{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:52:26Z","timestamp":1791579146389,"version":"4.3.4"},"reference-count":22,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,12,1]],"date-time":"2026-12-01T00:00:00Z","timestamp":1796083200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Institutes of Health National Cancer Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","tipsro.science","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Technical Innovations & Patient Support in Radiation Oncology"],"published-print":{"date-parts":[[2026,12]]},"DOI":"10.1016\/j.tipsro.2026.100426","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T15:17:49Z","timestamp":1786634269000},"page":"100426","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["A multi-dimensional assessment of fatigue among patients undergoing breast radiotherapy"],"prefix":"10.1016","volume":"40","author":[{"given":"Sierra","family":"Silverwood","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Leu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Blanes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"August","family":"Anderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janice","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meggan","family":"Davis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel L.","family":"Yung","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Heather","family":"Greenlee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Meisner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin F.","family":"Gillespie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"8","key":"10.1016\/j.tipsro.2026.100426_bb0005","doi-asserted-by":"crossref","first-page":"1772","DOI":"10.1002\/cncr.21364","article-title":"Frequency, severity, clinical course, and correlates of fatigue in 372 patients during 5 weeks of radiotherapy for cancer","volume":"104","author":"Hickok","year":"2005","journal-title":"Cancer"},{"issue":"10","key":"10.1016\/j.tipsro.2026.100426_bb0010","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1038\/nrclinonc.2014.127","article-title":"Cancer-related fatigue--mechanisms, risk factors, and treatments","volume":"11","author":"Bower","year":"2014","journal-title":"Nat Rev Clin Oncol"},{"issue":"2","key":"10.1016\/j.tipsro.2026.100426_bb0015","first-page":"1283","article-title":"Impact of adjuvant breast radiotherapy on patient-reported fatigue","volume":"30","author":"Lam","year":"2022","journal-title":"Support Care Cancer"},{"issue":"3","key":"10.1016\/j.tipsro.2026.100426_bb0020","first-page":"CD013448","article-title":"Exercise interventions for adults with cancer receiving radiation therapy alone","volume":"3","author":"Trommer","year":"2023","journal-title":"Cochrane Database Syst Rev"},{"issue":"20","key":"10.1016\/j.tipsro.2026.100426_bb0025","doi-asserted-by":"crossref","first-page":"2456","DOI":"10.1200\/JCO.24.00541","article-title":"Management of Fatigue in adult survivors of Cancer: ASCO-Society for integrative oncology guideline update","volume":"42","author":"Bower","year":"2024","journal-title":"J Clin Oncol"},{"issue":"5","key":"10.1016\/j.tipsro.2026.100426_bb0030","first-page":"276","article-title":"Cancer-related fatigue outcome measures in integrative oncology: evidence for practice and research recommendations","volume":"36","author":"Gentile","year":"2022","journal-title":"Oncology (Williston Park)"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100426_bb0035","doi-asserted-by":"crossref","first-page":"9","DOI":"10.5694\/mja2.51355","article-title":"Patient-reported outcome measures (PROMs) to guide clinical care: recommendations and challenges","volume":"216","author":"Agarwal","year":"2022","journal-title":"Med J Aust"},{"issue":"6","key":"10.1016\/j.tipsro.2026.100426_bb0040","doi-asserted-by":"crossref","first-page":"e520","DOI":"10.1200\/JOP.19.00124","article-title":"Oncologists\u2019 attitudes and practice of addressing diet, physical activity, and weight management with patients with Cancer: findings of an ASCO survey of the oncology workforce","volume":"15","author":"Ligibel","year":"2019","journal-title":"JOP"},{"issue":"2","key":"10.1016\/j.tipsro.2026.100426_bb0045","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.ijrobp.2022.05.041","article-title":"A comparison of patient- and clinician-reported acute toxic effects during radiation therapy for primary breast Cancer","volume":"114","author":"Lapen","year":"2022","journal-title":"International Journal of Radiation Oncology*Biology*Physics"},{"issue":"9384","key":"10.1016\/j.tipsro.2026.100426_bb0050","doi-asserted-by":"crossref","first-page":"640","DOI":"10.1016\/S0140-6736(03)14186-4","article-title":"Assessment and management of cancer-related fatigue in adults","volume":"362","author":"Ahlberg","year":"2003","journal-title":"The Lancet"},{"issue":"7","key":"10.1016\/j.tipsro.2026.100426_bb0055","doi-asserted-by":"crossref","first-page":"765","DOI":"10.6004\/jnccn.2022.7015","article-title":"Disparities in electronic screening for Cancer-related psychosocial distress may promote systemic barriers to quality oncologic