Presence, communication and treatment of fatigue and pain complaints in incurable cancer patients.
OBJECTIVE
This study describes the experiences of fatigue and pain in incurable cancer patients and the treatment they receive.


METHODS
Patients were recruited via medical specialists from hospitals in the South and Southwest of the Netherlands. Hundred and twenty-five incurable cancer patients filled out a written questionnaire and were also interviewed at home.


RESULTS
Ninety percent reported to suffer from fatigue and 48% had pain. Forty-five percent had discussed fatigue with a healthcare professional and 55% had discussed pain. Fifteen percent reported to receive medical treatment for their fatigue and 29% received pain treatment. Treatment for fatigue and pain treatment had been recently adjusted in 4% of the patients with fatigue complaints and 21% of the patients with pain complaints.


CONCLUSIONS
Although fatigue is a more common problem than pain in patients with incurable cancer, less attention in the care is paid to fatigue and its treatment than to pain.


CONCLUSIONS
Fatigue deserves more attention in the care policy for incurable cancer patients and more research should be focused on interventions to address fatigue in this group of cancer patients.
Collins
Susan
S
Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands.
de Vogel-Voogt
Elsbeth
E
Visser
Adriaan
A
van der Heide
Agnes
A
D000704:Analysis of Variance; D001007:Anxiety / Q000209:etiology; D001294:Attitude to Health; D003142:Communication; D003863:Depression / Q000209:etiology; D005221:Fatigue / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D018447:Medical Futility; D008875:Middle Aged; D009369:Neoplasms / Q000150:complications / Q000523:psychology; D009426:Netherlands; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D010147:Pain Measurement; D010166:Palliative Care; D010353:Patient Education as Topic; D011369:Professional-Patient Relations; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D016896:Treatment Outcome