Jean-Pierre Pascal, Figueroa-Moseley Colmar D, Kohli Sadhna, Fiscella Kevin, Palesh Oxana G, Morrow Gary R
Department of Radiation Oncology, University of Rochester School of Medicine and Dentistry, James P Wilmot Cancer Center, Rochester, NY 14642, USA.
Oncologist. 2007;12 Suppl 1:11-21. doi: 10.1634/theoncologist.12-S1-11.
Cancer-related fatigue (CRF) is a highly prevalent and debilitating symptom experienced by most cancer patients during, and often for considerable periods after, treatment. The recognition of the importance of CRF to patients' psychosocial and cognitive functioning, as well as to their quality of life, has driven the development of a wide range of assessment tools for screening and diagnosis of CRF. Over 20 different measures have been used to assess CRF from either a unidimensional or multi-dimensional perspective. Unidimensional measures are often single-question scales that generally focus on identifying the occurrence and severity of CRF, whereas multidimensional measures may also examine the effect of CRF across several domains of physical, socio-emotional, and cognitive functioning. This paper provides an overview and critique of measures commonly used to assess CRF. Single-question assessment is the most commonly used and the most useful methodology. Strategies to facilitate reliable assessment of CRF are also discussed. Disclosure of potential conflicts of interest is found at the end of this article.
癌症相关疲劳（CRF）是大多数癌症患者在治疗期间以及治疗后相当长一段时间内都会经历的一种非常普遍且使人衰弱的症状。认识到CRF对患者心理社会和认知功能以及生活质量的重要性，促使人们开发了多种用于CRF筛查和诊断的评估工具。已经使用了20多种不同的测量方法从单维度或多维度角度评估CRF。单维度测量通常是单问题量表，一般侧重于确定CRF的发生情况和严重程度，而多维度测量还可能考察CRF在身体、社会情感和认知功能等多个领域的影响。本文概述并评论了常用于评估CRF的测量方法。单问题评估是最常用且最有用的方法。还讨论了促进CRF可靠评估的策略。本文末尾列出了潜在利益冲突的披露情况。
