Understanding, Recognizing, and Managing Cancer-Related Fatigue Associated with Breast Cancer.

IF 5.8 2区医学 Q2 ONCOLOGY

Current Treatment Options in Oncology Pub Date : 2026-02-12 DOI:10.1007/s11864-026-01381-5

LanQing Peng, XiaoMin Wang, ChenRu Zhang, Tao Liu, Xin Luo, ZhuoHong Li

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引用次数: 0

Abstract

OPINION STATEMENT: In the treatment plan of breast cancer-related Cancer-related fatigue(CRF), non-drug intervention is the core, and physical exercise can improve the physical fitness and fatigue state of patients. Personalized nutritional support can correct energy imbalance and relieve malnutrition related fatigue. Psychological intervention such as cognitive behavioral therapy can regulate neuroendocrine and inflammatory responses and reduce fatigue induced by psychological factors, and the effect of multimodal combined intervention is better than that of single measure.However, there are some areas that can be optimized. First, drug therapy is rarely mentioned, and drug intervention for patients with moderate to severe CRF is not explored. Second, the characteristics of CRF in different breast cancer subtypes are different, and the existing protocols do not fully reflect the subtype specificity. Third, the adaptation of the intervention in the scenario of primary medical care is insufficient. Telemedicine and wearable devices can be combined to improve the accessibility of the program. In the future, it is necessary to further improve the synergistic mechanism of drugs and non-drugs and refine the subtype-specific scheme to achieve more accurate management of CRF.

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理解、认识和管理与乳腺癌相关的疲劳。

观点声明：在乳腺癌相关癌相关性疲劳（cancer-related fatigue， CRF）的治疗方案中，非药物干预是核心，体育锻炼可以改善患者的体质和疲劳状态。个性化的营养支持可以纠正能量失衡，缓解营养不良引起的疲劳。认知行为治疗等心理干预可以调节神经内分泌和炎症反应，减轻心理因素引起的疲劳，多模式联合干预效果优于单一措施。然而，有一些领域可以优化。首先，药物治疗很少被提及，没有对中重度CRF患者的药物干预进行探讨。其次，不同乳腺癌亚型中CRF的特征不同，现有方案未能充分反映亚型特异性。第三，基层医疗情景下的干预适应性不足。远程医疗和可穿戴设备可以结合起来，以提高程序的可访问性。未来还需要进一步完善药物与非药物的协同机制，细化亚型特异性方案，实现对CRF更精准的管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Treatment Options in Oncology ONCOLOGY-

CiteScore

7.10

自引率

0.00%

发文量

113

审稿时长

>12 weeks

期刊介绍： This journal aims to review the most important, recently published treatment option advances in the field of oncology. By providing clear, insightful, balanced contributions by international experts, the journal intends to facilitate worldwide approaches to cancer treatment. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as endocrine tumors, lymphomas, neuro-oncology, and cancers of the breast, head and neck, lung, skin, gastrointestinal tract, and genitourinary region. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known oncologists, and an international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research.