Evidence map›Paper›PMID 35676795›Full record

ArticlePalliative & supportive care2023

Fatigue-related symptom clusters and functional status of older adults in hospice.

Suzan F Abduljawad, Jason W Beckstead, Debra Dobbs, Constance Visovsky, Carmen S Rodriguez, Susan C McMillan, Hsiao Lan Wang

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative & supportive care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Current non-pharmacological practices for cancer-related fatigue in oncology rehabilitation: results of a national provider survey.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Suzan F AbduljawadLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC.ORCID 0000-0002-5796-3225
Jason W BecksteadCollege of Public Health, University of South Florida, Tampa, FL.
Debra DobbsSchool of Aging Studies, University of South Florida, Tampa, FL.
Constance VisovskyCollege of Nursing, University of South Florida, Tampa, FL.
Carmen S RodriguezCollege of Nursing, University of South Florida, Tampa, FL.
Susan C McMillanEmeritus Distinguished Professor, University of South Florida, Tampa, FL.
Hsiao Lan WangSchool of Nursing, The University of Alabama at Birmingham, Birmingham, AL.
University of South Florida · USGeorgetown University · USUniversity of Alabama at Birmingham · US

Funding

Systematic Assessment to Improve Hospice OutcomesR01NR008252 · NINR · UNIVERSITY OF SOUTH FLORIDA · PI MCMILLAN, SUSAN C · 2004 to 2007
$1.6M
Training Program in Cancer Population Science (CaPS)T32CA261787 · NCI · GEORGETOWN UNIVERSITY · PI Lucile L. Adams-Campbell, Suzanne C. O'Neill · 2021 to 2026
$1.1M
NCI NIH HHS T32 CA261787NINR NIH HHS R01 NR008252
6 · The paper itself

Abstract

backgroundFatigue is frequently co-existing with other symptoms and is highly prevalent among patients with cancer and geriatric population. There was a lack of knowledge that focus on fatigue clusters in older adults with cancer in hospice care.

objectivesTo identify fatigue-related symptom clusters in older adult hospice patients and discover to what extent fatigue-related symptom clusters predict functional status while controlling for depression.

methodThis was a cross-sectional study in a sample of 519 older adult hospice patients with cancer, who completed the Memorial Symptom Assessment Scale, the Center for Epidemiological Studies Depression, Boston Short Form Scale, and the Palliative Performance Scale. Data from a multi-center symptom trial were extracted for this secondary analysis using exploratory factor analysis and hierarchical multiple regression analysis.

resultsData from 519 patients (78 ± 7 years) with terminal cancer who received hospice care under home healthcare services revealed that 39% of the participants experienced fatigue-related symptom clusters (lack of energy, feeling drowsy, and lack of appetite). The fatigue cluster was significantly associated positively with depression (

conclusionOlder adult hospice patients with cancer experienced various concurrent symptoms. The fatigue-specific symptom cluster was identified significantly associated with depression and predicted functional status. Fatigue should be routinely monitored in older adults, especially among hospice cancer patients, to help reduce psychological distress and prevent functional decline.

Indexed as

Hospice CareHospicesNeoplasmsAgedCross-Sectional StudiesFatigueFunctional StatusHumansQuality of LifeSyndromeDepressionElderlyFunctionalityLack energySymptom co-occurrence

Identifiers

PMID35676795
PMCPMC11022836
OpenAlexW4281691859

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.