Nurse-led monitoring improves cancer-related fatigue

Nurse-led monitoring improves cancer-related fatigue
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.

(HealthDay)—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 , 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 for monitoring symptom intensity, educating the patient, and referring to other , 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."

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

L-carnitine does not reduce cancer-related fatigue

date Sep 18, 2012

(HealthDay)—Patients with invasive malignancies who take L-carnitine supplements do not experience a reduction in fatigue, pain, or depression, according to research published online Sept. 17 in the Journal of ...

Web-Based program helps manage cancer-Related fatigue

date Mar 13, 2012

(HealthDay) -- An Internet-based educational program helps disease-free cancer survivors better manage their cancer-related fatigue (CRF), according to research published online March 12 in the Journal of ...

Study takes a step toward better defining fatigue

date May 15, 2008

In an effort to better define and ultimately address fatigue more effectively, a qualitative study from The University of Texas M. D. Anderson Cancer Center has identified three primary themes - loss of strength or energy, ...

Ginseng fights fatigue in cancer patients, study finds

date Jun 04, 2012

High doses of the herb American ginseng (Panax quinquefolius) over two months reduced cancer-related fatigue in patients more effectively than a placebo, a Mayo Clinic-led study found. Sixty percent of patients studied had ...

Recommended for you

DNA blood test detects lung cancer mutations

date 12 hours ago

Cancer DNA circulating in the bloodstream of lung cancer patients can provide doctors with vital mutation information that can help optimise treatment when tumour tissue is not available, an international group of researchers ...

Tumors prefer the easy way out

date 14 hours ago

Tumor cells become lethal when they spread. Blocking this process can be a powerful way to stop cancer. Historically, scientists thought that tumor cells migrated by brute force, actively pushing through whatever ...

Brain tumors may be new targets of Ebola-like virus

date 15 hours ago

Brain tumors are notoriously difficult for most drugs to reach, but Yale researchers have found a promising but unlikely new ally against brain cancers—portions of a deadly virus similar to Ebola.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.