Palliative & supportive care · 2026
Tendencies in the association between fatigue and quality of life in terminally ill patients with cancer admitted to a palliative care unit.
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Matsuda Mizuki, Koyama Yu, Seki Nao, Sakai Sayuri
Аннотация
BACKGROUND: Cancer-related fatigue (CRF) is a distressing symptom in terminally ill patients with cancer. While many studies have been conducted on the relationship between fatigue and quality of life (QOL) among patients undergoing treatment, only a few have been conducted to measure fatigue from multiple perspectives or clarify its impact on patients in advanced stages or those receiving palliative care.
OBJECTIVES: To examine the impact of fatigue on QOL in terminally ill patients with cancer, using a questionnaire that measures CRF from 3 perspectives.
METHODS: CRF and QOL were measured using the Cancer Fatigue Scale (CFS) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative (EORTCQLQ-C15-PAL), respectively, and the correlation between them was evaluated. Web-based questionnaires were completed by patients receiving hospice and palliative care.
SIGNIFICANCE OF RESULTS: Twenty-nine participants provided valid responses. Median CFS and global health status/QOL scores were as follows: total fatigue 25.0, physical fatigue 11.0, affective fatigue 9.0, cognitive fatigue 5.0, and global health status/QOL 50.0. QOL showed significant correlations with total fatigue (rs = -0.44, p = 0.017, 95% CI: -0.70, -0.09) and physical fatigue (rs = -0.38, p = 0.038, 95% CI: -0.66, -0.02), but none with affective fatigue (rs = -0.02, p = 0.917, 95% CI: -0.38, 0.35) and cognitive fatigue (rs = -0.33, p = 0.074, 95% CI: -0.63, 0.03).
CONCLUSIONS: Of the 3 aspects of fatigue, physical fatigue may be most closely related to QOL; however, its accurate assessment may depend on the scale used. Therefore, it is necessary to select an appropriate scale for patients with terminal cancer.
OBJECTIVES: To examine the impact of fatigue on QOL in terminally ill patients with cancer, using a questionnaire that measures CRF from 3 perspectives.
METHODS: CRF and QOL were measured using the Cancer Fatigue Scale (CFS) and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 15 Palliative (EORTCQLQ-C15-PAL), respectively, and the correlation between them was evaluated. Web-based questionnaires were completed by patients receiving hospice and palliative care.
SIGNIFICANCE OF RESULTS: Twenty-nine participants provided valid responses. Median CFS and global health status/QOL scores were as follows: total fatigue 25.0, physical fatigue 11.0, affective fatigue 9.0, cognitive fatigue 5.0, and global health status/QOL 50.0. QOL showed significant correlations with total fatigue (rs = -0.44, p = 0.017, 95% CI: -0.70, -0.09) and physical fatigue (rs = -0.38, p = 0.038, 95% CI: -0.66, -0.02), but none with affective fatigue (rs = -0.02, p = 0.917, 95% CI: -0.38, 0.35) and cognitive fatigue (rs = -0.33, p = 0.074, 95% CI: -0.63, 0.03).
CONCLUSIONS: Of the 3 aspects of fatigue, physical fatigue may be most closely related to QOL; however, its accurate assessment may depend on the scale used. Therefore, it is necessary to select an appropriate scale for patients with terminal cancer.