{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T13:04:54Z","timestamp":1789563894063,"version":"build-2803163510"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T00:00:00Z","timestamp":1787443200000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Reports"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cancer\u2010related fatigue (CRF) is a common, debilitating consequence of cancer and its treatment, yet it remains frequently underrecognized and undertreated. As a result, many patients receive neither targeted assessment nor appropriate treatment recommendations. This study evaluates the utilization, intervention uptake, and patient satisfaction with a specialized CRF consultation service at 10 cancer counseling centers in Bavaria, Germany.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A prospective, observational, multicenter study was conducted between March 2022 and February 2024. Patients with a cancer diagnosis and clinically relevant fatigue were eligible for CRF consultation. Of the 557 patients who received a CRF consultation, 524 participated in the study, of whom 496 were clinically diagnosed with CRF; 447 completed the follow\u2010up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among patients with confirmed CRF (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009496), a shared decision\u2010making process involving patient and clinician resulted in the selection of three evidence\u2010based interventions in most cases (80%), most commonly physical activity (63%), energy conservation and activity management (45%), and mind\u2013body approaches (39%). At follow\u2010up (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009447), 44% of the recommended interventions had been implemented either fully or to a large extent. Even for the most frequently selected interventions, implementation remained moderate (33% to 56%). Barriers to implementation\u2014which were primarily related to health limitations, family and work commitments, and limited service availability\u2014were reported by 87% of the patients. Despite these challenges, satisfaction with the consultation was high (mean value of 1.2 and 1.4, on a scale from 1\u2009=\u2009very good to 6\u2009=\u2009very poor), and patients expressed strong support for continuing the service. Suggestions for improvement included shorter waits, assistance in implementing interventions, and support with administrative procedures.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The CRF consultation service of the Bavarian Cancer Society is a feasible, well\u2010accepted, and patient\u2010centered approach that addresses a major unmet need in cancer care. This model may serve as a best practice example for similar initiatives nationally and internationally. Long\u2010term implementation in the healthcare system requires structural integration, sustainable funding, and policy recognition.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial Registration:<\/jats:bold>\n                      German Clinical Trials Register: DRKS00028264\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cnr2.70638","type":"journal-article","created":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T03:25:06Z","timestamp":1787541906000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of an Outpatient Consultation Model for Cancer\u2010Related Fatigue by the Bavarian Cancer Society: Service Utilization and Patient Satisfaction"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5241-2945","authenticated-orcid":false,"given":"K.","family":"M\u00fcller","sequence":"first","affiliation":[{"name":"Center for Clinical Studies University Hospital Regensburg  Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.","family":"Fischer","sequence":"additional","affiliation":[{"name":"Institute for Tumor Fatigue Research  Emskirchen Germany"},{"name":"German Fatigue Society  K\u00f6ln Germany"},{"name":"Working Group on Cancer\u2010Related Fatigue Within the Bavarian Cancer Society  M\u00fcnchen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Besseler","sequence":"additional","affiliation":[{"name":"Working Group on Cancer\u2010Related Fatigue Within the Bavarian Cancer Society  M\u00fcnchen Germany"},{"name":"Bavarian Cancer Society  M\u00fcnchen Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M. E.","family":"Heim","sequence":"additional","affiliation":[{"name":"German Fatigue Society  K\u00f6ln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. U.","family":"R\u00fcffer","sequence":"additional","affiliation":[{"name":"German Fatigue Society  K\u00f6ln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3280-6773","authenticated-orcid":false,"given":"J.","family":"Weis","sequence":"additional","affiliation":[{"name":"Comprehensive Cancer Center University Hospital Freiburg  Freiburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8781-8187","authenticated-orcid":false,"given":"T.","family":"Pukrop","sequence":"additional","affiliation":[{"name":"Center for Translational Oncology University Hospital Regensburg  Regensburg Germany"},{"name":"Department of Internal Medicine III University Hospital Regensburg  Regensburg Germany"},{"name":"Bavarian Cancer Research Center  Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5252-6010","authenticated-orcid":false,"given":"M.","family":"Koller","sequence":"additional","affiliation":[{"name":"Center for Clinical Studies University Hospital Regensburg  Regensburg Germany"},{"name":"Bavarian Cancer Research Center  Regensburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,23]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"National Comprehensive Cancer Network \u201cNCCN Guidelines: Cancer\u2010Related Fatigue [version 2.2025] \u201dhttps:\/\/www.nccn.org\/professionals\/physician_gls\/pdf\/fatigue.pdf."},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12312\u2010012\u20100900\u2010y"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000215943"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.zefq.2025.02.003"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00278\u2010011\u20100822\u20107"},{"key":"e_1_2_13_7_1","unstructured":"Institut f\u00fcr Qualit\u00e4t und Wirtschaftlichkeit im Gesundheitswesen \u201cAbschlussbericht: Systematische Leitlinienrecherche und \u2010bewertung sowie Extraktion relevanter Empfehlungen f\u00fcr das DMP Brustkrebs \u201dVersion 1.0. 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