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Low incidence of fatigue after hypofractionated stereotactic body radiation therapy for localized prostate cancer.

Dash C, Demas K, Uhm S, Hanscom HN, Kim JS, Suy S, Davis KM, Sween J, Collins S, Adams-Campbell LL - Front Oncol (2012)

Bottom Line: Fatigue is a common side effect of conventional prostate cancer radiation therapy.Age, co-morbidities, smoking, prostate specific antigen (PSA) levels, testosterone levels, tumor stage, and treatment variables were not associated with fatigue.These results also suggest post-SBRT fatigue to be a more frequent complication in African-Americans than Caucasians.

View Article: PubMed Central - PubMed

Affiliation: Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Washington, DC, USA.

ABSTRACT

Background: Fatigue is a common side effect of conventional prostate cancer radiation therapy. The increased delivery precision necessitated by the high dose per fraction of stereotactic body radiation therapy (SBRT) offers the potential of reduce target volumes and hence the exposure of normal tissues to high radiation doses. Herein, we examine the level of fatigue associated with SBRT treatment.

Methods: Forty patients with localized prostate cancer treated with hypofractionated SBRT, and a minimum of 12 months follow-up were included in this analysis. Self-reported fatigue and other quality of life measures were assessed at baseline and at 1, 3, 6, 9, and 12 months post-SBRT.

Results: Mean levels of fatigue were elevated at 1 month post-SBRT compared to baseline values (P = 0.02). Fatigue at the 3-month follow-up and later were higher but not statistically significantly different compared to baseline. African-American patients reported higher fatigue post-SBRT than Caucasian patients. Fatigue was correlated with hormonal symptoms as measured by the Expanded Prostate Cancer Index Composite (EPIC) quality of life questionnaire, but not with urinary, bowel, or sexual symptoms. Age, co-morbidities, smoking, prostate specific antigen (PSA) levels, testosterone levels, tumor stage, and treatment variables were not associated with fatigue.

Conclusion: This is the first study to investigate fatigue as a side effect of SBRT. In contrast to standard radiation therapy, results suggest SBRT-related fatigue is short-term rather than a long-term side effect of SBRT. These results also suggest post-SBRT fatigue to be a more frequent complication in African-Americans than Caucasians.

No MeSH data available.


Related in: MedlinePlus

Age-adjusted fatigue and EPIC hormone domain scores in Caucasians and African-Americans. Dashed lines represent half standard deviation above and below the baseline scores. Change greater than half standard deviation suggests clinical significance. **Change from baseline statistically significant at <0.01 level. *Change from baseline statistically significant at <0.05 level.
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Figure 1: Age-adjusted fatigue and EPIC hormone domain scores in Caucasians and African-Americans. Dashed lines represent half standard deviation above and below the baseline scores. Change greater than half standard deviation suggests clinical significance. **Change from baseline statistically significant at <0.01 level. *Change from baseline statistically significant at <0.05 level.

Mentions: The impact of race on the change in FACIT-Fatigue scores post-SBRT was compared to baseline by stratifying the age-adjusted fatigue scores by race (Figure 1). Given that the majority (95%) of patients were either African-American or Caucasian, we restricted the stratified analysis to these races. Although Caucasian patients reported lower fatigue at baseline [44.1 (9.8)] compared to African-Americans [43.5 (7.1)] the differences were not statistically significant (P = 0.22).


Low incidence of fatigue after hypofractionated stereotactic body radiation therapy for localized prostate cancer.

Dash C, Demas K, Uhm S, Hanscom HN, Kim JS, Suy S, Davis KM, Sween J, Collins S, Adams-Campbell LL - Front Oncol (2012)

Age-adjusted fatigue and EPIC hormone domain scores in Caucasians and African-Americans. Dashed lines represent half standard deviation above and below the baseline scores. Change greater than half standard deviation suggests clinical significance. **Change from baseline statistically significant at <0.01 level. *Change from baseline statistically significant at <0.05 level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3473362&req=5

Figure 1: Age-adjusted fatigue and EPIC hormone domain scores in Caucasians and African-Americans. Dashed lines represent half standard deviation above and below the baseline scores. Change greater than half standard deviation suggests clinical significance. **Change from baseline statistically significant at <0.01 level. *Change from baseline statistically significant at <0.05 level.
Mentions: The impact of race on the change in FACIT-Fatigue scores post-SBRT was compared to baseline by stratifying the age-adjusted fatigue scores by race (Figure 1). Given that the majority (95%) of patients were either African-American or Caucasian, we restricted the stratified analysis to these races. Although Caucasian patients reported lower fatigue at baseline [44.1 (9.8)] compared to African-Americans [43.5 (7.1)] the differences were not statistically significant (P = 0.22).

Bottom Line: Fatigue is a common side effect of conventional prostate cancer radiation therapy.Age, co-morbidities, smoking, prostate specific antigen (PSA) levels, testosterone levels, tumor stage, and treatment variables were not associated with fatigue.These results also suggest post-SBRT fatigue to be a more frequent complication in African-Americans than Caucasians.

View Article: PubMed Central - PubMed

Affiliation: Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University Washington, DC, USA.

ABSTRACT

Background: Fatigue is a common side effect of conventional prostate cancer radiation therapy. The increased delivery precision necessitated by the high dose per fraction of stereotactic body radiation therapy (SBRT) offers the potential of reduce target volumes and hence the exposure of normal tissues to high radiation doses. Herein, we examine the level of fatigue associated with SBRT treatment.

Methods: Forty patients with localized prostate cancer treated with hypofractionated SBRT, and a minimum of 12 months follow-up were included in this analysis. Self-reported fatigue and other quality of life measures were assessed at baseline and at 1, 3, 6, 9, and 12 months post-SBRT.

Results: Mean levels of fatigue were elevated at 1 month post-SBRT compared to baseline values (P = 0.02). Fatigue at the 3-month follow-up and later were higher but not statistically significantly different compared to baseline. African-American patients reported higher fatigue post-SBRT than Caucasian patients. Fatigue was correlated with hormonal symptoms as measured by the Expanded Prostate Cancer Index Composite (EPIC) quality of life questionnaire, but not with urinary, bowel, or sexual symptoms. Age, co-morbidities, smoking, prostate specific antigen (PSA) levels, testosterone levels, tumor stage, and treatment variables were not associated with fatigue.

Conclusion: This is the first study to investigate fatigue as a side effect of SBRT. In contrast to standard radiation therapy, results suggest SBRT-related fatigue is short-term rather than a long-term side effect of SBRT. These results also suggest post-SBRT fatigue to be a more frequent complication in African-Americans than Caucasians.

No MeSH data available.


Related in: MedlinePlus