Top

Supportive Care in Cancer

Published in:

01-09-2016 | Original Article

Cancer-related fatigue: appraising evidence-based guidelines for screening, assessment and management

Authors: Elizabeth J. M. Pearson, Meg E. Morris, Carol E. McKinstry

Published in: Supportive Care in Cancer | Issue 9/2016

Abstract

Purpose

There is inconsistent management of cancer-related fatigue (CRF) by health professionals worldwide. This research aims to identify the most appropriate guidelines for the management of cancer-related fatigue.

Methods

A systematic search of international literature identified evidence-based clinical practice guidelines for CRF. Four reviewers independently appraised the highest quality guidelines using the AGREE-II instrument and National Heath and Medical Research Council (NHMRC) guideline standards.

Results

Five guidelines met the inclusion criteria. Of these, the 2015 Canadian Association of Psychosocial Oncology (CAPO) CRF guidelines and the 2014 American Society of Clinical Oncology (ASCO) fatigue guidelines for cancer survivors were selected for in-depth appraisal. The CAPO guideline scored higher than the ASCO for five domains of the AGREE-II. For one domain, the differences were statistically significant (p ≤ 0.05). The CAPO guideline met 37 of 47 NHMRC mandatory guideline standards and the ASCO guideline met 20. The difference in the proportion of standards met was statistically significant for one domain (p ≤ 0.05). Both guidelines had low scores for applicability and implementation.

Conclusions

Currently, the CAPO guideline for cancer-related fatigue has the strongest evidence for use. To enhance implementation, further strategies for guideline dissemination and application are needed.

Available only for authorised users

National Guideline Clearinghouse www.guideline.gov; Clinical Practice Guideline Portal www.clinicalguidelines.gov.au; NICE Guidance www.nice.org.uk/guidance; Guidelines International Network www.g-i-n.net

Prue G, Rankin J, Allen J, Gracey J, Cramp F (2006) Cancer-related fatigue: a critical appraisal. Eur J Cancer 42(7):846–863. doi:10.1016/j.ejca.2005.11.026 CrossRefPubMed

Wu H-S, Harden JK (2015) Symptom burden and quality of life in survivorship: a review of the literature. Cancer Nurs 38(1):E29–E54. doi:10.1097/NCC.0000000000000135 CrossRefPubMed

NCCN (2015) Cancer-related fatigue version 2.2015. http://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf. Accessed 16/7/2015

Berger AM, Mitchell SA, Jacobsen PB, Pirl WF (2015) Screening, evaluation, and management of cancer-related fatigue: ready for implementation to practice? CA Cancer J Clin. doi:10.3322/caac.21268 PubMed

Silver JK, Gilchrist LS (2011) Cancer rehabilitation with a focus on evidence-based outpatient physical and occupational therapy interventions. Am J Phys Med Rehabil 90(5 Suppl 1):S5–15. doi:10.1097/PHM.0b013e31820be4ae CrossRefPubMed

Pearson EJM, Morris ME, McKinstry CE (2015) Cancer related fatigue: a survey of health practitioner knowledge and practice. Support Care Cancer 23(12):3521–3529. doi:10.1007/s00520-015-2723-8 CrossRefPubMed

Merriam-Webster (2014) Merriam-Webster online dictionary. doi:http://www.merriam-webster.com/

Institutes of Medicine (2011) Clinical practice guidelines we can trust. The National Academies Press, Washington, DC doi:http://nap.edu/catalog/13058.htm

Woolf S, Schünemann HJ, Eccles MP, Grimshaw JM, Shekelle P (2012) Developing clinical practice guidelines: types of evidence and outcomes; values and economics, synthesis, grading, and presentation and deriving recommendations. Implement Sci 7:61. doi:10.1186/1748-5908-7-61 CrossRefPubMedPubMedCentral

10.

Clubb AB, Dahm P (2011) How to critically appraise a clinical practice guideline. Indian J Urol 27(4):498–502. doi:10.4103/0970-1591.91441 CrossRefPubMedPubMedCentral

11.

National Health and Medical Research Council (2011) Procedures and requirements for meeting the 2011 NHMRC standard for clinical practice guidelines. National Health and Medical Research Council, Melbourne doi:https://www.nhmrc.gov.au/guidelines/publications/cp133-and-cp133a

12.

