老年肿瘤学中与肿瘤治疗相关的疲劳:一项范围综述

Oncological Treatment-Related Fatigue in Oncogeriatrics: A Scoping Review.

作者信息

André Louise, Antherieu Gabriel, Boinet Amélie, Bret Judith, Gilbert Thomas, Boulahssass Rabia, Falandry Claire

机构信息

Hospices Civils de Lyon, Geriatrics Department, Hôpital Lyon Sud, 69230 Saint Genis-Laval, France.

Research on Healthcare Professionals and Performance RESHAPE, Inserm U1290, Lyon 1 University, 69008 Lyon, France.

出版信息

Cancers (Basel). 2022 May 17;14(10):2470. doi: 10.3390/cancers14102470.

Abstract

Fatigue is a highly prevalent symptom in both cancer patients and the older population, and it contributes to quality-of-life impairment. Cancer treatment-related fatigue should thus be included in the risk/benefit assessment when introducing any treatment, but tools are lacking to a priori estimate such risk. This scoping review was designed to report the current evidence regarding the frequency of fatigue for the different treatment regimens proposed for the main cancer indications, with a specific focus on age-specific data, for the following tumors: breast, ovary, prostate, urothelium, colon, lung and lymphoma. Fatigue was most frequently reported using the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) versions 3 to 5. A total of 324 regimens were analyzed; data on fatigue were available for 217 (67%) of them, and data specific to older patients were available for 35 (11%) of them; recent pivotal trials have generally reported more fatigue grades than older studies, illustrating increasing concern over time. This scoping review presents an easy-to-understand summary that is expected to provide helpful information for shared decisions with patients regarding the anticipation and prevention of fatigue during each cancer treatment.

摘要

疲劳是癌症患者和老年人群中非常普遍的症状,它会导致生活质量下降。因此,在引入任何治疗方法时,与癌症治疗相关的疲劳都应纳入风险/获益评估中,但目前缺乏先验估计此类风险的工具。本范围综述旨在报告针对主要癌症适应症所提出的不同治疗方案中疲劳发生频率的现有证据,特别关注特定年龄的数据,涉及以下肿瘤:乳腺癌、卵巢癌、前列腺癌、尿路上皮癌、结肠癌、肺癌和淋巴瘤。疲劳最常使用美国国立癌症研究所不良事件通用术语标准(NCI CTCAE)第3至5版进行报告。总共分析了324种治疗方案;其中217种(67%)有关于疲劳的数据,35种(11%)有针对老年患者的特定数据;近期的关键试验通常比早期研究报告了更多的疲劳分级,这表明随着时间的推移人们对此越来越关注。本范围综述提供了一个易于理解的总结,预计将为与患者就每种癌症治疗期间疲劳的预期和预防进行共同决策提供有用信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a6d/9139887/852104bbfc83/cancers-14-02470-g001.jpg

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