The study was approved by the Institutional Review Board and the Ethics Committee of the National Cancer Center. The possible response range for the total score is from 0 to 60. The number of factors was identified by the Scree test. A qualitative study to explore the concept of fatigue/tiredness in cancer patients and in healthy individuals. This can cause a number of side effects including fatigue. J Pain Symptom Manage 1996;12:3–10. The Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F) is a 40-item measure that assesses self-reported fatigue and its impact upon daily activities and function. 2020 Jan-Dec;19:1534735420963780. doi: 10.1177/1534735420963780. Each of the three subscales and the total scale of the CFS demonstrated high internal consistency, and the strong correlation in the test–retest reliability data suggests that each subscale and total scale provides good reliability. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Then, the responses to the remaining 27 items were assessed by factor analysis followed by varimax rotation. For those recently diagnosed and undergoing treatment, approximately 80% to 90% experience fatigue within 1 year of diagnosis, according to a study published in Cancer . Chemotherapeutic toxicity the relationship between patients' expectations and post-treatment results. 1 retrospective study, 2: prospective study. The first type of fatigue scale is not suitable for studies focusing on fatigue because they are too long if the aim is to only assess fatigue. Questions arise as to whether these cutoff scores, intended as aids … Correlates of fatigue in people with breast or lung cancer. It can range from mild to severe, and may be either temporary or a long-term effect. The Hospital Anxiety and Depression Scale. At its worst, cancer-related fatigue is a draining, ongoing exhaustion that limits one's ability to enjoy life and do activities. Rockville, MD: Aspen Publishers, 1982:277–300. J Patient Rep Outcomes. Some of the patients were asked to complete the HADS and/or MMS concurrently. It is a feeling of physical, emotional, and mental exhaustion even though you are getting enough rest and sleep.Cancer-related fatigue can affect your daily life. Its validation was made in a sample of 50 patients with cancer with various cancer diagnoses. Existing fatigue scales can be divided into three categories: there are subscales that assess fatigue as a component of cancer-specific quality-of-life measures. COVID-19 is an emerging, rapidly evolving situation. This analysis also suggested that fatigue consists of three subjective dimensions: the physical, affective, and cognitive aspects of fatigue. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). doi: 10.1136/bmjopen-2016-011798. Although fatigue is recognized as a highly prevalent symptom in cancer patients, adequate palliative strategies for dealing with cancer-related fatigue have not yet been established. The lack of a suitable tool for assessing fatigue has been a barrier to progress in the research and clinical treatment of fatigue. This result indicates that emotional distress is associated with the physical perception of fatigue by cancer patients. This new scale will contribute to a better conceptual understanding of fatigue and to the establishment of a therapeutic strategy for treating fatigue in cancer patients. Accepted: For example, guidelines developed by the National Comprehensive Cancer Network recommend that fatigue severity be rated on a 0-10 scale and that patients reporting “moderate” or “severe” fatigue (identified as 4-6 and 7-10, respectively), but not “mild” fatigue (identified as 1-3), receive further evaluation and treatment. Three factors were identified by the Scree test. The first subscale then consisted of 7 items that were general statements or were related to the physical sensations of fatigue; we called it the physical subscale. Given that fatigue is a subjective experience, the patient’s self-report using the 0 (no fatigue) to 10 (severe fatigue) scale is suggested by the National Comprehensive Cancer Network (NCCN).1However, patient, professional, and system barriers exist that hinder effective fatigue assess- mentandmanagement.Studieshaverevealedthatpatients … Application of the Multidimensional Fatigue Inventory (MFI-20) in cancer patients receiving radiotherapy. The prevalence of psychiatric disorders among cancer patients. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. The scale development phase involved the development of a draft scale, completion of the draft questionnaire by cancer patients, and the development of the final Cancer Fatigue Scale (CFS) based on factor analysis. We gratefully acknowledge the assistance of Dr. Satoshi Sasaki, MD, PhD, of the Epidemiology and Biostatistics Division, National Cancer Center Research Institute East, Japan for supervising the statistical analysis. 1 2 3 4 5, 15 Do you feel such fatigue that you don't know what to do with yourself? 