Howell D, Keller-Olaman S, Oliver TK, Hack TF, Broadfield L, Biggs K, Chung J, Gravelle D, Green E, Hamel M, Harth T, Johnston P, McLeod D, Swinton N, Syme A, Olson K (2013) A pan-Canadian practice guideline and algorithm: screening, assessment, and supportive care of adults with cancer-related fatigue. Curr Oncol 20(3):e233–e246. doi:10.3747/co.20.1302 CrossRefPubMedPubMedCentral

13.

Bower JE, Bak K, Berger AM, Breitbart W, Escalante CP, Ganz PA, Schnipper HH, Lacchetti C, Ligibel JA, Lyman GH, Ogaily MS, Pirl WF, Jacobsen PB (2014) Screening, assessment, and management of fatigue in adult survivors of cancer: an American Society of Clinical Oncology clinical practice guideline adaptation. J Clin Oncol 32(17):1840–1850. doi:10.1200/JCO.2013.53.4495 CrossRefPubMedPubMedCentral

14.

NCCN (2014) Survivorship version 1.2015. National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/pdf/survivorship.pdf. Accessed 17/7/2015

15.

Mitchell SA, Hoffman AJ, Clark JC, DeGennaro RM, Poirier P, Robinson CB, Weisbrod BL (2014) Putting evidence into practice: an update of evidence-based interventions for cancer-related fatigue during and following treatment. Clin J Oncol Nurs 18(Suppl):38–58. doi:10.1188/14.cjon.s3.38-58 CrossRefPubMed

16.

Howell D, Keshavarz H, Broadfield L, Hack T, Hamel M, Harth T, Jones J, McLeod D, Olson K, Phan S, Sawka A, Swinton N, Ali M, on behalf of the Cancer Journey Advisory Group of the Canadian Partnership Against Cancer (2015) A pan Canadian practice guideline for screening, assessment, and management of cancer-related fatigue in adults Version 2-2015. Canadian Association of Psychosocial Oncology, Toronto doi:http://www.capo.ca/pdf/CRF_Guideline.pdf

17.

Brouwers MC, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, Fervers B, Graham ID, Grimshaw J, Hanna SE, Littlejohns P, Makarski J, Zitzelsberger L (2010) AGREE II: advancing guideline development, reporting and evaluation in health care. Can Med Assoc J 182(18):E839–E842. doi:10.1503/cmaj.090449 CrossRef

18.

The ADAPTE Collaboration (2009) The ADAPTE process: resource toolkit for guideline adaptation version 2.0. http://www.g-i-n.net. Accessed 13 Nov 2014

19.

Cronin P, Rawson JV, Heilbrun ME, Lee JM, Kelly AM, Sanelli PC, Bresnahan BW, Paladin AM (2014) How to critically appraise the clinical literature. Acad Radiol 21(9):1117–1128. doi:10.1016/j.acra.2014.05.004 CrossRefPubMed

20.

Siering U, Eikermann M, Hausner E, Hoffmann-Esser W, Neugebauer EA (2013) Appraisal tools for clinical practice guidelines: a systematic review. PLoS One 8(12):e82915. doi:10.1371/journal.pone.0082915 CrossRefPubMedPubMedCentral

21.

The AGREE Research Trust (2013) Appraisal of guidelines for REsearch and evaluation II. AGREE II Instrument. www.agreetrust.org. Accessed 6 August 2015

22.

Pallant JF (2013) SPSS survival manual - a step by step guide to data analysis using IBM SPSS, 5 edn. Allen & Unwin, Crows Nest

23.

Hallgren KA (2012) Computing inter-rater reliability for observational data: an overview and tutorial. Tutor Quant Methods Psychol 8(1):23–34 doi:nihms37295.pdfPubMedPubMedCentral

24.

Light RJ (1971) Measures of response agreement for qualitative data: some generalizations and alternatives. Psychol Bulletin 76(5):365–377. doi:10.1037/h0031643 CrossRef

25.

