caa a22 4500 606178287 CHVBK 20210128100756.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s11136-015-0962-2 doi (NATIONALLICENCE)springer-10.1007/s11136-015-0962-2 Comparing three different approaches to the measurement of needs concerning fatigue in patients with advanced cancer [Elektronische Daten] [Ulla Madsen, Mogens Groenvold, Morten Petersen, Anna Johnsen] Purpose: To identify patients having fatigue, it is necessary to assess the patients fatigue systematically. This study investigates three different approaches to the assessment of needs concerning fatigue in patients with advanced cancer and addresses the following questions. Methods: In a cross-sectional nationwide survey, patients were asked about their needs concerning fatigue in three different ways: Fatigue intensity was measured with the European Organisation for Research and Treatment of Cancer quality of life questionnaire, fatigue burden (the extent fatigue was a problem) and fatigue felt need (whether the patient experienced an unmet need regarding their fatigue) was measured with the Three-Levels-of-Needs Questionnaire. The relations between these three approaches were investigated using cross-tabulations, polychromic correlations, receiver operating curves, and area under the curve. Results: In total, 1447 patients participated (61%). Of these, 34% reported at least quite a bit fatigue (intensity), 36% reported at least quite a bit fatigue burden, and 35% reported experiencing an unmet need. There was a high correlation between fatigue intensity and fatigue burden (0.91). Fatigue intensity was also correlated with experiencing an unmet need and having at least a little fatigue predicted experiencing an unmet need. Conclusion: Overall, no matter which approach was used, about a third of the patients had a need concerning fatigue. In nearly all cases, patients who had fatigue also experienced fatigue to be a problem. The QLQ-C30 item ‘Were you tired' worked as a screening tool to identify patients experiencing an unmet need concerning fatigue. Springer International Publishing Switzerland, 2015 Fatigue nationallicence Needs assessment nationallicence Predictive value nationallicence Palliative care nationallicence Advanced cancer nationallicence Quality of life nationallicence Screening nationallicence Madsen Ulla The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut Groenvold Mogens The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut Petersen Morten The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut Johnsen Anna The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut Quality of Life Research Springer International Publishing 24/9(2015-09-01), 2231-2238 0962-9343 24:9<2231 2015 24 11136 https://doi.org/10.1007/s11136-015-0962-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-015-0962-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Madsen Ulla The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut NATIONALLICENCE 700 1- Groenvold Mogens The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut NATIONALLICENCE 700 1- Petersen Morten The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut NATIONALLICENCE 700 1- Johnsen Anna The Research Unit, Department of Palliative Medicine, Bispebjerg University Hospital, opg. 20D, Bispebjerg Bakke 23, 2400, Copenhagen NV, Denmark aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/9(2015-09-01), 2231-2238 0962-9343 24:9<2231 2015 24 11136