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@ARTICLE{Wagner:299578,
      author       = {A. S. Wagner and M. Milzer and S. Kiermeier and M. E.
                      Schmidt$^*$ and T. D. Nguyen$^*$ and K. Steindorf$^*$ and I.
                      Maatouk},
      title        = {{C}ancer-related fatigue: {H}ow (good) is the quality of
                      care at cancer care facilities in {G}ermany? [{F}atigue bei
                      {K}rebs: {W}ie (gut) sind {B}etroffene an onkologischen
                      {E}inrichtungen in {D}eutschland versorgt?]},
      journal      = {Zeitschrift für Evidenz, Fortbildung und Qualität im
                      Gesundheitswesen},
      volume       = {194},
      issn         = {1865-9217},
      address      = {München [u.a.]},
      publisher    = {Elsevier, Urban $\&$ Fischer},
      reportid     = {DKFZ-2025-00519},
      pages        = {40-47},
      year         = {2025},
      note         = {2025 May:194:40-47},
      abstract     = {One of the most common sequelae of cancer and/or its
                      treatment is cancer-related fatigue (CRF). For those
                      affected, CRF is often accompanied by considerable, even
                      long-term impairment. This makes it all the more important
                      to examine how care is provided in Germany and to what
                      extent guideline recommendations are implemented in clinical
                      practice.In a Germany-wide questionnaire survey, inpatient
                      and outpatient oncological cancer care facilities were asked
                      to describe their approach to CRF (information and
                      education, screening, diagnostics), local treatment options,
                      and clinical trials.A total of 145 facilities participated,
                      including 11 comprehensive cancer centers, 35 organ-specific
                      cancer centers, 22 hospitals with a (hemato-)oncology unit,
                      29 outpatient (hemato-)oncology practices, 48 outpatient
                      cancer counseling units. Nearly all the facilities reported
                      that patients are provided verbal health information (per
                      groups: $90.9\%,$ $88.6\%,$ $90.9\%,$ $96.9\%,$ $72.9\%);$
                      less frequently in written form $(90.9\%,$ $54.3\%,$
                      $59.1\%,$ $48.3\%,$ $87.5\%).$ A systematic screening for
                      CRF is conducted in up to one-third of the facilities (per
                      groups: $27.3\%,$ $20.0\%,$ $31.8\%,$ $17.2\%,$ $8.3\%).$ A
                      standardized procedure for further clarification of CRF is
                      available at a small number of institutions $(0\%,$
                      $11.4\%,$ $13.6\%,$ $6.9\%,$ $2.1\%).$ Exercise $(90.9\%,$
                      $82.9\%,$ $72.7\%,$ $79.3\%,$ $89.6\%)$ and
                      psychotherapeutic services $(90.9\%,$ $68.6\%,$ $86.4\%,$
                      $62.1\%,$ $68.8\%)$ are most frequently actively recommended
                      to patients with CRF across the facility groups.With regard
                      to the systematization of screening and diagnosis of CRF as
                      well as the provision of information material, there is a
                      clear discrepancy between guideline recommendations and
                      everyday clinical practice.},
      keywords     = {Bedarfsanalyse (Other) / Befragung (Other) / Cancer care
                      (Other) / Cancer-related fatigue (Other) / Krebsassoziierte
                      Fatigue (Other) / Krebsversorgung (Other) / Needs assessment
                      (Other) / Supportive Therapie (Other) / Supportive care
                      (Other) / Survey (Other)},
      cin          = {C110},
      ddc          = {610},
      cid          = {I:(DE-He78)C110-20160331},
      pnm          = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
      pid          = {G:(DE-HGF)POF4-313},
      typ          = {PUB:(DE-HGF)16},
      pubmed       = {pmid:40057457},
      doi          = {10.1016/j.zefq.2025.02.003},
      url          = {https://inrepo02.dkfz.de/record/299578},
}