guest ::
| Home > Publications database > Patient-physician communication about cancer-related fatigue: a survey of patient-perceived barriers. |
| Home > Publications database > Patient-physician communication about cancer-related fatigue: a survey of patient-perceived barriers. |
| Journal Article | DKFZ-2024-00219 |
; ; ; ; ; ;
2024
Springer
Heidelberg
This record in other databases: 
Please use a persistent id in citations: doi:10.1007/s00432-023-05555-8
Abstract: Cancer-related fatigue is a subjective, distressing, and common sequela of cancer which is often disregarded and underdiagnosed. Fatigue is assessed by self-report requiring communication between patient and physician. In this study, we investigated the patients' perspective on the patient-physician communication about fatigue.On average five months after diagnosis 1179 cancer patients, recruited in Germany, completed a survey as part of the LIFT project. The survey included questions on sociodemographic data, fatigue, depression, fatigue management, patient-physician communication, and communication barriers. Data were analyzed descriptively and using logistic regression analyses.Half of the participants reported that their physician had never asked them whether they felt exhausted. Patients undergoing chemo-, radio-, or immunotherapy were more likely to be asked about fatigue, while older age and major depression decreased the likelihood. Sixty-four percent of the patients felt impeded by communication barriers. Common barriers were not knowing who to turn to for fatigue (39%), time constraints (31%), and the fear of being perceived as weak (22%). Almost half of the participants indicated that their physicians were not appreciative and did not deal adequately with fatigue-related questions.This study revealed gaps in the patient-physician communication regarding cancer-related fatigue. Contrary to guideline recommendations a minority of physicians addressed fatigue. On the other hand, cancer patients felt reluctant to bring up this topic due to structural barriers and fears. Physicians should routinely address fatigue and adopt a communication style which encourages patients to likewise state their symptoms and raise their questions.Clinicaltrials.gov, identifier: NCT04921644. Registered in June 2021.
Keyword(s): Humans (MeSH) ; Physician-Patient Relations (MeSH) ; Communication (MeSH) ; Physicians (MeSH) ; Neoplasms: complications (MeSH) ; Neoplasms: therapy (MeSH) ; Fatigue: etiology (MeSH) ; Cancer-related fatigue ; Patient participation ; Patient–physician communication ; Structural barriers ; Supportive care
; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Life Sciences ; DEAL Springer ; DEAL Springer ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
|
The record appears in these collections: |
PDF
PDF (PDFA)