TAILIEUCHUNG - Fatigue in breast cancer patients on chemotherapy: A cross-sectional study exploring clinical, biological, and genetic factors

Cancer-related fatigue (CRF) is one of the most common and distressing complaints reported by cancer patients during chemotherapy considerably impacting all aspects of a patient’s life (physical, psychosocial, professional, and socioeconomic). | Hajj et al. BMC Cancer 2022 22 16 https s12885-021-09072-0 RESEARCH Open Access Fatigue in breast cancer patients on chemotherapy a cross-sectional study exploring clinical biological and genetic factors Aline Hajj1 2 Rami Chamoun1 2 Pascale Salameh3 4 5 Rita Khoury1 2 Roula Hachem1 2 Hala Sacre3 Georges Chahine6 Joseph Kattan6 and Lydia Rabbaa Khabbaz1 2 Abstract Background Cancer-related fatigue CRF is one of the most common and distressing complaints reported by cancer patients during chemotherapy considerably impacting all aspects of a patient s life physical psychosocial pro- fessional and socioeconomic . The aim of this study was to assess the severity of cancer-related fatigue in a group of breast cancer patients undergoing chemotherapy and explore the association between fatigue scores and sociode- mographic clinical biological psychiatric and genetic factors. Methods A cross-sectional pilot study carried out at the oncology outpatient unit of Hôtel-Dieu de France University Hospital recruited 67 breast cancer patients undergoing chemotherapy between November 2017 and June 2019 to evaluate fatigue using the EORTC QLQ-C30 scale European Organization for the Research and Treatment of Cancer ABCB1 was performed using the Lightcycler Roche . Quality of Life Questionnaire . Genotyping for seven gene polymorphisms COMT DRD2 OPRM1 CLOCK PER2 CRY2 Results The prevalence of fatigue was . Multivariable analysis taking the fatigue score as the dependent vari- able showed that a higher number of cycles and a lower hemoglobin level were significantly associated with higher odds of exhibiting fatigue. Moreover having at least one C allele for DRD2 SNP vs. TT was significantly associated with a higher odds of expressing fatigue compared to TT patients. Finally patients with at least one C allele for CLOCK SNP tended to display higher fatigue levels than TT patients. Conclusions Our study showed that anemic breast cancer patients with a high .

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