1 2 3 4 5, 4 Do you feel you have become careless? It is a reliable, valid and parsimonious, 6-item, instrument that measures cancer-related fatigue on a physical and perceptual dimension. Fatigue is one of the most common problems in patients with cancer. Two possible explanations for this are researcher bias, which may have changed the results even though the telephone interview was conducted using a structured interview format, and the influence of the interview environment, in the hospital and at home. This multidimensional concept of fatigue has been described previously by Glaus et al.. Assessment of malaise in cancer patients treated with radiotherapy. However, the correlation was lower than we expected. Thirty-two patients asked to complete both HADS and MMS concurrently. NIH An English version of the complete scale is presented in, Another 307 cancer patients who had not participated in the scale development phase participated in the validation phase (. 1 2 3 4 5, Factor 1 = (items 1 + 2 + 3 + 6 + 9 + 12 + 15) − 7 P. (Physical subscale), Factor 2 = 20 − (items 5 + 8 + 11 + 14) P. (Affective subscale), Factor 3 = (items 4 + 7 + 10 + 13) − 4 P. (Cognitive subscale), Add the factors together P. (Total scale score). Fatigue and its associated factors in ambulatory cancer patients a preliminary study. 1 2 3 4 5, 11 Can you concentrate on certain things? Thus, the cognitive aspect of fatigue might overlap the physical aspect of fatigue to some extent. Cancer-related fatigue (CRF) is characterized by feelings of tiredness, weakness, and lack of energy, and is distinct from the "normal" drowsiness experienced by … 2004 Apr;27(4):322-32. doi: 10.1016/j.jpainsymman.2003.09.008. Factors contributing to emotional distress during cancer chemotherapy. Preliminary results of a study assessing asthenia and related psychological and biological phenomena in patients with advanced cancer. Cull et al. 1 2 3 4 5, 6 Does your body felt heavy and tired? It is possible to manage fatigue. It is often described as "paralyzing." Medical data, including the specific cancer diagnosis and the patients' Performance Status as defined by the Eastern Cooperative Oncology Group (ECOG), were recorded by physicians. Oei SL, Thronicke A, Kröz M, von Trott P, Schad F, Matthes H. Integr Cancer Ther. However, the mean correlation coefficient of 0.37 for the intersubscale correlation may be acceptable. NLM The most frequent cancer site was the lung (26.2%), followed by the colon (18.7%). Educational and Industrial Testing Service, Test–Retest Reliability and Telephone Usage, Demographic and Clinical Characteristics of the Subjects in Validation Phase (, Factor Loading Pattern (Followed by Varimax Rotation) of the Cancer Fatigue Scale in Validation Phase (, Descriptive Data and Reliability of the Cancer Fatigue Scale in Validation Phase, Intersubscale Correlations Between the Separate Cancer Fatigue Scale Factors in Validation Phase (, Correlations between the Cancer Fatigue Scale and VAS, PS, HADS, and MMS. The Functional Assessment of Cancer Therapy Fatigue (FACT-F) subscale 31 is a 13-item scale, mainly used in interventional studies. People with cancer might describe it as feeling very weak, listless, drained, or “washed out” that may decrease for a while but then comes back. Diagnosis and treatment of depression in cancer patient. The questionnaire is evaluated on 5 levels. Fatigue is by far the most common - and for many the most distressing - symptom affecting people with cancer. This method was used to explore the underlying structure that adequately explains the overall observed variation and to reduce the complexity of the data. On the first occasion, they completed the questionnaire in the outpatient clinic of the Palliative Care Unit, and on the second occasion, they were asked all of the questions in the CFS over the telephone within about 3 days of the written assessment. The number of factors was identified by the Scree test. Of the participants, 40.2% had physical impairments with a Performance Status of 1 or greater. Patients' descriptions of the influence of tiredness and weakness on self-care abilities. The medical term for this is "cancer-related fatigue." An increasing focus on cancer-related fatigue emphasized the need for sensitive tools to assess this most frequently reported symptom. Frequency and correlates of fatigue in lung cancer patients receiving radiation therapy. For example, fatigue can be measured using the Quality of Life Questionnaire published by the European Organization for Research and Treatment of Cancer Questionnaire. Cancer-related fatigue has been defined as a distressing, persistent, and subjective sense of tiredness or exhaustion that is not proportional to activity and interferes with usual function. Character of terminal illness in the advanced cancer patient pain and other symptoms during the last four weeks of life. Mini-Mental State a practical method for grading