National Comprehensive Cancer Network. (2016). NCCN Clinical Practice Guidelines in Oncology: Cancer-related fatigue [v.1.2016]. Retrieved from https://www.nccn.org/professionals/physician_gls/pdf/fatigue.pdf
Purpose & Patient Population
PURPOSE: To provide guidance to clinicians for screening, assessment, and management of fatigue
TYPES OF PATIENTS ADDRESSED: Adult patients with cancer
Type of Resource/Evidence-Based Process
RESOURCE TYPE: Evidence-based guideline
PROCESS OF DEVELOPMENT: Updating of prior guidelines by evidence and consensus panel
DATABASES USED: PubMed 2014
KEYWORDS: Cancer-related fatigue
INCLUSION CRITERIA: Not specified
EXCLUSION CRITERIA: Not specified
Phase of Care and Clinical Applications
PHASE OF CARE: Multiple phases of care
Results Provided in the Reference
Two hundred two references were retrieved. The total number of references included and reviewed for updating was not provided. No quality rating is identified.
Guidelines & Recommendations
Recommendations include:
- Energy conservation
- Physical activity
- Cognitive behavioral therapy (CBT) for sleep shown to be effective
- Counseling
Limitations
- Limited evidence search
- No quality rating of studies considered
- Studies included for evidence level determination not specified
Nursing Implications
The guidelines provide suggestions for screening and identify some tools for fatigue assessment and some key interventions for the management of fatigue. They provide an overview of relevant evidence for multiple types of interventions. Major suggestions are identified in the recommendations section of this summary.