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Cancer-Related Fatigue 

Cancer-Related Fatigue
Chapter:
Cancer-Related Fatigue
Author(s):

Sriram Yennurajalingam

DOI:
10.1093/med/9780190633066.003.0006
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date: 25 January 2020

Cancer-related fatigue is the most common and severe symptom patients experience while receiving palliative care. It is also the most underdiagnosed and undertreated. Fatigue has substantial adverse physical, psychosocial, and economic consequences for patients and caregivers, and it is an important predictor of patients’ quality of life. Management of fatigue involves thorough assessment of severity and various dimensions of the symptoms, including the physical, psychological, and cognitive domains. A focused exam and laboratory evaluation should be conducted to treat the reversible causes. All patients should be managed using nonpharmacological strategies such as exercise and counseling whenever feasible. A short trial of steroids or methylphenidate should be considered for symptom relief.

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