Latest & greatest articles for fatigue

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Top results for fatigue

141. Interventions for post-stroke fatigue. Full Text available with Trip Pro

Interventions for post-stroke fatigue. Fatigue after stroke is common and distressing to patients. The best way to treat this fatigue is uncertain. Theoretically, several different interventions may be of benefit.To determine whether any treatment for fatigue after stroke reduces the proportion of patients with fatigue, or fatigue severity, or both, and to determine the effect of treatment on health-related quality of life, disability, dependency and death, and whether such treatments are cost (...) with stroke where fatigue was a primary or secondary endpoint.The two review authors who scrutinised references independently extracted data. We performed a narrative review; we had intended to perform a meta-analysis but this was not possible as the interventions were too diverse for data to be combined.We identified three trials. One randomised 83 patients with emotional disturbance after stroke to fluoxetine or placebo. After correcting for differences in fatigue severity at baseline

2009 Cochrane

142. Fatigue during breast cancer radiotherapy: An initial randomized study of cognitive-behavioral therapy plus hypnosis (Abstract)

Fatigue during breast cancer radiotherapy: An initial randomized study of cognitive-behavioral therapy plus hypnosis The study purpose was to test the effectiveness of a psychological intervention combining cognitive-behavioral therapy and hypnosis (CBTH) to treat radiotherapy-related fatigue.Women (n = 42) scheduled for breast cancer radiotherapy were randomly assigned to receive standard medical care (SMC) (n = 20) or a CBTH intervention (n = 22) in addition to SMC. Participants assigned (...) to receive CBTH met individually with a clinical psychologist. CBTH participants received training in hypnosis and CBT. Participants assigned to the SMC control condition did not meet with a study psychologist.Fatigue was measured on a weekly basis by using the fatigue subscale of the Functional Assessment of Chronic Illness Therapy (FACIT) and daily using visual analogue scales.Multilevel modeling indicated that for weekly FACIT fatigue data, there was a significant effect of the CBTH intervention

2009 EvidenceUpdates Controlled trial quality: uncertain

143. Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial (Abstract)

Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: a randomized controlled trial To test the effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease.Randomized controlled trial.Pulmonary outpatient department.Thirty patients randomly assigned to a rehabilitation (3 men, 9 women, mean age 66 (+/-2) years (...) ) or a control group (10 men, 4 women, mean age 64 (+/-2) years).The patients in the rehabilitation group participated in a multidisciplinary rehabilitation programme comprising exercise training twice weekly, for a 12-week period, nutritional and self-care advice, and education about disease and energy conservation strategies.Fatigue, functional limitations due to fatigue, functional performance and satisfaction, six-minute walking distance, hand grip strength and health perception were assessed at baseline

2009 EvidenceUpdates Controlled trial quality: uncertain

144. Short-term effects of aerobic exercise on functional capacity, fatigue, and quality of life in patients with post-polio syndrome (Abstract)

Short-term effects of aerobic exercise on functional capacity, fatigue, and quality of life in patients with post-polio syndrome To investigate and compare the impact of hospital and home exercise programmes on aerobic capacity, fatigue, and quality of life in patients with post-polio syndrome.A prospective, randomized controlled trial.Department of Physical Medicine and Rehabilitation, University Hospital.Thirty-two patients were divided into two groups for either hospital- or home-based (...) aerobic exercise programme.Patients were assessed before and after the rehabilitation programme, with respect to functional capacity (pVo2), fatigue (Fatigue Severity Scale, Fatigue Impact Scale) and quality of life (Nottingham Heath Profile).After the exercise programme, improvement was observed in the hospital exercise group compared to a pre-exercise period in all Nottingham Heath Profile scores (except sleep scores), pVo2, Fatigue Severity Scale and Fatigue Impact Scale (cognitive, physical

