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08:56
Evaluating the Role of Mitochondrial Function in Cancer-related Fatigue
Published on: May 17, 2018
Implementing the Fatigue Guidelines at one NCCN member institution: process and outcomes
Tami Borneman1, Barbara F Piper, Virginia Chih-Yi Sun
1Department of Nursing Research & Education, Division of Population Sciences, Beckman Research Institute, City of Hope National Medical Center, 1500 E. Duarte Road, Duarte, CA 91010, USA. tborneman@coh.org
Journal of the National Comprehensive Cancer Network : JNCCN
|December 7, 2007
Summary
Implementing evidence-based guidelines for cancer-related fatigue is crucial. This study identified patient, provider, and system barriers to effective fatigue management in oncology care.
Area of Science:
- Oncology
- Clinical Practice Guidelines
- Translational Research
Background:
- Cancer-related fatigue is a prevalent and distressing symptom impacting patient quality of life.
- Numerous patient, provider, and system barriers often hinder effective fatigue management in clinical settings.
- Translating evidence-based guidelines into practice is essential for improving cancer patient care.
Purpose of the Study:
- To translate the National Comprehensive Cancer Network (NCCN) Cancer-Related Fatigue and Adult Cancer Pain Clinical Practice Guidelines into practice.
- To develop a replicable translational interventional model for managing cancer-related fatigue.
- To compare usual care with NCCN guideline-based care for cancer-related fatigue and pain in Phase 1 of a clinical trial.
Main Methods:
- A 5-year prospective clinical trial involving a 3-phased approach.
- Phase 1 compared usual care with NCCN guideline-based interventions for fatigue and pain.
- Eligibility criteria included adult cancer patients (breast, lung, colon, prostate) with fatigue/pain ratings >= 4.
- Data collected using Piper Fatigue Scale, Fatigue Barriers Scale, Fatigue Knowledge Scale, and Fatigue Chart Audit Tool.
Main Results:
- At baseline, 69 patients (45 fatigue only, 24 fatigue and pain) were enrolled.
- The sample was predominantly Caucasian (65%), female (63%), with a mean age of 60, and diagnosed with stage 3/4 breast cancer.
- Key barriers identified: patient belief in physician initiation of fatigue discussion, lack of documentation, and insufficient supportive care referrals.
- Significant differences were found between usual care and NCCN guideline-recommended care.
Conclusions:
- Patient, professional, and system barriers impede the effective management of cancer-related fatigue.
- The findings highlight discrepancies between usual care and evidence-based NCCN guidelines.
- Phase 2 of the trial aims to address these barriers through an intervention model to improve patient outcomes.
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