Liddell FDK (1983) Simplified exact analysis of case-referent studies: matched pairs; dichotomous exposure. J Epidemiol Community Health 37(1):82–84. doi:10.1136/jech.37.1.82 CrossRefPubMedPubMedCentral

26.

Mitchell SA, Friese CR (2012) ONS PEP (Putting Evidence into Practice) weight of evidence classification schema: decision rules for summative evaluation of a body of evidence. https://www.ons.org/practice-resources/pep/evaluation-process. Accessed July 3 2015

27.

Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ (2008) GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336(7650):924–926. doi:10.1136/bmj.39489.470347.AD CrossRefPubMedPubMedCentral

28.

Jacobs C, Graham ID, Makarski J, Chasse M, Fergusson D, Hutton B, Clemons M (2014) Clinical practice guidelines and consensus statements in oncology - an assessment of their methodological quality. PLoS One 9(10). doi:10.1371/journal.pone.0110469

29.

Harris SR, Schmitz KH, Campbell KL, McNeely ML (2012) Clinical practice guidelines for breast cancer rehabilitation. Cancer 118(S8):2312–2324. doi:10.1002/cncr.27461 CrossRefPubMed

30.

Landis JR, Koch GG (1977) An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics 33(2):363–374. doi:10.2307/2529786 CrossRefPubMed

31.

Cicchetti DV (1994) Guidelines, criteria, and rules of thumb for evaluating normed and standardized assessment instruments in psychology. Psychol Assess 6(4):284–290. doi:10.1037/1040-3590.6.4.284 CrossRef

32.

Cohen J (1988) Statistical power analysis for the behavioral sciences, 2 edn. Academic Press Inc, Hillsdale, NJ

33.

Nunnally JC (1994) Psychometric theory. McGraw-Hill series in psychology, 3rd edn. McGraw-Hill, New York

34.

Eisinga R, Grotenhuis M, Pelzer B (2013) The reliability of a two-item scale: Pearson, Cronbach, or Spearman-Brown? Int J Public Health 58(4):637–642. doi:10.1007/s00038-012-0416-3 CrossRefPubMed

35.

Reames BN, Krell RW, Ponto SN, Wong SL (2013) Critical evaluation of oncology clinical practice guidelines. J Clin Oncol 31(20):2563–2568. doi:10.1200/JCO.2012.46.8371 CrossRefPubMed

36.

Kastner M, Estey E, Hayden L, Chatterjee A, Grudniewicz A, Graham ID, Bhattacharyya O (2014) The development of a guideline implementability tool (GUIDE-IT): a qualitative study of family physician perspectives. BMC Fam Pract 15:19. doi:10.1186/1471-2296-15-19 CrossRefPubMedPubMedCentral

37.

Shiffman RN, Dixon J, Brandt C, Essaihi A, Hsiao A, Michel G, O’Connell R (2005) The GuideLine implementability appraisal (GLIA): development of an instrument to identify obstacles to guideline implementation. BMC Med Inform Decis Mak 5:23. doi:10.1186/1472-6947-5-23 CrossRefPubMedPubMedCentral

38.

National Institute of Clinical Studies (2006) Assessing the implementability of guidelines. NICS, Melbourne doi:http://www.nhmrc.gov.au/

Title: Cancer-related fatigue: appraising evidence-based guidelines for screening, assessment and management
Authors: Elizabeth J. M. Pearson
Meg E. Morris
Carol E. McKinstry
Publication date: 01-09-2016
Publisher: Springer Berlin Heidelberg
Published in: Supportive Care in Cancer / Issue 9/2016
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-016-3228-9

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras

Prof. Fabrice Barlesi

Developed by: Springer Medicine

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2016

Health care experiences of long-term survivors of adolescent and young adult cancer

“An addendum to breast cancer”: the triple negative experience

Scalp cooling: a qualitative study to assess the perceptions and experiences of Australian patients with breast cancer

Differences in quality of life between American and Chinese breast cancer survivors

“Same-Day” administration of pegfilgrastim following myelosuppressive chemotherapy: clinical practice and provider rationale

Socio-demographic and clinical variables associated with psychological distress 1 and 3 years after breast cancer diagnosis

Keynote webinar | Spotlight on antibody–drug conjugates in cancer