Prevalence of Cancer-related Fatigue among Women with Breast Cancer in Erbil City

  • Shinwy Bakhtyiar Radha Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
  • Yousif Muhammed Younis Department of Nursing, College of Nursing, Hawler Medical University, Erbil, Iraq.
Keywords: prevalence, cancer related fatigue, breast cancer, severity of fatigue, types of fatigue

Abstract

Background and objective: Cancer-related fatigue is greatest frequent upsetting sense of tiredness or exhaustion can happen regardless of cancer type and could be experienced physically or emotionally, and or cognitively, that is associated with the tumor or its treatment. The current study aimed at assessing prevalence of cancer-related fatigue among women with breast cancer.
Method: A descriptive cross-sectional study design was conducted from 8th of October 2018 to 8th October 2019. To find out the prevalence of cancer-related fatigue among female breast cancer patients at Nankali Hospital in Erbil city. A sample of 60 breast cancer patient was obtained through non-probability purposive convenience sampling techniques. Data were analyzed using Statistical Package for the Social Sciences version 23 for windows.
Results: The results showed that the highest percentage of participants (45%) were from age group between 39-54, most of them were from urban area, graduated from primary school, married, however; 53.3% of breast cancer women they had family history of breast cancer. Regarding breast cancer stages, 40% of participants were in third stage. Most of the breast cancer patients were receiving chemotherapy treatment and they had surgery (81.7% and 71.7% respectively). Concerning cancer-related fatigue 75% of participants suffered from fatigue, nonetheless; fatigue severity among participants range from severe 53.3% to moderate 48.3%. Also, physical fatigue was a common type of fatigue among women with breast cancer.
Conclusion: One of the most common complains symptom of patient with cancer is fatigue. Cancer-related fatigue impact physical, emotional, cognitive domains of patients’. Moreover, cancer-related fatigue has undesirable effect on patients, mood, daily task performance, and the patient’s life.