2009 EvidenceUpdates Controlled trial quality: uncertain

145. The effect of fatigue on surgeon performance and surgical outcomes: a systematic review

when participants were tired, but only for some variables in some studies, or only for certain individuals. One study indicated that there was a learning effect for both sleep-deprived and non-sleep deprived states. Psychomotor skill performance Simulated performance There were 11 studies that assessed performance using simulation-based methods when a participant was rested and/or fatigued (Deaconson et al 1988; DeMaria et al 2005; Eastridge et al 2003; Grantcharov et al 2001; Jakubowicz et al 2005 (...) The effect of fatigue on surgeon performance and surgical outcomes: a systematic review Systematic Review The Effect of Fatigue on Surgeon Performance and Surgical Outcomes ASERNIP-S REPORT NO. 68 August 2009 Australian Safety & Efficacy Register of New Interventional Procedures – Surgical The Royal Australasian College of Surgeons ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures - Surgical - ASERNIP-S REVIEW OF THE EFFECT OF FATIGUE ON SURGERY & SURGICAL

2009 Publication 80

146. The effect of fatigue on surgeon performance and surgical outcomes: A systematic review

when participants were tired, but only for some variables in some studies, or only for certain individuals. One study indicated that there was a learning effect for both sleep-deprived and non-sleep deprived states. Psychomotor skill performance Simulated performance There were 11 studies that assessed performance using simulation-based methods when a participant was rested and/or fatigued (Deaconson et al 1988; DeMaria et al 2005; Eastridge et al 2003; Grantcharov et al 2001; Jakubowicz et al 2005 (...) The effect of fatigue on surgeon performance and surgical outcomes: A systematic review Systematic Review The Effect of Fatigue on Surgeon Performance and Surgical Outcomes ASERNIP-S REPORT NO. 68 August 2009 Australian Safety & Efficacy Register of New Interventional Procedures – Surgical The Royal Australasian College of Surgeons ASERNIP S Australian Safety and Efficacy Register of New Interventional Procedures - Surgical - ASERNIP-S REVIEW OF THE EFFECT OF FATIGUE ON SURGERY & SURGICAL

2009 Publication 80

147. Review: CBT reduces fatigue in adults with chronic fatigue syndrome but effects at follow-up unclear

Review: CBT reduces fatigue in adults with chronic fatigue syndrome but effects at follow-up unclear Review: CBT reduces fatigue in adults with chronic fatigue syndrome but effects at follow-up unclear | Evidence-Based Mental Health We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our . Log in using your username and password For personal (...) accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here Review: CBT reduces fatigue in adults with chronic fatigue syndrome but effects at follow-up unclear Article Text Therapeutics Review: CBT reduces fatigue in adults with chronic fatigue

2009 Evidence-Based Mental Health

148. Methylphenidate for the treatment of depressive symptoms, including fatigue and apathy, in medically ill older adults and terminally ill adults Full Text available with Trip Pro

Methylphenidate for the treatment of depressive symptoms, including fatigue and apathy, in medically ill older adults and terminally ill adults Methylphenidate for the treatment of depressive symptoms, including fatigue and apathy, in medically ill older adults and terminally ill adults Methylphenidate for the treatment of depressive symptoms, including fatigue and apathy, in medically ill older adults and terminally ill adults Hardy SE CRD summary The review did not find definitive evidence (...) of effectiveness of methylphenidate in medically ill older adults with depression, fatigue or apathy, although it appeared to be tolerated in the short term. Due to variation in outcomes, methodological flaws in the included studies and shortcomings in the review process, the reliability of the author's conclusions is not clear. Authors' objectives To assess the efficacy and tolerability of methylphenidate for the treatment of depressive symptoms, fatigue and apathy in medically ill older adults and adults

2009 DARE.

149. The effect of fatigue on surgeon performance

The effect of fatigue on surgeon performance The effect of fatigue on surgeon performance The effect of fatigue on surgeon performance Sturm L Record Status This is a bibliographic record of an ongoing health technology assessment being undertaken by a member of INAHTA. Links to the published report and any other relevant documentation will be added when available. Citation Sturm L. The effect of fatigue on surgeon performance . Stepney: Australian Safety and Efficacy Register of New (...) Interventional Procedures -Surgical (ASERNIP-S). ASERNIP-S Report No 68. 2009 Authors' conclusions There is a paucity of evidence investigating the effects of sleep loss and fatigue on the performance of surgeons and subsequent clinical outcomes. The overall weight of (poor) evidence shows that clinical, academic, and cognitive performance are not proven to be affected by sleep deprivation or fatigue and that psychomotor performance may or may not be. Variations in results were in some cases attributable

