Patient Reported Fatigue Among Adolescent and Young Adult Cancer Patients Compared to Non-Cancer Patients : A Systematic Review and Meta-Analysis

Adolescent and young adult (AYA) cancer patients and survivors are a growing population due to more frequent diagnoses and improved survival. Fatigue is a common symptom experienced by cancer patients and it is often missed by health care professionals. Patient reported outcome measures (PROMs) can assist in evaluating patient reported fatigue. This systematic review aims to determine if AYA cancer patients report more fatigue than AYAs who have not been diagnosed with cancer. We used a subset of articles from a larger review that searched PubMed, EMBASE, CINAHL, and PsycINFO to determine which PROMs and domains are currently being used to evaluate AYA cancer. This study identified 175 articles related to PROMs in the AYA cancer population. Articles with PROMs reporting on fatigue/vitality were used in this review. From the original 175 articles, we identified 8 fatigue/vitality articles for this review. All eight articles found an increase in fatigue/decrease in vitality in the AYA cancer population compared to healthy controls. A meta-analysis was performed on four articles that used the same PROM tool (EORTC QLQ-C30). This found a statistically significant and clinically meaningful increase in mean fatigue of 12.5 95% confidence interval: 3.3-21.8 points (scale 0-100, higher number indicates more fatigue) in the AYA cancer group compared to healthy noncancer controls. Fatigue in the AYA cancer population is a significant issue, it is often undetected and underreported, and early interventions are needed to prevent the negative subsequent sequelae.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

Journal of adolescent and young adult oncology - 13(2024), 2 vom: 01. Apr., Seite 242-250

Sprache:

Englisch

Beteiligte Personen:

Forbes, Cheryl [VerfasserIn]
Tanner, Sarah [VerfasserIn]
Engstrom, Teyl [VerfasserIn]
Lee, Wen Ray [VerfasserIn]
Patel, Dhaval [VerfasserIn]
Walker, Rick [VerfasserIn]
Bradford, Natalie [VerfasserIn]
Pole, Jason D [VerfasserIn]

Links:

Volltext

Themen:

Adolescent
Cancer
Cancer survivors
Fatigue
Journal Article
Meta-Analysis
Review
Routinely collected health data
Systematic Review
Young adult

Anmerkungen:

Date Completed 05.04.2024

Date Revised 05.04.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1089/jayao.2023.0094

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363949771