Skip to main content

Table 5 Statements meeting consensus criterion related to themes 1 & 2

From: Cancer related fatigue: implementing guidelines for optimal management

Theme 1: A need to balance simplicity with adequate detail in guideline Survey N Agree (n) Agree (%)
 The guideline should be written for consumers in lay language with a simple rationale for each recommendation C2 59 59 100
 A recommended valid patient self-report measure for fatigue and related constructs would be helpful to monitor progress across settings HP2 32 32 100
 A self-report questionnaire (such as the Brief Fatigue Inventory) that measures fatigue severity and impact could be useful as part of focused fatigue assessment and history taking HP2 32 30 93.7
 Referral pathways with capacity for local adaptation would be clinically useful HP2 31 29 93.5
 A screening hand-out could contain simple information including diagrams about how to rate your fatigue level, and what to do for different levels of fatigue C2 59 55 93.2
 Information about how to get help for fatigue management in my local area would be useful C2 59 54 91.5
 The guideline should contain links to additional detail about specific contributing factors such as medications, electrolyte levels, nutritional parameters and rate of physical activity change HP2 32 28 90.3
 Information and education about fatigue should be offered at different levels of detail (e.g. basic, standard, detailed) C2 59 53 89.8
 A short-list of accessible valid fatigue screening tools would be helpful HP2 32 28 87.5
 The guideline should contain links to additional detail about physical examinations and significance of findings HP2 31 27 87.1
 Appendices with details of assessments/interventions HP2 31 25 80.6
 I find diagrams such as flow-charts helpful to understand and learn new information C2 59 46 78.0
 Stratified assessment guide HP2 31 24 77.4
Theme 2: Define roles for knowledgeable health professionals Survey N Agree (n) Agree (%)
 I want to know which health professional is overseeing and monitoring my fatigue levels and supporting me C2 59 58 98.3
 A practice nurse (or other designated professional) could screen for tachycardia, shortness of breath and signs of nutritional deficiencies (oral) and anaemia (eyes) and refer to the appropriate professional for further assessment HP2 31 30 96.8
 Gait, posture, muscle wasting and range of motion would ideally be assessed by a relevant health professional; if appropriate HP2 31 30 96.8
 Make it real. I would like health professionals to know about how fatigue has affected real people like me C2 59 57 96.6
 All clinicians should be able to screen for fatigue HP2 32 30 93.8
 On-line education about managing fatigue should be available to all health professionals involved in my cancer care C2 59 55 93.2
 Determination of which HPs should take responsibility for assessments, interventions and follow up would improve consistency of practice HP2 31 27 87.1
 What is your preferred method/s of learning about assessment and management of CRF? Interactive website HP2 31 24 77.4