Factors Associated with Fatigue in Korean Gastric Cancer Survivors.
10.4082/kjfm.2015.36.6.328
- Author:
Wan PARK
1
;
Jung Kwon LEE
;
Cho Rong KIM
;
Jin Young SHIN
Author Information
1. Department of Family Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jinyoung.shin@samsung.com
- Publication Type:Original Article
- Keywords:
Stomach Neoplasms;
Survivors;
Fatigue
- MeSH:
Alcohol Drinking;
Ambulatory Care Facilities;
Anemia;
Arthralgia;
Body Weight;
Drug Therapy;
Dyspepsia;
Dyspnea;
Fatigue*;
Humans;
Korea;
Pathology;
Radiotherapy;
Smoke;
Smoking;
Stomach Neoplasms*;
Survivors*
- From:Korean Journal of Family Medicine
2015;36(6):328-334
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: Gastric cancer is the second most common cancer in Korea. Fatigue is a common symptom among cancer survivors. The aim of this study was to identify factors associated with fatigue in gastric cancer survivors. METHODS: Data were analyzed from 199 gastric cancer survivors who visited a cancer survivor outpatient clinic from July 2013 to June 2014. Patients were surveyed using a questionnaire containing a fatigue severity scale (FSS) and questions regarding associated symptoms. Participants were divided into fatigue (FSS) and non-fatigue groups based on FSS scores (> or =4 and <4, respectively). Age, sex, weight, body mass index, cancer stage, pathology, surgery type, chemotherapy, radiotherapy, comorbid disease, family history of cancer, smoking, alcohol consumption, exercise, and laboratory results were investigated. RESULTS: The fatigue and non-fatigue groups contained 42 and 157 survivors, respectively. Their mean age was 58 years, and the mean post-operative period was 6.58 years. Arthralgia (odds ratio [OR], 12.95; 95% confidence interval [CI], 3.21-52.34), dyspnea (OR, 10.54; 95% CI, 2.94-37.80), dyspepsia (OR, 8.26; 95% CI, 2.63-25.96), changed bowel habits (OR, 4.56; 95% CI, 1.09-19.11), anemia (OR, 3.18; 95% CI, 1.26-8.05), and regular exercise (OR, 0.31; 95% CI, 0.12-0.77) were significantly associated with fatigue in gastric cancer survivors, while weight, treatment, and depressive mood were not. CONCLUSION: Arthralgia, dyspnea, dyspepsia, bowel habit change, anemia, and regular exercise are associated with fatigue in gastric cancer survivors.