care","volume":"20","author":"Sutton","year":"2022","journal-title":"J Natl Compr Canc Netw"},{"issue":"24","key":"10.1016\/j.tipsro.2026.100426_bb0065","doi-asserted-by":"crossref","first-page":"2413","DOI":"10.1001\/jama.2022.9265","article-title":"Effect of electronic symptom monitoring on patient-reported outcomes among patients with metastatic Cancer: a randomized clinical trial","volume":"327","author":"Basch","year":"2022","journal-title":"JAMA"},{"issue":"2","key":"10.1016\/j.tipsro.2026.100426_bb0070","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1007\/s12160-014-9643-6","article-title":"Engagement with a social networking intervention for cancer-related distress","volume":"49","author":"Owen","year":"2015","journal-title":"Ann Behav Med"},{"issue":"1","key":"10.1016\/j.tipsro.2026.100426_bb0075","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.clbc.2017.08.009","article-title":"Assessing changes in the activity levels of breast Cancer patients during radiation therapy","volume":"18","author":"Champ","year":"2018","journal-title":"Clin Breast Cancer"},{"key":"10.1016\/j.tipsro.2026.100426_bb0080","doi-asserted-by":"crossref","DOI":"10.2196\/46017","article-title":"Adherence to patient-reported symptom monitoring and subsequent clinical interventions for patients with multiple myeloma in outpatient care: longitudinal observational study","volume":"25","author":"Lehmann","year":"2023","journal-title":"J Med Internet Res"},{"issue":"22","key":"10.1016\/j.tipsro.2026.100426_bb0085","doi-asserted-by":"crossref","first-page":"4059","DOI":"10.1002\/cncr.32172","article-title":"Implementing electronic health record-integrated screening of patient-reported symptoms and supportive care needs in a comprehensive cancer center","volume":"125","author":"Garcia","year":"2019","journal-title":"Cancer"},{"issue":"7","key":"10.1016\/j.tipsro.2026.100426_bb0090","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.23898","article-title":"Barriers to electronic patient-reported outcome measurement among patients with Cancer and limited English proficiency","volume":"5","author":"Garcia Farina","year":"2022","journal-title":"JAMA Netw Open"},{"issue":"13","key":"10.1016\/j.tipsro.2026.100426_bb0095","doi-asserted-by":"crossref","first-page":"7964","DOI":"10.1245\/s10434-022-12477-1","article-title":"Who are we missing: does engagement in patient-reported outcome measures for breast Cancer vary by age, race, or disease stage?","volume":"29","author":"Srour","year":"2022","journal-title":"Ann Surg Oncol"},{"key":"10.1016\/j.tipsro.2026.100426_bb0100","doi-asserted-by":"crossref","unstructured":"Takvorian SU, Wu Y, Gabriel PE, et al. Racial and ethnic disparities in adherence and reported symptoms during routine collection of patient-reported outcomes (PROs). JCO 2022;40(16_suppl):6510-6510. doi:https:\/\/doi.org\/10.1200\/JCO.2022.40.16_suppl.6510, J Clin Oncol.","DOI":"10.1200\/JCO.2022.40.16_suppl.6510"},{"issue":"13","key":"10.1016\/j.tipsro.2026.100426_bb0105","doi-asserted-by":"crossref","DOI":"10.1002\/cam4.71026","article-title":"Digital patient-reported Cancer symptom management: comparison of black and white participants","volume":"14","author":"Gullatte","year":"2025","journal-title":"Cancer Med"},{"issue":"13","key":"10.1016\/j.tipsro.2026.100426_bb0110","doi-asserted-by":"crossref","first-page":"3084","DOI":"10.1002\/cncr.32898","article-title":"Congruence of patient- and clinician-reported toxicity in women receiving chemotherapy for early breast cancer","volume":"126","author":"Nyrop","year":"2020","journal-title":"Cancer"},{"key":"10.1016\/j.tipsro.2026.100426_bb0115","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/728709","article-title":"Crocin suppresses LPS-stimulated expression of inducible nitric oxide synthase by upregulation of heme oxygenase-1 via calcium\/calmodulin-dependent protein kinase 4","volume":"2014","author":"Kim","year":"2014","journal-title":"Mediators Inflamm"}],"container-title":["Technical Innovations & Patient Support in Radiation Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405632426000533?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2405632426000533?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T20:40:18Z","timestamp":1791578418000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2405632426000533"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,12]]},"references-count":22,"alternative-id":["S2405632426000533"],"URL":"https:\/\/doi.org\/10.1016\/j.tipsro.2026.100426","relation":{},"ISSN":["2405-6324"],"issn-type":[{"value":"2405-6324","type":"print"}],"subject":[],"published":{"date-parts":[[2026,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"A multi-dimensional assessment of fatigue among patients undergoing breast radiotherapy","name":"articletitle","label":"Article Title"},{"value":"Technical Innovations & Patient Support in Radiation Oncology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.tipsro.2026.100426","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier B.V. on behalf of European Society for Radiotherapy & Oncology.","name":"copyright","label":"Copyright"}],"article-number":"100426"}}