References

[1] Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. 2018; 1;68(6):394–424. Cancer Journal of Clinician. Available from https://www.ncbi.nlm.nih.gov/pubmed/30207593.
[2] Rebecca L, Siegel MPH, Kimberly D, Miller MPH, Ahmedin Jamel, 2017;67(1):7-30. Cancer statistics: A Cancer Journal for Clinicians. Available from: https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/caac.21387.
[3] Siegel RL, Miller KD, Jemal A. Cancer statistics: Cancer Journal of Clinician, 2019;69(1):7–34. Available from https://www.ncbi.nlm.nih.gov/pubmed/30620402.
[4] Abulkhair O, Saghir N, Sedky L, Saadedin A, Elzahwary H, Siddiqui N, et al. Modification and Implementation of NCCN Guidelines TM on Breast Cancer in the Middle East and North Africa Region,2010;1;8(3): S-8-S-15. Journal of National Comprehensive Cancer Network. Available from: https://www.nccn.org/about/news/ebulletin/ebulletindetail.aspx?ebulletinid=362.
[5] Karadag G, Gungormus Z, Surucu R, Savas E, Bicer F. Awareness and Practices Regarding Breast and Cervical Cancer among Turkish Women in Gazientep, 2014 1;15(3):1093–8. Asian Pacific journal of cancer prevention. Available from https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Asian+Pac+J+Cancer+Prev.
[6] Taghavi A, Fazeli Z, Vahedi M, Baghestani AR, Pourhoseingholi A, Barzegar F, et al. Increased Trend of Breast Cancer Mortality in Iran, 2012;13(1):367–70. Asian Pacific journal of cancer prevention. Available from https://www.ncbi.nlm.nih.gov/pubmed/22502702.
[7] Gonzalez-Angulo AM, Timms KM, Liu S, Chen H, Litton J, Potter J, et al, Incidence and outcome of BRCA mutations in unselected patients with triple receptor-negative breast cancer. 2011 13. Clinical Cancer Re-search. Available from https://www.ncbi.nlm.nih.gov/pubmed/21233401.
[8] Mualla FHF, Al-Alwan NAS. Promoting Clinical Breast Examination as A screening Tool for Breast Cancer in Iraq. 2014;27(1):76–82. Nursing National Iraqi Specialty. Available from https://www.iasj.net/iasj?func=article&aId=91480.
[9] Gradishar WJ, Anderson BO, Balassanian R, Blair SL, Burstein HJ, Cyr A, et al. Breast Cancer Version 2.2015;1;13(4):448–75. Journal of National Comprehensive Cancer Network. Available from https://www.ncbi.nlm.nih.gov/pubmed/25870381.
[10] Berger AM, Mitchell SA, Jacobsen PB, Pirl WF. Screening, evaluation, and management of cancer-related fatigue: Ready for implementation to practice? 2015;65(3):190–211.Cancer Journal of Clinician. Available from https://www.ncbi.nlm.nih.gov/pubmed/25760293.
[11] Ripamonti CI, Antonuzzo A, Bossi P, Cavalieri S, Roila F, Fatigoni S. Fatigue, a major still underestimated issue. 2018;30(4):219. Current Opinion in Oncology. Available from https://www.ncbi.nlm.nih.gov/pubmed/29877886.
[12] Pearson EJM, Morris ME, Stefano M di, McKinstry CE. Interventions for cancer-related fatigue: a scoping review. 2018;27(1):e12516. European journal of cancer care. Available from https://www.ncbi.nlm.nih.gov/pubmed/27254272.
[13] Strebkova R, Petkova M, Minev M. Assessment of cancer-related fatigue. Trakia J Sci. 2017;15(3):238–43. Trakia Journal of Sciences. Available from http://tru.uni-sz.bg/tsj/Vol15_N3_2017/11_R.Strebkova.pdf.
[14] Cramp F, Byron-Daniel J. Exercise for the management of cancer-related fatigue in adults. 2012;97. The Cochrane database of systematic reviews. Available from https://www.ncbi.nlm.nih.gov/pubmed/23152233.
[51] Borneman T. Assessment and Manage-ment of Cancer-Related Fatigue, 2013 Apr;15(2):77. Journal of Hospice & Palliative Nursing. Available from https://nursing.ceconnection.com/ovidfiles/00129191-201304000-00005.pdf.
[51] Mustian, K.M., Sprod, L.K., Janelsins, M., Peppone, L.J., Mohile, S, 2012;8, 81–88. Exercise Recommendations for Cancer-Related Fatigue, Cognitive Impairment, Sleep problems, Depression, Pain, Anxiety, and Physical Dysfunction: Oncology & haematology review. Available from https://www.ncbi.nlm.nih.gov/pubmed/23667857.
[51] Mitchell, S.A., Hoffman, A.J., Clark, J.C., DeGennaro, R.M., Poirier, P., Robinson, C.B., Weisbrod, B.L, 2014;18, 38–58. Putting Evidence Into Practice: An Update of Evidence-Based Interventions for Cancer-Related Fatigue During and Following Treatment. Clinical Journal of Oncology Nursing. https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Clin+J+Oncol+Nurs%22.
[51] .Jemal, A., Bray, F., Center, M.M., Ferlay, J., Ward, E., Forman, D, 2011;61, 69–90. Global cancer statistics. A Cancer Journal of Clinician. https://acsjournals.onlinelibrary.wiley.com/doi/full/10.3322/caac.20107.
[51] Normal weight ranges: Body mass index (BMI) [Internet]. [cited 2019 Jul 16]. Avail-able from: https://www.cancer.org/cancer/cancer-causes/diet-physical-activity/body-weight-and-cancer-risk/adult-bmi.html .
