title: Longitudinal screening and management of fatigue, pain, and emotional distress associated with cancer therapy.
abstract: OBJECTIVE
  Fatigue, pain, and emotional distress are common symptoms among patients with cancer. We sought to learn about patient perceptions of these symptoms and their treatment.
  
  
  METHODS
  At a baseline assessment and two monthly follow-up assessments, we asked a diverse sample of patients with solid tumor or lymphoma (N = 99) about their fatigue, pain and distress, their treatment for these symptoms, and their satisfaction with treatment via standardized questionnaires and semistructured interviews.
  
  
  RESULTS
  In this observational study, patients reported fatigue, pain, emotional distress, and general quality of life at expected levels. Across all assessments, at least half of our sample experienced at least some fatigue, pain, or distress. On the whole, patients and providers do communicate about these concerns, and at least 75% of patients found these discussions helpful when they occurred.
  
  
  CONCLUSIONS
  Improved symptom identification and communication may optimize the detection of those at risk of morbidity and decreased quality of life because of excess symptom burden.
authors.affiliation: Center on Outcomes, Research and Education (CORE), Evanston Northwestern Healthcare, Evanston, IL 60201, USA. z-butt@northwestern.edu
authors.forename: Zeeshan
authors.initials: Z
authors.lastname: Butt
authors.forename: Lynne I
authors.initials: LI
authors.lastname: Wagner
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Beaumont
authors.forename: Judith A
authors.initials: JA
authors.lastname: Paice
authors.forename: Joshua L
authors.initials: JL
authors.lastname: Straus
authors.forename: Amy H
authors.initials: AH
authors.lastname: Peterman
authors.forename: George
authors.initials: G
authors.lastname: Carro
authors.forename: Jamie H
authors.initials: JH
authors.lastname: Von Roenn
authors.forename: Dan
authors.initials: D
authors.lastname: Shevrin
authors.forename: David
authors.initials: D
authors.lastname: Cella
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005221:Fatigue / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D009369:Neoplasms / Q000523:psychology* / Q000628:therapy*; D010146:Pain / Q000523:psychology*; D011788:Quality of Life; D011795:Surveys and Questionnaires