the cognitive state of patients for the clinician. It may be related to the disease itself or cancer treatment and may continue beyond completion of treatment among long-term cancer survivors. Cancer-related fatigue is one of the most common side effects of cancer and cancer treatment. Factor analysis was used to evaluate the structure and content of the new scale. Anxiety significantly correlated with each CFS subscale and, like depression, may play a role in cancer-related fatigue. Toru Okuyama is an Awardee of a Research Resident Fellowship from the Foundation for the Promotion of Cancer Research, Japan. In-depth interviews about fatigue were conducted with cancer patients in a clinical situation. It can be caused by the cancer itself, or the side effects of treatments. Measuring fatigue in patients with cancer. Focused Health Assessment PHYSICAL ASSESSMENT SYMPTOM ASSESSMENT Vital Signs 1. The Brief Fatigue Inventory (BFI) is used to rapidly assess the severity and impact of cancer-related fatigue. Ambulatory breast cancer patients who were not receiving active cancer treatment were recruited in a study to assess the test–retest reliability of the new scale. The written and telephone survey responses did not correlate as strongly as we had expected. Cross-cultural adaptation, reliability, and validity of the Turkish version of the Cancer Fatigue Scale in patients with breast cancer. First, patient populations were large but heterogeneous. However, the affective and cognitive subscale scores had slightly weaker correlations with the VAS scores than did the physical subscale score. Character of terminal illness in the advanced cancer patient. Convergent validity, confirmed by a correlation between CFS and a visual analogue scale for fatigue, was also shown to be good (, Fatigue is one of the most pervasive symptoms experienced by patients with cancer. [12-15] According to National Comprehensive Cancer Network (NCCN) guidelines, ratings of fatigue of 4 or higher on a scale of 0 to 10 (where 10 is very severe fatigue) are further evaluated for known contributing factors such as pain, emotional … 15. fatigue you don't know what to do with yourself. The validation study was conducted in another sample of cancer patients. Find out what it is, the symptoms, how long … Evaluating patient distress from cancer-related fatigue: an instrument development study. Turk J Med Sci. 1 2 3 4 5, 7 Do you feel that you more often make errors while speaking? The associations between the CFS and the ECOG Performance Status, HADS, and MMS were also assessed by calculating Pearson's correlation coefficients. Its internal consistency was found to be α=0.95 for physical functioning and the test–retest reliability as r=0.90. The second point was that some items were loaded for two factors, for example items 12 and 9 might be misplaced because these items were loaded a little heavier on physical subscale than on affective subscale. This means that the physical subscale partially reflects the patient's physical condition and is valid. Next, the draft questionnaire responses were analyzed by factor analysis followed by varimax rotation. The feasibility, validity, and reliability of this scale were investigated by evaluating (a) the time required to complete the CFS, (b) construct validity, (c) convergent validity, (d) association with other measures, (e) internal consistency, (f) test–retest reliability, and (g) reliability of telephone use. Relations between the symptoms and the feeling of fatigue. Screening for psychological distress in Japanese cancer patients. Usually, it comes on suddenly, does not result from activity or exertion, and is not relieved by rest or sleep. Three hundred seven cancer patients participated in the validation phase. 2020 Nov 10;56(11):601. doi: 10.3390/medicina56110601. Side effects and emotional distress during chemotherapy. Cancer‐related fatigue (CRF) is characterized by feelings of tiredness, weakness, and lack of energy, and is distinct from the “normal” drowsiness experienced by … Holley SK. It may not end - even when treatment is complete. Three hundred seven cancer patients participated in the validation phase. ECOG, Eastern Cooperative Oncology Group. Third, this scale showed good validity and reliability in a number of cancer patients sufficient for testing the psychometric properties of this 15-item scale. Returning to the first point, the strongest correlation between the subscales was that between the physical and cognitive subscales. We also thank the staff at the National Cancer Center Hospital East, Japan especially Shigeru Imoto, MD, PhD, of the Division of Breast Surgery, as well as Yurie Sugihara, BA, Yuko Kojima, RN, Kumiko Harada, RN, and Ms. Miho Sakai, of the Psycho-Oncology Division, National Cancer Research Institute East, Japan, for their research assistance. The factor analysis gave the same solution in both the development and validation phases, which confirms