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Open Access 01-12-2020 | Cancer Fatigue | Review

Recommendations for the surveillance of cancer-related fatigue in childhood, adolescent, and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group

Authors: Salome Christen, Katharina Roser, Renée L. Mulder, Anica Ilic, Hanne C. Lie, Jacqueline J. Loonen, Anneli V. Mellblom, Leontien C. M. Kremer, Melissa M. Hudson, Louis S. Constine, Roderick Skinner, Katrin Scheinemann, Jordan Gilleland Marchak, Gisela Michel, on behalf of the IGHG psychological late effects group

Published in: Journal of Cancer Survivorship | Issue 6/2020

Abstract

Purpose

Cancer-related fatigue (CRF) negatively affects the lives of childhood, adolescent, and young adult (CAYA) cancer survivors. We aimed to provide an evidence-based clinical practice guideline (CPG) with internationally harmonized CRF surveillance recommendations for CAYA cancer survivors diagnosed < 30 years.

Methods

This CPG was developed by a multidisciplinary panel under the umbrella of the International Late Effects of Childhood Cancer Guideline Harmonization Group. After evaluating concordances and discordances of four existing CPGs, we performed systematic literature searches. We screened articles for eligibility, assessed quality, extracted, and summarized the data from included articles. We formulated recommendations based on the evidence and clinical judgment.

Results

Of 3647 articles identified, 70 articles from 14 countries were included. The prevalence of CRF in CAYA cancer survivors ranged from 10–85%. We recommend that healthcare providers are aware of the risk of CRF, implement regular screening with validated measures, and recommend effective interventions to fatigued survivors.

Conclusions

A considerable proportion of CAYA cancer survivors suffers from CRF even years after the end of treatment.

Implications for Cancer Survivors

We recommend that healthcare providers adopt regular screening to detect and treat CRF early and positively influence survivors’ health and quality of life.

Available only for authorised users

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Title: Recommendations for the surveillance of cancer-related fatigue in childhood, adolescent, and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group
Authors: Salome Christen
Katharina Roser
Renée L. Mulder
Anica Ilic
Hanne C. Lie
Jacqueline J. Loonen
Anneli V. Mellblom
Leontien C. M. Kremer
Melissa M. Hudson
Louis S. Constine
Roderick Skinner
Katrin Scheinemann
Jordan Gilleland Marchak
Gisela Michel
on behalf of the IGHG psychological late effects group
Publication date: 01-12-2020
Publisher: Springer US
Keywords: Cancer Fatigue
Fatigue
Published in: Journal of Cancer Survivorship / Issue 6/2020
Print ISSN: 1932-2259
Electronic ISSN: 1932-2267
DOI: https://doi.org/10.1007/s11764-020-00904-9

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Abstract

Purpose

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Implications for Cancer Survivors

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