Find out what it is, the symptoms, how long … NIH 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. Fatigue. Clipboard, Search History, and several other advanced features are temporarily unavailable. There are three main advantages of this scale over other fatigue scales. The most frequent cancer site was the lung (26.2%), followed by the colon (18.7%). We also thank the staff at the National Cancer Center Hospital East, Japan especially Shigeru Imoto, MD, PhD, of the Division of Breast Surgery, as well as Yurie Sugihara, BA, Yuko Kojima, RN, Kumiko Harada, RN, and Ms. Miho Sakai, of the Psycho-Oncology Division, National Cancer Research Institute East, Japan, for their research assistance. This report describes the development and validation of the Cancer Fatigue Scale, which is composed of 3 factors and 15 items. Eligibility criteria included (a) 18 years or older, (b) informed of their cancer diagnosis, (c) able to complete the questionnaire and participate in a brief interview, and (d) not suffering from a severe mental or cognitive disorder. eCollection 2020. 2000 Oct;27(9):1425-31 (PubMed Abstract) Application of the Multidimensional Fatigue Inventory (MFI-20) in cancer patients receiving radiotherapy. Accepted: Cancer Fatigue Scale-マニュアル-Okuyama T, Akechi T, Kugaya A, Okamura H, Shima Y, Maruguchi M, Hosaka T, Uchitomi Y. Anxiety significantly correlated with each CFS subscale and, like depression, may play a role in cancer-related fatigue. Convergent validity, confirmed by a correlation between CFS and a visual analogue scale for fatigue, was also shown to be good (, Fatigue is one of the most pervasive symptoms experienced by patients with cancer. People with advanced cancer are more likely to have fatigue than those with earlier staged cancer. Written consent was obtained after each patient had been fully informed of the purpose of the study. However, the correlation was lower than we expected. An increasing focus on cancer-related fatigue emphasized the need for sensitive tools to assess this most frequently reported symptom. The average time required by 30 Palliative Care Unit outpatients to complete the questionnaire was 132.9 seconds (SD = 77.2, median = 111.5 seconds). First, this scale can be easily completed in 2 minutes even by advanced cancer patients. Diagnosis and treatment of depression in cancer patient.  |  Palliative care in Kerala problems at presentation in 440 patients with advanced cancer in a south Indian state. Patients are typically asked, “How would you rate your fatigue on a scale of 0–10 over the past 7 days?” February 26, Cancer-related fatigue (CRF - sometimes simply called "cancer fatigue") is one of the most common side effects of cancer and its treatments. Patients describe fatigue as feeling tired, weak, worn-out, heavy, slow, or that they have no energy or get-up-and-go. The CFS has a maximum scores of 28, 16, and 16 for the physical, affective, and cognitive subscales, respectively. Its internal consistency was found to be α=0.95 for physical functioning and the test–retest reliability as r=0.90. Construct validity, confirmed by repeating factor analysis, was good. The first subscale then consisted of 7 items that were general statements or were related to the physical sensations of fatigue; we called it the physical subscale. Please enter a term before submitting your search. Although the feasibility of using the telephone interview routinely is not excellent, we think that these results indicated that the telephone use of this scale may facilitate some types of research on fatigue. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. Thirty-two patients asked to complete both HADS and MMS concurrently. They took this survey by mail with an interval of about 8 days. The Performance Status significantly correlated with the physical subscale scores. Overview. 1 2 3 4 5, 13 Do you feel that your thinking has become slower? Cancer-related fatigue has been defined as a distressing, persistent, and subjective sense of tiredness or exhaustion that is not proportional to activity and interferes with usual function. Factor analysis was used to evaluate the structure and content of the new scale. 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. Cull et al. The Brief Fatigue Inventory (BFI) is used to rapidly assess the severity and impact of cancer-related fatigue. Next, the draft questionnaire responses were analyzed by factor analysis followed by varimax rotation. Rockville, MD: Aspen Publishers, 1982:277–300. 