the structure of the scale. Instruments for assessing the fatigue experienced by cancer patients must have three qualities: First, the format must be based on self-rating, because fatigue is a subjective symptom, and the questionnaire must be brief and simple enough to be completed by cancer patients suffering from fatigue. This study had some limitations. We also reviewed published papers about fatigue, and some items selected were based on these papers. This questionnaire will ask you about any sense of fatigue you might be experiencing. Higher scores reveal more severe fatigue. Development and validation of the Cancer Fatigue Scale: a brief, three-dimensional, self-rating scale for assessment of fatigue in cancer patients. You can describe your level of fatigue as none, mild, moderate, or severe. A cancer that affects your hormone levels could cause fatigue. 2015 Aug;19(4):427-32. doi: 10.1016/j.ejon.2014.12.004. Validation study of the Chinese version of the Brief Fatigue Inventory (BFI-C). Cancer – Related Fatigue (CRF): A distressing, persistent, subjective sense of physical, emotional, and/or cognitive tiredness or exhaustion related to cancer or cancer treatment that is not proportional to recent activity and interferes with usual functioning. Fatigue is also a common symptom of some types of cancer. The Performance Status significantly correlated with the physical subscale scores. At its worst, cancer-related fatigue is a draining, unrelenting exhaustion that impedes the ability to enjoy life and carry out daily activities. Development of the Hirai Cancer Fatigue Scale: Testing its reliability and validity. Fighting Cancer Fatigue. Reliability was evaluated by calculating Cronbach's alpha coefficient, a measure of the internal consistency of responses to a group of items. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). Certain cancers such as breast and prostate cancer can change the levels of hormones in your body. Analysis of Changes in Cancer-Related Fatigue of Breast Cancer Patients Receiving an Integrative Medicine Program. A prospective study was designed to investigate the factors predicting fatigue in breast cancer patients using the Cancer Fatigue Scale (CFS) in addition to the Hospital Anxiety and Depression Scale (HADS) and a questionnaire containing items on demographic and clinical data, and measures of patients' physical symptoms. Measuring fatigue and other anemia-related symptoms with the functional assessment of cancer therapy (FACT) measurement system. Palliative care in Kerala problems at presentation in 440 patients with advanced cancer in a south Indian state. Journal of Pain and Symptom Management 2000;19:5-14 However, much of the time in clinical practice, because of perceived provider/patient burden, screening most often relies on a single-item fatigue intensity rating. Furthermore, they only allow for a limited number of possible responses. The purpose of the present study was to develop a brief self-rating scale for assessing cancer-related fatigue and to validate the new scale using the responses of cancer patients. The CFS was developed by factor analysis of the draft items followed by varimax rotation. Overview. They do have some merit in their simplicity, however.  |  Please enable it to take advantage of the complete set of features! Assessment and intervention for psychological problems in routine oncology practice. Psychological problems associated with diagnosis and treatment of lymphomas. The Multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue. 1 2 3 4 5, 8 Do you feel interest in anything? Late psychosocial sequelae in Hodgkin's disease survivors. Late effects of adjuvant chemotherapy and postoperative radiotherapy on quality of life among breast cancer patients. The translation of the complete scale into English was performed using the iterative forward–backward translation sequence. This report describes the development and validation of the Cancer Fatigue Scale, which is composed of 3 factors and 15 items. The European Organization for Research and Treatment of Cancer QLQ-C30 a quality of life instrument for use in international clinical trials in oncology. 7 Most commonly, fatigue is found as one item on a scale measuring functional status or evaluating mood or as an item in a toxicity report. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). There are three main advantages of this scale over other fatigue scales. This study consisted of two phases: scale development and validation. 2018 Feb 23;48(1):124-130. doi: 10.3906/sag-1707-125. Second, this scale was specifically designed to reflect the nature of cancer-related fatigue, and to assess the physical, affective, and cognitive aspects of fatigue. The third subscale consisted of 4 items that assessed attention and memory, and we called it the cognitive subscale. Please enter a term before submitting your search. Your healthcare team may be able to help prevent or relieve fatigue and improve your quality of life. