{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T18:03:15Z","timestamp":1788026595089,"version":"build-2784847793"},"reference-count":38,"publisher":"Wiley","issue":"15","license":[{"start":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T00:00:00Z","timestamp":1590019200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004622","name":"KWF Kankerbestrijding","doi-asserted-by":"publisher","award":["UVT\u20102010\u20104743"],"award-info":[{"award-number":["UVT\u20102010\u20104743"]}],"id":[{"id":"10.13039\/501100004622","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004622","name":"KWF Kankerbestrijding","doi-asserted-by":"publisher","award":["UVT\u20102014\u20106632"],"award-info":[{"award-number":["UVT\u20102014\u20106632"]}],"id":[{"id":"10.13039\/501100004622","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Fatigue is a common and distressing symptom for patients with gynecologic cancers. Few studies have empirically examined whether it spontaneously resolves. This study was aimed at identifying longitudinal patterns of fatigue and predictors of clinically significant fatigue 1\u00a0year after treatment completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a prospective cohort study of women with newly diagnosed ovarian (n\u00a0=\u00a081) or endometrial cancer (n\u00a0=\u00a0181) that did not progress or recur within 1\u00a0year of treatment completion. Symptoms of fatigue, depression, and anxiety were assessed after surgery and 6 and 12\u00a0months after treatment completion with the Fatigue Assessment Scale and the Hospital Anxiety and Depression Scale. Patients' fatigue scores over time were classified (scores of 22\u201050, clinically significant; scores of 10\u201021, not clinically significant). Logistic regression models were fit to examine associations between fatigue and patient characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 262 participants, 48% reported clinically significant fatigue after surgery. One year later, 39% reported fatigue. There were 6 patterns over time: always low (37%), always high (25%), high then resolves (18%), new onset (10%), fluctuating (6%), and incidental (5%). Patients with fatigue after surgery were more likely to report fatigue at 12\u00a0months in comparison with others (odds ratio [OR], 6.08; 95% confidence interval [CI], 2.82\u201013.11;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0&lt;\u00a0.001). Patients with depressive symptoms also had higher odds of fatigue (OR, 3.36; 95% CI, 1.08\u201010.65;\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0=\u00a0.039), although only one\u2010third of fatigued patients reported depressive symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Nearly half of women with gynecologic cancers had clinically significant fatigue after surgery, whereas 44% and 39% had fatigue 6\u00a0months and 1\u00a0year later; this suggests that spontaneous regression of symptoms is relatively rare. Women who reported fatigue, depressive symptoms, or 2 or more medical comorbidities had higher odds of reporting fatigue 1\u00a0year later. Future studies should test scalable interventions to improve fatigue in women with gynecologic cancers.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.32927","type":"journal-article","created":{"date-parts":[[2020,5,21]],"date-time":"2020-05-21T08:05:05Z","timestamp":1590048305000},"page":"3526-3533","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Patterns and predictors of cancer\u2010related fatigue in ovarian and endometrial cancers: 1\u2010year longitudinal study"],"prefix":"10.1002","volume":"126","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1196-699X","authenticated-orcid":false,"given":"Hanneke","family":"Poort","sequence":"first","affiliation":[{"name":"Department of Psychosocial Oncology and Palliative Care Dana\u2010Farber Cancer Institute Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Belle H.","family":"de Rooij","sequence":"additional","affiliation":[{"name":"Netherlands Comprehensive Cancer Organisation Utrecht the Netherlands"},{"name":"Center of Research on Psychology in Somatic Diseases Department of Medical and Clinical Psychology Tilburg University Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hajime","family":"Uno","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Division of Population Sciences Dana\u2010Farber Cancer Institute Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shicheng","family":"Weng","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Division of Population Sciences Dana\u2010Farber Cancer Institute Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole P. M.","family":"Ezendam","sequence":"additional","affiliation":[{"name":"Netherlands Comprehensive Cancer Organisation Utrecht the Netherlands"},{"name":"Center of Research on Psychology in Somatic Diseases Department of Medical and Clinical Psychology Tilburg University Tilburg the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lonneke","family":"van de Poll\u2010Franse","sequence":"additional","affiliation":[{"name":"Netherlands Comprehensive Cancer Organisation Utrecht the Netherlands"},{"name":"Center of Research on Psychology in Somatic Diseases Department of Medical and Clinical Psychology Tilburg University Tilburg the Netherlands"},{"name":"Division of Psychosocial Research and Epidemiology Netherlands Cancer Institute Amsterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexi A.","family":"Wright","sequence":"additional","affiliation":[{"name":"Department of Medical Oncology Division of Population Sciences 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