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Uptake of Recommendations for Posttreatment Cancer-Related Fatigue Among Breast Cancer Survivors

dc.rights.licenseopenen_US
dc.contributor.authorDI MEGLIO, Antonio
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorCHARLES, Cecile
dc.contributor.authorMARTIN, Elise
dc.contributor.authorHAVAS, Julie
dc.contributor.authorGBENOU, Arnauld
dc.contributor.authorFLAYSAKIER, Jean-Daniel
dc.contributor.authorMARTIN, Anne-Laure
dc.contributor.authorEVERHARD, Sibille
dc.contributor.authorLAAS, Enora
dc.contributor.authorCHOPIN, Nicolas
dc.contributor.authorVANLEMMENS, Laurence
dc.contributor.authorJOUANNAUD, Christelle
dc.contributor.authorLEVY, Christelle
dc.contributor.authorRIGAL, Olivier
dc.contributor.authorFOURNIER, Marion
dc.contributor.authorSOULIE, Patrick
dc.contributor.authorSCOTTE, Florian
dc.contributor.authorPISTILLI, Barbara
dc.contributor.authorDUMAS, Agnes
dc.contributor.authorMENVIELLE, Gwenn
dc.contributor.authorANDRE, Fabrice
dc.contributor.authorMICHIELS, Stefan
dc.contributor.authorDAUCHY, Sarah
dc.contributor.authorVAZ-LUIS, Ines
dc.date.accessioned2022-06-13T08:02:39Z
dc.date.available2022-06-13T08:02:39Z
dc.date.issued2022-02-07
dc.identifier.issn1540-1413 (Electronic) 1540-1405 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/140191
dc.description.abstractEnBACKGROUND: Physical activity (PA) and psychosocial interventions are recommended management strategies for cancer-related fatigue (CRF). Randomized trials support the use of mind-body techniques, whereas no data show benefit for homeopathy or naturopathy. METHODS: We used data from CANTO (ClinicalTrials.gov identifier: NCT01993498), a multicenter, prospective study of stage I-III breast cancer (BC). CRF, evaluated after primary treatment completion using the EORTC QLQ-C30 (global CRF) and QLQ-FA12 (physical, emotional, and cognitive dimensions), served as the independent variable (severe [score of ≥40/100] vs nonsevere). Outcomes of interest were adherence to PA recommendations (≥10 metabolic equivalent of task [MET] h/week [GPAQ-16]) and participation in consultations with a psychologist, psychiatrist, acupuncturist, or other complementary and alternative medicine (CAM) practitioner (homeopath and/or naturopath) after CRF assessment. Multivariable logistic regression examined associations between CRF and outcomes, adjusting for sociodemographic, psychologic, tumor, and treatment characteristics. RESULTS: Among 7,902 women diagnosed from 2012 through 2017, 36.4% reported severe global CRF, and 35.8%, 22.6%, and 14.1% reported severe physical, emotional, and cognitive CRF, respectively. Patients reporting severe global CRF were less likely to adhere to PA recommendations (60.4% vs 66.7%; adjusted odds ratio [aOR], 0.82; 95% CI, 0.71-0.94; P=.004), and slightly more likely to see a psychologist (13.8% vs 7.5%; aOR, 1.29; 95% CI, 1.05-1.58; P=.014), psychiatrist (10.4% vs 5.0%; aOR, 1.39; 95% CI, 1.10-1.76; P=.0064), acupuncturist (9.8% vs 6.5%; aOR, 1.46; 95% CI, 1.17-1.82; P=.0008), or CAM practitioner (12.5% vs 8.2%; aOR, 1.49; 95% CI, 1.23-1.82; P<.0001). There were differences in recommendation uptake by CRF dimension, including that severe physical CRF was associated with lower adherence to PA (aOR, 0.74; 95% CI, 0.63-0.86; P=.0001) and severe emotional CRF was associated with higher likelihood of psychologic consultations (aOR, 1.37; 95% CI, 1.06-1.79; P=.017). CONCLUSIONS: Uptake of recommendations to improve CRF, including adequate PA and use of psychosocial services, seemed suboptimal among patients with early-stage BC, whereas there was a nonnegligible interest in homeopathy and naturopathy. Findings of this large study indicate the need to implement recommendations for managing CRF in clinical practice.
dc.description.sponsorshipEtude des toxicités chroniques des traitements anticancéreux chez les patientes porteuses canceren_US
dc.language.isoENen_US
dc.title.enUptake of Recommendations for Posttreatment Cancer-Related Fatigue Among Breast Cancer Survivors
dc.typeArticle de revueen_US
dc.identifier.doi10.6004/jnccn.2021.7051en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed35130491en_US
bordeaux.journalJOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORKen_US
bordeaux.page1-13en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
bordeaux.identifier.funderIDConquer Cancer Foundationen_US
bordeaux.identifier.funderIDRising Tide Foundation for Clinical Cancer Researchen_US
bordeaux.identifier.funderIDSusan G. Komenen_US
bordeaux.identifier.funderIDFondation ARC pour la Recherche sur le Canceren_US
bordeaux.identifier.funderIDFondation Gustave Roussyen_US
bordeaux.identifier.funderIDBreast Cancer Research Foundationen_US
bordeaux.identifier.funderIDAgence Nationale de la Rechercheen_US
hal.identifierhal-03693755
hal.version1
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=JOURNAL%20OF%20THE%20NATIONAL%20COMPREHENSIVE%20CANCER%20NETWORK&amp;rft.date=2022-02-07&amp;rft.spage=1-13&amp;rft.epage=1-13&amp;rft.eissn=1540-1413%20(Electronic)%201540-1405%20(Linking)&amp;rft.issn=1540-1413%20(Electronic)%201540-1405%20(Linking)&amp;rft.au=DI%20MEGLIO,%20Antonio&amp;CHARLES,%20Cecile&amp;MARTIN,%20Elise&amp;HAVAS,%20Julie&amp;GBENOU,%20Arnauld&amp;rft.genre=article


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