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KMID : 0384320150360060328
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Korean Journal of Family Medicine
2015 Volume.36 No. 6 p.328 ~ p.334
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Factors Associated with Fatigue in Korean Gastric Cancer Survivors
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Park Wan
Lee Jung-Kwon
Kim Cho-Rong
Shin Jin-Young
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Abstract
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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 (≥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.
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KEYWORD
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Stomach Neoplasms, Survivors, Fatigue
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