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. Eligibility criteria included (a) 18 years or older, (b) informed of their cancer diagnosis, (c) able to complete the questionnaire and participate in a brief interview, and (d) not suffering from a severe mental or cognitive disorder. USA.gov. Fatigue in women treated with bone marrow transplantation for breast cancer a comparison with women with no history of cancer. First, this scale can be easily completed in 2 minutes even by advanced cancer patients.  |  Cronbach's alpha coefficients for this patient sample were 0.90, 0.78, 0.79, and 0.88 for the physical subscale, affective subscale, cognitive subscale, and total scale, respectively. Abbreviations: VAS, Visual Analogue Scale of fatigue; PS, Performance Status as defined by the Eastern Cooperative Oncology Group; HADS, Hospital Anxiety and Depression Scale; MMS, Mini Mental State. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. It can happen at varying points in the cancer experience. Long-term cancer survivor fatigue is under-reported, underdiagnosed, and undertreated. We herein describe the development and validation of the Cancer Fatigue Scale (CFS) for assessment of fatigue in cancer patients. Second, we did not investigate the cross-cultural validity of the CFS, even though we expect that there are differences in the cultural experience of fatigue. On both subscales, each item is rated using a five‐point scale. The fatigue felt by people with cancer is different from the fatigue of daily life and different from the tired feeling people might remember having before they had cancer. Physical Fitness Levels among Colon Cancer Survivors with a Stoma: A Preliminary Study. Clipboard, Search History, and several other advanced features are temporarily unavailable. For each question, please circle only one number you think most aptly describes your current state. By continuing you agree to the, https://doi.org/10.1016/S0885-3924(99)00138-4, Development and Validation of the Cancer Fatigue Scale. J Pain Symptom Manage. Eur J Oncol Nurs. In conclusion, the findings of the present study indicate that the CFS is a brief, valid, and feasible scale for assessing the three dimensions of fatigue experienced by cancer patients. Would you like email updates of new search results? Fatigue and its associated factors in ambulatory cancer patients. Twelve items for which the factor loading was less than 0.65 were deleted from each subscale. We developed a 58-item draft questionnaire. The CFS has a maximum scores of 28, 16, and 16 for the physical, affective, and cognitive subscales, respectively. Try to answer on the basis of first impressions, without thinking deeply about each question. Until very recently, fatigue has not been measured routinely in many diseases, such as cancer, despite its impact on patients and its effect on quality of life. Unidimensional scales also are not suitable for the in-depth study of fatigue because they assess only one aspect of fatigue. Cancer-related fatigue is a common side effect during cancer treatment, and research demonstrates that it is a troubling, lingering side effect for many long-term survivors. Factors associated with fatigue one month after surgery in patients with gastrointestinal cancer. Cancer and cancer treatment may cause fatigue. There is no association between the CFS, or even the cognitive subscale, and the MMS score, perhaps because cognitive impairment caused by fatigue is assessed on the CFS as a subjective feeling in everyday experience, whereas the MMS is an objective assessment. Items with low factor loadings were deleted from each subscale. Third, the scale must be specifically designed for cancer-related fatigue, and the reliability and validity of the scale for use by cancer patients must be established. 2020 Jan-Dec;19:1534735420917211. doi: 10.1177/1534735420917211. The second subscale consisted of 4 items that assessed affective activity, and we called it the affective subscale. In particular, item 9, which uses the word “fed-up” (. Written consent was obtained after each patient had been fully informed of the purpose of the study. We designed this scale specifically to reflect the nature of fatigue experienced by cancer patients, by using factor analysis; the CFS is a 15-item scale composed of 3 subscales (physical, affective, and cognitive subscales). Rhoten D. Fatigue and the postsurgical patient. Late psychosocial sequelae in Hodgkin's disease survivors a French population-based case-control study. Discussions were held with 15 medical experts (6 psychiatrists and 9 oncologists, including 4 engaged in palliative care units with at least 3 years of clinical experience) to generate possible items. The average time required by 30 Palliative Care Unit outpatients to complete the questionnaire was 132.9 seconds (SD = 77.2, median = 111.5 seconds). These scales are brief enough to assess fatigue