2018 Feb 23;48(1):124-130. doi: 10.3906/sag-1707-125. Fatigue is also a common symptom of some types of cancer. Development and validation of the Cancer Fatigue Scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. By continuing you agree to the Use of Cookies. Abbreviations: VAS, Visual Analogue Scale of fatigue; PS, Performance Status as defined by the Eastern Cooperative Oncology Group; HADS, Hospital Anxiety and Depression Scale; MMS, Mini Mental State. The Hospital Anxiety and Depression Scale. Late psychosocial sequelae in Hodgkin's disease survivors. This questionnaire will ask you about any sense of fatigue you might be experiencing. Purpose Fatigue is a symptom with a relevant impact on the daily lives of cancer patients and is gaining importance as an outcome measure. Factors contributing to emotional distress during cancer chemotherapy. USA.gov. 32 2020 Jan-Dec;19:1534735420917211. doi: 10.1177/1534735420917211. Character of terminal illness in the advanced cancer patient pain and other symptoms during the last four weeks of life. Cancer's impact on work & strategies Physical symptoms Fatigue Exercise tips to improve your fitness and get ready for work Nutritional Management of Cancer-Related Fatigue Post-Treatment Sleep disturbances Pain Nerve damage Lymphedema Hot flashes Breathing problems Nausea and vomiting Nutritional Management of Nausea During Cancer Treatment The FACT‐F 11 was designed to measure the fatigue symptoms of cancer patients with anemia. The associations between the CFS and the ECOG Performance Status, HADS, and MMS were also assessed by calculating Pearson's correlation coefficients. The European Organization for Research and Treatment of Cancer QLQ-C30 a quality of life instrument for use in international clinical trials in oncology. We also reviewed published papers about fatigue, and some items selected were based on these papers. For example, fatigue can be measured using the Quality of Life Questionnaire published by the European Organization for Research and Treatment of Cancer Questionnaire. Construct validity was evaluated based on whether repeating factor analysis reproduced the factor loading pattern that was seen in the scale development phase. Multilingual translation of the Functional Assessment of Cancer Therapy (FACT) quality of life measurement system. Cancer and cancer treatment may cause fatigue. 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. Then, the responses to the remaining 27 items were assessed by factor analysis followed by varimax rotation. 1 2 3 4 5, 7 Do you feel that you more often make errors while speaking? HHS The development of an instrument to measure the subjective dimension of fatigue. The purpose of the present study was to develop a brief self-rating scale for assessing cancer-related fatigue and to validate the new scale using the responses of cancer patients. Would you like email updates of new search results? This site needs JavaScript to work properly. The study was approved by the Institutional Review Board and the Ethics Committee of the National Cancer Center. A cancer that affects your hormone levels could cause 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). Fatigue is one of the most common and debilitating symptoms experienced by patients with cancer. It can range from mild to severe, and may be either temporary or a long-term effect. 2004 Apr;27(4):322-32. doi: 10.1016/j.jpainsymman.2003.09.008. Translation and validation of the Cancer-Related Fatigue Scale in Greek in a sample of patients with advanced prostate cancer. They do have some merit in their simplicity, however. 2016 Dec 2;6(12):e011798. 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. 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. This can cause a number of side effects including fatigue. 1 2 3 4 5, 15 Do you feel such fatigue that you don't know what to do with yourself? Simplicity is an important advantage, because its main purpose is to assess the fatigue experienced by exhausted cancer patients. For those recently diagnosed and undergoing treatment, approximately 80% to 90% experience fatigue within 1 year of diagnosis, according to a study published in Cancer . The feasibility, validity, and reliability of this scale were investigated by evaluating (a) the time required to complete the CFS, (b) construct validity, (c) convergent validity, (d) association with other measures, (e) internal consistency, (f) test–retest reliability, and (g) reliability of telephone use. Please enable it to take advantage of the complete set of features! Until very recently, fatigue has not been measured routinely in many diseases, such as cancer, despite its impact on patients and its effect on quality of life. In-depth interviews about fatigue were conducted with cancer patients in a clinical situation. Integr Cancer Ther. Reliability was evaluated by calculating Cronbach's alpha coefficient, a measure of the internal consistency of responses to a group of items. 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