2009 Health Technology Assessment (HTA) Database.

150. Fatigue Predicts Mortality in Older Adults Full Text available with Trip Pro

Fatigue Predicts Mortality in Older Adults To determine the association between fatigue and survival over 10 years in a population of older community-dwelling primary care patients.Prospective cohort study.Medicare health maintenance organization and Veterans Affairs primary care programs.Older primary care patients (N=492).Fatigue, operationalized as feeling tired most of the time, was assessed at baseline. Mortality was ascertained from the National Death Index. Covariates included (...) demographics, comorbidity, cognitive function, depressive symptoms, body mass index, self-rated health, functional status, and gait speed.Mortality rates at 10 years were 59% (123/210) for older adults with fatigue, versus 38% (106/282) for those without fatigue (P<.001). After adjustment for multiple potential confounders, participants who were tired at baseline had a greater risk of death than those who were not (hazard ratio=1.44, 95% confidence interval=1.08-1.93).A single simple question "Do you feel

2008 EvidenceUpdates

151. Guided self-instructions for people with chronic fatigue syndrome: randomised controlled trial Full Text available with Trip Pro

Guided self-instructions for people with chronic fatigue syndrome: randomised controlled trial A minimal intervention, based on cognitive-behavioural therapy for chronic fatigue syndrome and consisting of self-instructions combined with email contact, was tested in a randomised controlled trial (ISRCTN27293439). A total of 171 patients participated in the trial: 85 were allocated to the intervention condition and 86 to the waiting-list condition. All patients met the Centers for Disease Control (...) and Prevention criteria for chronic fatigue syndrome. An intention-to-treat analysis showed a significant decrease in fatigue and disability after self-instruction. The level of disability was negatively correlated with treatment outcome. Guided self-instructions are an effective treatment for patients with relatively less severe chronic fatigue syndrome.

2008 EvidenceUpdates Controlled trial quality: uncertain

152. Double-blind, randomized trial of dexmethylphenidate hydrochloride for the treatment of sarcoidosis-associated fatigue (Abstract)

Double-blind, randomized trial of dexmethylphenidate hydrochloride for the treatment of sarcoidosis-associated fatigue Fatigue is a common complaint in patients with sarcoidosis. We studied the effectiveness of dexmethylphenidate hydrochloride (d-MPH) in treating sarcoidosis-associated fatigue.This was a double-blind, randomized, placebo-controlled, crossover trial of d-MPH. Patients were seen weekly and completed Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F) and Fatigue (...) Assessment Score (FAS) instruments. After a 1-week wash-in period, patients received either d-MPH or placebo. After 8 weeks, the medications were stopped. Following a 2-week wash-out period, patients were crossed over to 8 weeks of the other treatment. FVC and 6-min walk distance (6MWD) were determined initially and after each treatment arm.Ten patients with sarcoidosis were enrolled: 8 women and 5 African Americans. All were receiving systemic sarcoidosis therapy. Significant improvement in fatigue

2008 EvidenceUpdates Controlled trial quality: predicted high

153. A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue Full Text available with Trip Pro

A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue The purpose of this study was to assess the efficacy of cognitive behavior therapy (CBT) as a treatment for multiple sclerosis (MS) fatigue.A randomized controlled design was used where 72 patients with MS fatigue were randomly assigned to eight weekly sessions of CBT or relaxation training (RT). RT was designed to control for therapist time and attention. Participants were assessed before and after (...) treatment, and at 3 and 6 months posttreatment. The primary outcome was the Fatigue Scale. Secondary outcomes included measures of stress, mood, and fatigue-related impairment.Analysis was by intention-to-treat. A group by time interaction showed that the CBT group reported significantly greater reductions in fatigue across the 8 months compared with the RT group (p < .02). Calculated effect sizes for fatigue from baseline to the end of treatment were 3.03 [95% confidence interval, 2.22-3.68

2008 EvidenceUpdates Controlled trial quality: predicted high

154. Effect of dehydroepiandrosterone administration on fatigue, well-being, and functioning in women with primary Sjogren syndrome: a randomised controlled trial (Abstract)

