Lymphoma Coalition, Mississauga, Ontario, Canada.
Department of Pathology and Laboratory Medicine, University of British Columbia, Vancouver, Canada.
Cancer Res Commun. 2024 Jun 24;4(6):1561-1565. doi: 10.1158/2767-9764.CRC-24-0048.
Cancer-related fatigue (CRF) continues to be a challenging phenomenon that is often under-reported and poorly understood. With etiologies in both disease and treatment manifesting as a symptom and a side effect respectively, CRF is highly incident and presents a significant clinical problem that impacts survivorship. We conducted a survey to ascertain the patient reported incidence of symptoms and side effects for people with lymphoma or chronic lymphocytic leukemia. We found that CRF was enhanced in those who received more intense therapies that coincided with more aggressive lymphoma subtypes. These data illuminate an unmet need among patients with lymphoma and provides an opportunity to further refine treatment regimens to reduce the burden of CRF in this vulnerable population.
CRF is a highly incident phenomenon in lymphoma that can be ascribed to a combination of causes. We have demonstrated substantial variability across various subtypes of lymphoma and have estimated that nearly half of the reported fatigue comes from treatment. Increased screening for and monitoring of fatigue will yield favorable health-related quality of life that will benefit health technology assessment activities and yield improved outcomes for patients.
目的:癌症相关疲劳(CRF)仍然是一种具有挑战性的现象,常被漏报且了解不足。其病因分别来自疾病和治疗,表现为症状和副作用,CRF 的发生率很高,是一个严重的临床问题,影响患者的生存。我们进行了一项调查,以确定淋巴瘤或慢性淋巴细胞白血病患者报告的症状和副作用发生率。我们发现,接受更强化治疗且淋巴瘤亚型更具侵袭性的患者,CRF 更为明显。这些数据阐明了淋巴瘤患者的未满足需求,并为进一步完善治疗方案以减轻这一脆弱人群的 CRF 负担提供了机会。
意义:CRF 是淋巴瘤中一种发生率很高的现象,可归因于多种原因。我们已经在各种不同的淋巴瘤亚型中发现了明显的差异,并估计报告的疲劳中有近一半来自治疗。增加对疲劳的筛查和监测将带来有利的健康相关生活质量,这将有益于卫生技术评估活动,并为患者带来更好的结果。