10.1007/s00520-007-0252-8
  10. Kulkarni, S. P., & Biswas, B. (2016). Cancer-related fatigue in Indian cancer survivors: Prevalence, patterns, and coping strategies. Asian Pacific Journal of Cancer Prevention, 17(3), 1243–1249. https://doi.org/10.7314/APJCP.2016.17.3.1243
  11. Lawrence, D. P., Kupelnick, B., Miller, K., Devine, D., & Lau, J. (2004). Evidence report on the occurrence, assessment, and treatment of fatigue in cancer patients. Journal of the National Cancer Institute Monographs, 32, 40–50. https://doi.org/10.1093/jncimonographs/lgh027
  12. Minton, O., Stone, P., Richardson, A., Sharpe, M., & Hotopf, M. (2008). A systematic review of the scales used for the measurement of cancer-related fatigue (CRF). Annals of Oncology, 19(5), 711–719. https://doi.org/10.1093/annonc/mdm525
  13. Mishra, S. K., & Mohapatra, A. (2015). Cancer-related fatigue in breast cancer survivors: A review of Indian studies. Indian Journal of Palliative Care, 21(3), 282–288. https://doi.org/10.4103/0973-1075.164893
  14. Mishra, S. I., et al. (2012). Age and gender differences in cancer-related fatigue. Supportive Care in Cancer, 20(11), 2679-2687. https://doi.org/10.1007/s00520-012-1413-5
  15. Nayak, M. G., George, A., & Pradhan, N. (2018). Quality of life and fatigue levels among cancer patients in India. Indian Journal of Palliative Care, 24(2), 166–171. https://doi.org/10.4103/IJPC.IJPC_4_18
  16. Palesh, O. G., et al. (2017). Interventions for cancer-related fatigue. Journal of Pain and Symptom Management, 53(4), 746-758. https://doi.org/10.1016/j.jpainsymman.2016.10.371
  17. Pinnell, T. K., et al. (2020). Autonomic dysfunction in cancer patients and its relationship to fatigue. Clinical Autonomic Research, 30(3), 147-155. https://doi.org/10.1007/s10286-020-00706-7
  18. Prasad, R., & Grover, S. (2016). Prevalence of fatigue and its correlates in Indian cancer patients. Indian Journal of Cancer, 53(4), 493–499. https://doi.org/10.4103/ijc.IJC_5_16
  19. Reid, M., et al. (2015). Exercise interventions for fatigue in cancer survivors. Journal of Cancer Survivorship, 9(1), 81-91. https://doi.org/10.1007/s11764-014-0382-x
  20. Stone, P., Richardson, A., Ream, E., Smith, A. G., Kerr, D. J., & Kearney, N. (2000). Cancer-related fatigue: Inevitable, unimportant, and untreatable? Annals of Oncology, 11(8), 971–975. https://doi.org/10.1023/A:1008321301923