Cancer News
OncoLink Cancer News - HealthDay


Nurse-Led Monitoring Improves Cancer-Related Fatigue

Friday, January 4, 2013 (Last Updated: 01/07/2013)

FRIDAY, Jan. 4 (HealthDay News) -- For patients with advanced cancer, nurse-led monitoring and optimized treatment of physical symptoms significantly improves cancer-related fatigue, according to research published online Jan. 2 in the Journal of Clinical Oncology.

To examine the impact of optimizing treatment of accompanying symptoms on cancer-related fatigue, Pleun J. de Raaf, M.D., of the Erasmus MC Daniel den Hoed Cancer Center in Rotterdam, Netherlands, and colleagues conducted a trial involving 152 fatigued patients with advanced cancer. Patients were randomized in a 1:1 ratio to receive nurse-led monitoring and protocolized patient-tailored treatment of symptoms or usual care.

The researchers found that, over time, there was a significant improvement in general fatigue in favor of protocolized patient-tailored treatment, with significant differences compared with controls at months one and two. Specific secondary outcomes, including reduced activity and reduced motivation fatigue dimensions, fatigue numerical rating scale score, symptom burden, interference of fatigue with daily life, and anxiety, were also significantly better with patient-tailored treatment.

"It is advisable to refer fatigued patients with advanced cancer to a nurse trained in palliative care for monitoring symptom intensity, educating the patient, and referring to other health care providers, if necessary," the authors write. "Further research should focus on elucidating which components are responsible for the effect of improving symptom burden on fatigue and on establishing the cost-effectiveness of this intervention."

Abstract
Full Text (subscription or payment may be required)

Specialties Radiology
OBGYN & Women's Health
Nursing
Hematology & Oncology
Internal Medicine
Pathology

Copyright © 2013 HealthDay. All rights reserved.


I Wish You Knew

The culture of a patient is important

View More



Blogs and Web Chats

OncoLink Blogs give our readers a chance to react to and comment on key cancer news topics and provides a forum for OncoLink Experts and readers to share opinions and learn from each other.




OncoLink OncoPilot

Facing a new cancer diagnosis or changing the course of your current treatment? Let our cancer nurses help you through!

Learn More