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@ARTICLE{Milzer:287299,
      author       = {M. Milzer$^*$ and A. S. Wagner and M. Schmidt$^*$ and I.
                      Maatouk and S. Hermann$^*$ and S. Kiermeier and K.
                      Steindorf$^*$},
      title        = {{P}atient-physician communication about cancer-related
                      fatigue: a survey of patient-perceived barriers.},
      journal      = {Journal of cancer research and clinical oncology},
      volume       = {150},
      number       = {2},
      issn         = {0301-1585},
      address      = {Heidelberg},
      publisher    = {Springer},
      reportid     = {DKFZ-2024-00219},
      pages        = {29},
      year         = {2024},
      note         = {#EA:C110#LA:C110#},
      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.},
      keywords     = {Humans / Physician-Patient Relations / Communication /
                      Physicians / Neoplasms: complications / Neoplasms: therapy /
                      Fatigue: etiology / Cancer-related fatigue (Other) / Patient
                      participation (Other) / Patient–physician communication
                      (Other) / Structural barriers (Other) / Supportive care
                      (Other)},
      cin          = {C110 / M110},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331 / I:(DE-He78)M110-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:38270814},
      doi          = {10.1007/s00432-023-05555-8},
      url          = {https://inrepo02.dkfz.de/record/287299},
}