Fatigue in lung cancer

Robert Pirker; Wilma Minar

Vol 3, No 3 (2004): Polish Palliative Medicine

Artykuły poglądowe

Published online: 2004-04-27

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Fatigue in lung cancer

Robert Pirker, Wilma Minar

Advances in Palliative Medicine 2004;3(3):225-234.

Vol 3, No 3 (2004): Polish Palliative Medicine

Artykuły poglądowe

Published online: 2004-04-27

Abstract

Cancer-related fatigue is common among patients with lung cancer. Cancer-related fatigue affects physical functioning, emotional well-being and overall quality of life. The aetiology of fatigue is multifactorial and includes cancer itself, anti-cancer therapy, intercurrent disorders such as anaemia and infection, pain, depression and other factors. Fatigue can easily be assessed by QoL instruments such as the FACT Fatigue Scale. Diagnosis should focus on the presence and severity of fatigue and attempt to identify potential causes of fatigue. The treatment of fatigue should focus on correction of the underlying cause. Besides anti- -cancer therapy and enhanced supportive care measures, other important treatment options include anaemia correction, treatment of infections, correction of metabolic disorders, pain control, anti-depressive treatment and regular sleep. Whereas avoidance of unnecessary physical activities might be necessary in some patients, physical training might help in selected patients. Oncologists must be aware of the impact of fatigue and offer adequate treatment options to their patients. Finally, more research on the clinical relevance of fatigue and its treatment options are warranted.