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DOI: 10.1055/s-2004-826662
© Georg Thieme Verlag Stuttgart · New York
Ein vielschichtiges interdisziplinäres Krankheitsbild - Fatigue - Erschöpfung nach Tumortherapie
Publication History
Publication Date:
11 May 2004 (online)
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Zusammenfassung
Die Erschöpfung nach einer Tumorerkrankung zählt heute zu den schwerwiegenden Nebenwirkungen, die mit einer Krebserkrankung einhergehen. Nahezu bei allen Patienten unter Therapie und bei einem erheblichen Teil der Patienten auch Jahre nach erfolgreicher Therapie tritt dieses Symptom auf. Es hat erhebliche Auswirkungen auf die Lebensqualität und scheint auch den Therapieverlauf zu beeinflussen. Über die Ursachen dieses Syndroms, insbesondere über die Jahre anhaltende Ermüdung, ist bisher nur wenig bekannt. Trotzdem gelingt es mittels der zur Verfügung stehenden Fragebogeninstrumente zuverlässig und reproduzierbar, das Vorliegen und den Verlauf einer tumorbedingten Fatigue zu erfassen. Die Behandlung des Syndroms umfasst neben der Korrektur zugrunde liegender Stoffwechselstörungen vor allem körperliches Training und psychoonkologische Maßnahmen zur Verbesserung der Krankheitsbewältigung.
Summary
Tumour caused Fatigue is nowadays considered as one of the most severe sideeffects associated with modern multimodal therapy in cancer. Almost all tumour patients under therapy - very often even years after a successful therapy - are suffering from fatigue. It has a considerable impact not only on the quality of life, but apparently also on the course of the treatment. There is only little known on where the Cancer-Fatigue-Syndrome comes from, especially the tiredness persisting for years. The currently used questionnaires allow a good and reproducible evaluation of the existence and the course of tumour caused Fatigue. The treatment of the Cancer-Fatigue-Syndrome includes the correction of underlying metabolic disorder as well as - even more important - physical training and psycho-oncological measures in order to better cope with the disease.
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Korrespondenzadresse
Dr. Jens Ulrich Rüffer
Deutsche Fatigue Gesellschaft
Maria-Hilf-Str. 15
50677 Köln
Email: rueffer@takepart-media.de