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Original Abstract of the Article

Main Research Findings

Almost 90% of cancer patients suffer from symptoms of fatigue during treatment. 26 . This study examines the short-term and long-term effects of yoga on fatigue and the effect of weekly reminder e-mails on exercise frequency and fatigue symptoms. 26 .

The TIRED trial demonstrated cognitive behavior therapy's (CBT) significant and clinically relevant effects to reduce fatigue among patients with advanced cancer, while graded exercise therapy (GET) did not prove beneficial. 32 . The present study aims to determine the mechanisms by which CBT and GET affect fatigue. 32 .

Fatigue is a frequent and disturbing symptom in oncology but remains undertreated. 31 . Given the absence of effective drug treatment, non-pharmacological interventions have a prominent place in the treatment of fatigue. 31 . However, they are relatively unknown by professionals who lack of clear points of reference to refer patients with confidence. 31 . This article aims to improve the knowledge about this therapeutic field through an updated synthesis of the levels of recommendations and available evidence. 31 .

Cancer-related fatigue (CRF) is pervasive and debilitating, and can greatly impact quality of life (QoL). 33 . Corticosteroids are commonly used to improve CRF, but the benefits are unclear and there are significant adverse effects associated with long-term use. 33 . With the increasing survival of people with metastatic cancer, the long-term effects of medications are becoming increasingly relevant. 33 . Since the impact of CRF can be immensely debilitating and can negatively affect QoL, its treatment warrants further review. 33 .

Treatment Summary

Yoga is a potential treatment for reducing cancer-related fatigue symptoms. 26 . Cognitive Behavioral Therapy (CBT) has been shown to be an effective treatment for reducing fatigue in patients with advanced cancer. 32 . Graded Exercise Therapy (GET) has not been shown to be beneficial in reducing fatigue for patients with advanced cancer. 32 . Corticosteroids are commonly used to treat cancer-related fatigue, but their benefits are unclear and they have significant adverse effects associated with long-term use. 33 .

Benefits and Risks

Benefits Summary

Yoga may help reduce symptoms of cancer-related fatigue. 26 . CBT is effective in reducing fatigue for patients with advanced cancer. 32 . Exercise therapy can potentially reduce fatigue during cancer treatment. 25 . Light therapy may be effective in reducing cancer-related fatigue. 24 .

Risks Summary

Long-term use of corticosteroids can lead to significant adverse effects. 33 .

Comparison of Studies

Commonalities in Studies

Many studies have investigated non-pharmacological interventions such as exercise therapy, CBT, and yoga as potential treatments to reduce cancer-related fatigue. 26 , 32 , 25 .

Differences in Studies

Studies varied in terms of interventions investigated, patient populations, and study designs. 26 , 32 , 25 .

Consistency and Discrepancies in Results

Results regarding the efficacy of non-pharmacological interventions in treating cancer-related fatigue have been inconsistent. 26 , 32 , 25 . While some studies showed yoga, CBT, and exercise therapy to be effective, others indicated these interventions were ineffective or had limited effects. 26 , 32 , 25 .

Implications for Everyday Life

The effectiveness of non-pharmacological interventions in treating cancer-related fatigue may vary among individuals. 26 , 32 , 25 . Therefore, it is important to consider individual needs and preferences when creating a treatment plan. 26 , 32 , 25 .

Limitations of Current Research

Research on the efficacy of non-pharmacological interventions in treating cancer-related fatigue is limited in number and quality. 26 , 32 , 25 . Larger, higher-quality studies are needed. 26 , 32 , 25 .

Future Research Directions

Future research should compare different interventions and identify the optimal treatments for reducing cancer-related fatigue. 26 , 32 , 25 . Research is also needed to examine the long-term effects of interventions. 26 , 32 , 25 .

Conclusion

Cancer-related fatigue is a common symptom for patients with cancer. 26 . Non-pharmacological interventions, such as yoga, CBT, and exercise therapy, are promising treatments for reducing cancer-related fatigue. 26 , 32 , 25 . However, the evidence regarding the efficacy of these interventions is still limited. 26 , 32 , 25 . Larger, higher-quality studies are needed. 26 , 32 , 25 . If you are experiencing cancer-related fatigue, talk to your doctor to discuss treatment options. 26 , 32 , 25 .

Treatment List

Yoga, CBT, Graded Exercise Therapy, Corticosteroids, Light therapy


Literature analysis of 33 papers
Positive Content
27
Neutral Content
3
Negative Content
3
Article Type
16
12
15
14
33

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Author: VelthuisMiranda J, MayAnne M, Koppejan-RensenbrinkRia Ag, GijsenBrigitte C M, van BredaEric, de WitG Ardine, SchröderCarin D, MonninkhofEvelyn M, LindemanEline, van der WallElsken, PeetersPetra H M


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Author: CharlesCécile, Vaz LuisInes, ChiesaSéverine, BoironClaude, BourgierCéline, CavalcantiAndréa, DauchySarah, FavréEstelle, FerrandezJean-Claude, Gueroult-AccolasLaure, KarsentiLucille, MateusChristine, VansteeneDamien, AllaFrançois, MontagniIlaria, CambonLinda


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