[22] Badireddy M, Baradhi KM. Chronic Ane-mia. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 [cited 2019 Jul 16]. Available from: http://www.ncbi.nlm.nih.gov/books/NBK534803/.
[25] .Antoniou AC, Casadei S, Heikkinen T, Barrowdale D, Pylkäs K, Roberts J, et al. Breast-Cancer Risk in Families with Mutations in PALB2. 2014 7;371(6):497–506. The New England Journal Of Medicine.Available from https://www.nejm.org/doi/full/10.1056/NEJMoa1400382.
[22] Youlden DR, Cramb SM, Dunn NAM, Muller JM, Pyke CM, Baade PD. The descriptive epidemiology of female breast cancer: An international comparison of screening, incidence, survival and mortality. 2012 1;36(3):237–48. Cancer Epidemiology. Available from https://www.ncbi.nlm.nih.gov/pubmed/22459198.
[23] Zeng H, Zheng R, Zhang S, Zou X, Chen W. Female breast cancer statistics of 2010 in China: estimates based on data from 145 population-based cancer registries. 2014;6(5):466–70. Journal of Thoracic Disease. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4014998/.
[24] Herndon JE, Kornblith AB, Holland JC, Paskett ED. Effect of socioeconomic status as measured by education level on survival in breast cancer clinical trials, 2013;22(2):315–23.Psycho-oncology. Available from https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Psychooncology%22.
[25] Karthikeyan, G., Jumnani, D., Prabhu, R., Manoor, U.K., Supe, S.S., 2012;18, 165–175. Prevalence of Fatigue Among Cancer Patients Receiving Various Anticancer Thera-pies and its Impact on Quality of Life: A Cross-Sectional Study. Indian Journal of Palliative Care. Available from; https://www.ncbi.nlm.nih.gov/pubmed/23439783
[26] Citrin DL, Bloom DL, Grutsch JF, Mortensen SJ, Lis CG. Beliefs and Perceptions of Wom-en with Newly Diagnosed Breast Cancer Who Refused Conventional Treatment in Favor of Alternative Therapies. 2012 May 1;17(5):607–12. The Oncologist. Available from https://www.ncbi.nlm.nih.gov/pubmed/22531358 .
[21] Malvia S, Bagadi SA, Dubey US, Saxena S. Epidemiology of breast cancer in Indian women. 2017;13(4):289–95. Asia- Pacific Journal of Clinical Oncology. Available from https://www.ncbi.nlm.nih.gov/pubmed/28181405.
[21] Haque R, Ahmed SA, Inzhakova G, Shi J, Avi-la C, Polikoff J, et al. Impact of Breast Cancer Subtypes and Treatment on Survival: An Analysis Spanning Two Decades. 2012 Oct 1;21(10):1848–55. Cancer epidemiology, biomarkers & prevention. Available from https://www.ncbi.nlm.nih.gov/pubmed/22989461.
[29] Senkus, E., Kyriakides, S., Penault-Llorca, F., Poortmans, P., Thompson, A., Zackris-son, S., etal, 201324, (7–23). Primary breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Journal of the European Socie-ty for Medical Oncology.Available from https://www.ncbi.nlm.nih.gov/pubmed/23970019.
[30] Valentini A, Finch A, Lubiński J, Byrski T, Ghadirian P, Kim-Sing C, et al. Chemotherapy-Induced Amenorrhea in Patients With Breast Cancer With a BRCA1 or BRCA2 Mutation. 2013;1;31(31):3914–9. Journal of the American Society of Clinical Oncology. Available from https://www.ncbi.nlm.nih.gov/pubmed/23980083.
[31] Iqbal J, Ferdousy T, Dipi R, Salim R, Wu W, Narod SA, et al. Risk Factors for Premeno-pausal Breast Cancer in Bangladesh. 2015. International Journal of Breast Cancer. [cited 2019 Apr 2]. Available from: https://www.hindawi.com/journals/ijbc/2015/612042/.
[32] Berger AM, Gerber LH, Mayer DK. Cancer-related fatigue. 2012;118(S8):2261–9. Journal of American Society of Therapeutic Radiologists. Available from https://www.ncbi.nlm.nih.gov/pubmed/22488700.
[33] Banipal, R.P.S., Singh, H., Singh, B. Assessment of Cancer-related Fatigue among Cancer Patients Receiving Various Thera-pies: A Cross-sectional Observational Study, 2017;23, 207–211. Indian journal of palliative care.. Available from https://www.ncbi.nlm.nih.gov/pubmed/28503042 .
[34] Berger, A.M., Mitchell, S.A., Jacobsen, P.B., Pirl, W.F, Screening, evaluation, and management of cancer-related fatigue: Ready for implementation to practice? 2015a;65, 190–211a cancer journal for clinicians...Available from https://www.ncbi.nlm.nih.gov/pubmed/25760293.
[35] Campos, M.P.O., Hassan, B.J., Riechelmann, R., Del Giglio, A., 2012; 2, 1273–1279. Cancer-related fatigue: a practical review. journal of the European Society for Medical Oncology. Available from https://www.ncbi.nlm.nih.gov/pubmed/21325448.
[36] Raaf PJ de, Klerk C de, Rijt CCD van der. Elucidating the behaviour of physical fatigue and mental fatigue in cancer patients: a review of the literature. 2013;22(9):1919–29. Psy-cho oncology. Available from https://www.ncbi.nlm.nih.gov/pubmed/23147803.
Published
2020-11-30
How to Cite
Radha, S., & Younis, Y. (2020). Prevalence of Cancer-related Fatigue among Women with Breast Cancer in Erbil City. Erbil Journal of Nursing and Midwifery, 3(2), 108 - 118. https://doi.org/10.15218/ejnm.2020.13
Section
Original Articles