Using the Patient Concerns Inventory in the identification of fatigue following treatment for head and neck cancer

Fatigue has a profound impact on health-related quality of life (HRQOL). The aim this study was to describe the clinical characteristics and HRQOL head neck cancer patients who raised issue fatigue Patient Concerns Inventory (PCI) at their review consultation. Eight consultants were randomized use PCI as part cluster-controlled trial. Patients also completed University Washington Quality Life version 4 (UWQOL), EQ-5D-5L (EuroQol Group), Distress Thermometer questionnaires. included 140 attended clinics median 108 (interquartile range 70–165) days after end treatment. item ‘fatigue’ sixth most commonly selected, by 29% (n = 40). Those with advanced tumours more likely have selected (30/84, 36% vs 10/56, 18%; P 0.02), those treated radiotherapy ± chemotherapy (34/87, 39% 6/53, 11%; < 0.001). group reported significantly worse overall life, social–emotional physical function composite scores Thermometer, EQ-5D-5L. common in sleeping, nausea, mood, depression, mobility, breathing, energy level concerns. In conclusion, given problems associated fatigue, it is appropriate screen seek interventions that might help address this.