ASSESSMENT OF CANCER-RELATED FATIGUE ON THE LIVES OF THE PATIENTS


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Ishrat Rafique Eshita1
1National Institute of Preventive & Social Medicine, Bangladesh

Abstract

Background

Cancer- Related Fatigue (CRF) is a debilitating, multifaceted biopsychosocial symptom experienced by cancer survivors, begins after diagnosis, persists long after treatments end, even when cancer is in remission.

Method

The study conducted at National Institute of Cancer Research & Hospital, Ahsania Mission Cancer & General Hospital, Dhaka; from January - December 2016, assessed the level of fatigue, using FACT-F scale,version 4.

Results

Among 267 patients, 55.8% were male. The majority (40.1%) were in 36-55 age group. The mean age was 46.11 (SD ± 16.548) years, with minimum 16 & maximum 83 years. Larger part (15.7%) were affected by GIT cancer, 15% Breast cancer, 14.2% Lung cancer, 12.4% Ca Head-Neck, 10.5% Soft tissue Sarcoma, 10.1% Gynaecological cancer, 7.9% Genitourinary cancer, 7.9% Haematological cancer, & rest  Ca Brain-PNS-Spinal cord, Melanoma, Skin,  CUP. Majority (87.3%) were suffering for 1-12 months. Greater part (47.6%) belonged to the stage II. Majority (49.4%) were moderately anemic. Majority (37.1%) were receiving Chemotherapy, 21.3% Surgery & Chemotherapy, 15.4% Concurrent Chemo-Radiation therapy, 9.0% Radiotherapy, 7.1% Surgical treatment.  Better part (76.4%) were receiving treatment regularly. Fatigue was present in 79.4% patients, where 4.5%  severely fatigued, 28.5% moderately fatigued, 46.4% mildly fatigued. The Greater part (53.2%) patients' family- social life, financial condition was seriously hampered. The majority (65.2%) were facing extreme financial difficulties due to physical condition & medical treatment. Mental condition was vulnerable in 43.8%. Functional well being was bad in 15.7% patients, 34.8% were completely unable to work outside &  perform strenuous activities. Fatigue level was associated with Sex (P = 0.000 ), Income (P = 0.014), and Cancer stage of the respondents (P = 0.002 ).

Conclusion

This research evaluates socio-economic aspects of fatigue in cancer patients, will yield positive outcomes in them with different diagnosis undergoing different modalities of anti-neoplastic treatments & strategies to facilitate reliable assessment of symptoms of CRF.