Effect of dehydroepiandrosterone administration on fatigue, well-being, and functioning in women with primary Sjogren syndrome: a randomised controlled trial Dehydroepiandrosterone (DHEA) administration has been reported to improve fatigue, psychological distress, and physical disability. These are common features of primary Sjögren syndrome (pSS). We investigated the effects of DHEA administration on fatigue, well-being, and functioning in women with pSS.In a double-blind, randomised placebo (...) -controlled clinical trial, 60 female patients with pSS received 200 mg oral DHEA or placebo. Primary outcome measures were general fatigue, depressive mood, mental well-being, and physical functioning. In addition, pain, sicca complaints and disease activity parameters were measured. Patients were assessed before treatment, after 3, 6, and 12 months on study medication, and 6 months after cessation of treatment.Patients from both the DHEA- and placebo-treated group improved on general fatigue (p<0.001

2008 EvidenceUpdates Controlled trial quality: predicted high

155. Exercise can help reduce cancer-related fatigue

Exercise can help reduce cancer-related fatigue PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They are funded by the New Zealand Guidelines Group. PEARLS provide guidance on whether a treatment is effective or ineffective. PEARLS are prepared as an educational resource and do not replace clinician judgement in the management of individual cases. View PEARLS online at: www.cochraneprimarycare.org (...) Exercise can help reduce cancer-related fatigue Clinical Question Is exercise effective for the management of cancer- related fatigue in adults? Bottom Line In adults, physical exercise can help to reduce fatigue both during and after treatment for cancer. However, the evidence is not sufficient to demonstrate the best type or intensity of exercise for reducing the symptoms of fatigue. Therefore, exercise should be considered as one component of the management strategy for fatigue that may include

2008 Cochrane PEARLS

156. Drug therapy effective for cancer related fatigue

Drug therapy effective for cancer related fatigue PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They are funded by the New Zealand Guidelines Group. PEARLS provide guidance on whether a treatment is effective or ineffective. PEARLS are prepared as an educational resource and do not replace clinician judgement in the management of individual cases. View PEARLS online (...) at: www.cochraneprimarycare.org Drug therapy effective for cancer related fatigue Clinical question How effective and safe are drugs for the management of cancer related fatigue (CRF)? Bottom line Compared to placebo, haemopoietic growth factors such as erythropoietin and darbopoietin (for anaemic patients on chemotherapy), and psychostimulants such as methylphenidate, showed small but significant improvements in CRF. Antidepressants such as paroxetine and progestational steroids demonstrated no superiority over placebo

2008 Cochrane PEARLS

157. Cancer-related fatigue: a systematic and meta-analytic review of non-pharmacological therapies for cancer patients

Cancer-related fatigue: a systematic and meta-analytic review of non-pharmacological therapies for cancer patients Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.

158. Nursing intervention for fatigue during the treatment for cancer Full Text available with Trip Pro

Nursing intervention for fatigue during the treatment for cancer Nursing intervention for fatigue during the treatment for cancer Nursing intervention for fatigue during the treatment for cancer de Nijs EJ, Ros W, Grijpdonck MH CRD summary This review concluded that exercise interventions delivered by nurses seem to be effective for preventing the worsening of cancer related fatigue during treatment. Evidence for other interventions was unclear. The review had methodological and reporting (...) weaknesses and many included studies had a weak design and/or small sample size. These limitations suggest that the conclusions should be treated with caution. Authors' objectives To identify interventions that can be used by nurses to prevent or reduce fatigue during cancer treatment. Searching The authors searched PubMed and CINAHL from 1995 to February 2005. Search terms were reported. Study selection Studies of non-pharmacological interventions that could be applied by nurses to prevent or reduce

2008 DARE.

159. Treatment of fatigue in multiple sclerosis: a systematic review of the literature

Treatment of fatigue in multiple sclerosis: a systematic review of the literature Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.

160. Efficacy of cognitive behavioral therapy for chronic fatigue syndrome: a meta-analysis

Efficacy of cognitive behavioral therapy for chronic fatigue syndrome: a meta-analysis Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2008 DARE.