Fatigue and Quality of Life
Fatigue is a common problem for most people--and certainly may be exascerbated by a cancer diagnosis and treatment. Fatigue is a "normal" side effect of radiation therapy, chemotherapy, and certainly part of recovery from surgery. None of us like being tired, but we expect it during treatment. Fatigue that persists into recovery and beyond is usually experienced as a bigger problem. As in, will I ever feel better? Will I ever have my pre-cancer energy back? As far as I know, there is not a certain answer to those questions. Most of us do fully recover, but not everyone else. What helps? Time, for sure, and regular moderate exercise and good sleep every night.
Here is a nice article from Journal of Cancer Survivorship. I give you the beginning and then a link:
Fatigue and quality of life in breast cancer survivors: temporal courses and long-term pattern
Martina E. Schmidt & Jenny Chang-Claude & Alina Vrieling & Judith Heinz & Dieter Flesch-Janys & Karen Steindorf
Fatigue is a frequent problem during and after cancer treatment. We investigated different courses of fatigue from pre-diagnosis, through therapy, to long-term survivorship and evaluated potential implications on long- term quality of life (QoL).
Methods Breast cancer patients diagnosed in 2001-2005 were recruited in a case-control study in Germany (MARIE). At follow-up in 2009 (median 5.8 years, MARIEplus), patients self-reported current fatigue and QoL status using validated questionnaires (FAQ, EORTC QLQ-C30). In addition, survivors retrospectively rated fatigue levels pre-diagnosis, during different treatment phases, and 1 year post-surgery. Our analyses included 1,928 disease-free cancer survivors and comparisons with fatigue and QoL scores from the general population.
Fatigue levels were substantially increased during chemotherapy and radiotherapy. Among patients who re- ceived both therapies, 61.4% reported higher, 30.0% same, and 8.6% lower fatigue levels during chemotherapy compared to radiotherapy. Courses of fatigue varied widely between individuals. Survivors with persisting long-term fatigue had significantly and markedly worse scores for all QoL functions and symptoms about 6 years post-diagnosis than other survivors and compared to the general population. Survivors without substantial fatigue post-treatment had QoL scores largely comparable to the general population.
Discussions/conclusion Chemotherapy appears to have a stronger impact on fatigue than radiotherapy. Breast cancer survivors may experience long-term QoL comparable to the general population, even when suffering from substantial fatigue during treatment. Yet, persistent fatigue post-treatment may lead to extensive long-term loss in QoL concerning physical, social, cognitive, and financial aspects. Implications for cancer survivors Fatigue management should be obligatory during and post cancer treatment