Cancer-related fatigue clinical practice guidelines in oncology

These guidelines propose a treatment algorithm in which patients are evaluated regularly for fatigue using a brief screening instrument and are treated as indicated by their fatigue level. The algorithm's goal is to identify and treat all patients with fatigue that causes distress or interferes with daily activities or functioning. Management of fatigue begins with primary oncology team members who perform the initial screening and either provide basic education and counseling or expand the initial screening to a more focused evaluation for moderate or higher levels of fatigue. At this point, the patient is assessed for current disease and treatment status and undergoes a review of body systems and an in-depth fatigue evaluation. In addition, the patient is assessed for the presence of 7 treatable factors known to contribute to fatigue: pain, emotional distress, sleep disturbance, anemia, alteration in nutrition, deconditioning, and comorbidities. If any of these conditions are present, they should be treated according to practice guidelines, with referral to other care professionals as appropriate, and the patient's fatigue should be reevaluated regularly. If none of the 7 factors is present or if the fatigue is unresolved, appropriate fatigue management and treatment strategies are selected within the context of the patient's clinical status (e.g., undergoing active cancer treatment, disease-free long-term follow-up, or care at end of life). Management of fatigue is cause-specific when conditions known to cause fatigue (e.g., infection, fluid and electrolyte imbalances, cardiac dysfunction) can be identified and treated. When specific causes of fatigue cannot be identified and corrected, the fatigue can still be treated with nonpharmacologic and pharmacologic interventions. Nonpharmacologic interventions may include a moderate exercise program to improve functional capacity and activity tolerance, psychosocial programs to manage stress and increase support, attention-restoring therapies to decrease cognitive alterations and improve mood state, energy conservation to maintain energy, and nutritional and sleep interventions for patients with disturbances in eating or sleeping. Pharmacologic therapy may include drugs, such as antidepressants for depression or erythropoietin for anemia. A few clinical reports on the use of psychostimulants suggest the need for further research on these agents as potential treatment modalities in managing fatigue. Effective management of cancer-related fatigue involves an informed and supportive oncology care team that assesses patients' fatigue levels regularly, counsels and educates patients on strategies for coping with fatigue,¹⁹⁴ and uses institutional experts for referral of patients with unresolved fatigue.⁴³.