Amarsheda Shila, Bhise Anjali R
Gujarat University,Ahmedabad, India.
ESIC Model Hospital, Ahmedabad, Gujarat, India.
Palliat Support Care. 2022 Feb;20(1):122-128. doi: 10.1017/S1478951521000444.
Fatigue is having high prevalence and increased acknowledgment of negative effect on the patient's well-being which has resulted in fatigue being important research variable in breast cancer patients. The recent development shows greater receptivity of health professionals to assessing cancer-related fatigue (CRF). In this review, an attempt has been made to identify CRF instruments which have been used in breast cancer patients with the detailed description about the instruments and their psychometric properties.
A search was conducted from January 2000 to April 2020 from electronic databases such as PubMed, Cochrane, Embase, and Google Scholar. The studies were included if the instrument was used to measure fatigue in breast cancer patients and its description and psychometric properties reported in breast cancer patients. The search was limited to studies in the English language and use of English version of instruments.
Among 34 CRF instruments, 9 instruments were included according to inclusion and exclusion criteria. From nine instruments, six were multidimensional, two were unidimensional, and one instrument was quality-of-life (QOL) subscale. All the scales have showed accepted reliability and validity in breast cancer patients. A minimal clinically important difference was available for Multidimensional Fatigue Symptom Inventory - Short Form, Brief Fatigue Inventory, Piper Fatigue Scale - Revised, FACIT Fatigue scale, and Fatigue symptom inventory instruments.
This review will help healthcare providers who are dealing with breast cancer patients to acknowledge and better understand what their patients are experiencing. The most appropriate tool will allow healthcare providers to use for holistic assessment of CRF. The instrument will help them to monitor their patient's condition or treatment progress, so it can be incorporated into treatment decisions for better management of fatigue.
疲劳在乳腺癌患者中普遍存在，且人们越来越认识到其对患者幸福感的负面影响，这使得疲劳成为乳腺癌患者重要的研究变量。最近的发展表明，医疗保健专业人员对评估癌症相关疲劳（CRF）的接受度更高。在本综述中，我们试图识别用于乳腺癌患者的CRF评估工具，并详细描述这些工具及其心理测量特性。
于2000年1月至2020年4月从电子数据库（如PubMed、Cochrane、Embase和谷歌学术）进行检索。如果该工具用于测量乳腺癌患者的疲劳，且其描述和心理测量特性在乳腺癌患者中有所报道，则纳入该研究。检索仅限于英文研究和使用英文版本的工具。
在34种CRF评估工具中，根据纳入和排除标准纳入了9种工具。这9种工具中，6种是多维的，2种是单维的，1种是生活质量（QOL）子量表。所有量表在乳腺癌患者中均显示出可接受的信度和效度。多维疲劳症状量表简表、简明疲劳量表、Piper疲劳量表修订版、FACIT疲劳量表和疲劳症状量表等工具存在最小临床重要差异。
本综述将有助于治疗乳腺癌患者的医疗保健人员认识并更好地理解其患者的经历。最合适的工具将使医疗保健人员能够用于对CRF进行全面评估。该工具将帮助他们监测患者的病情或治疗进展，从而可将其纳入治疗决策，以更好地管理疲劳。