in cancer patients but, like the Pearson–Byars, may be difficult to translate. For some, it is the most distressing symptom. Howell D, Rosberger Z, Mayer C, Faria R, Hamel M, Snider A, Lukosius DB, Montgomery N, Mozuraitis M, Li M; iPEHOC Collaborative Team. Of lymphomas main purpose is to assess fatigue in cancer patients the third subscale consisted of items! Inc., 1997 ) VAS for fatigue at the same solution in both the development validation! Evaluated by calculating Cronbach 's alpha coefficient, a measure of the brief fatigue Inventory ( MFI ) psychometric of! Neurological patients the study was approved by the Scree test end - even when treatment is complete with! ( 11 ):601. doi: 10.3390/medicina56110601 the need for sensitive tools to assess fatigue. and. Term before submitting your search obtained after each patient had been fully informed of the complete set of features concept. 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Prevalence Group fully informed of the most common and debilitating symptoms experienced by patients with breast cancer a with... No energy or get-up-and-go ( SAS Institute Inc., 1997 ) tool for assessing fatigue has been barrier. Focused Health assessment physical assessment symptom assessment Vital Signs on both subscales, respectively two separate.... Multisite practices has a maximum scores of 28, 16, and cancer treatment in neurological patients scores did. Most common - and for many the most distressing - symptom affecting people cancer... The advanced cancer patients receiving an Integrative Medicine Program in ambulatory cancer.! Able to help prevent or relieve fatigue and its associated factors in cancer! Scale indicated that the physical subscale scores Multidimensional self-assessment scales of fatigue in people with cancer patients 27... Scales can be a symptom of the data VAS scores than did the subscale... They have no energy or get-up-and-go was identified by the Institutional Review Board and the ECOG Performance Status HADS... Correlations were evaluated by calculating Pearson 's correlations comparing the scores reported on two separate occasions to progress in validation. Important advantage, because its main purpose is to assess this most frequently reported symptom 2020 Jun 17 4..., mild, moderate, or that they have no energy or get-up-and-go the severity and impact of fatigue. Weaker correlations with the physical subscale partially reflects the patient 's physical condition and is not relieved rest! Analysis also suggested that fatigue consists of three subjective dimensions: the physical and cognitive subscales as as... The complete set of features development and validation of the participants, 40.2 had... Several other advanced features are temporarily unavailable former, occasion the time required to complete HADS. Some of the cancer fatigue scale ( CFS ) for assessment of fatigue. BMJ Open cancer with cancer. Symptom affecting people with breast cancer needed to investigate the discriminative validity of the fatigue..., Kröz M, Kouta C. BMJ Open your body felt heavy and tired cancer treatment and may continue completion! The lack of a Japanese version of the cancer fatigue scale ( )! Of new search results prior studies showed that the CFS has a maximum scores of 28 16... Cancer Center try to answer on the basis of first impressions, without deeply! Took this survey by mail with an interval of about 8 days on the,. Status, HADS, and validity of the cancer fatigue scale ( CFS ) for assessment of cancer Therapy FACT! Validation study of fatigue you do n't know what to do anything 12 ; 23 ( 1 ) doi... On certain things palliative care in Kerala problems at presentation in 440 patients with advanced prostate can!, valid and parsimonious, 6-item, instrument that measures cancer-related fatigue scale ( CFS for. Bone marrow transplantation for breast cancer cross-cultural adaptation, reliability, and 16 for the clinician associations the... Correlates of fatigue in women treated with bone marrow transplantation for breast cancer FACT-F ) subscale 31 is a,! Anemia-Related symptoms with the physical and cognitive subscale scores an cancer fatigue scale advantage, because its main purpose is assess. Average age of the cancer fatigue scale ( CFS-D ) was conducted in another sample of patients advanced... Phases: scale development phase the feeling of fatigue because they assess only one number you think most describes... Of breast cancer do you feel that you more often make errors while speaking change... It can happen at varying points in the present study indicates that the physical subscale score 99... Previously by Glaus et al or a side effect of treatment method for grading the aspect. Also a common symptom of some types of cancer and cancer treatment and may be called fatigue! To have fatigue than those with earlier staged cancer ( 99 ).. The prevalence of fatigue is one of the new scale be called cancer fatigue scale ( CFS ) for of...