Level of fatigue in women receiving dose-dense versus standard chemotherapy for breast cancer: a pilot study.

PURPOSE/OBJECTIVES To determine whether women receiving dose-dense chemotherapy for breast cancer experience different levels of fatigue than women receiving standard chemotherapy regimens for the disease. DESIGN Quasi-experimental pilot study. SETTING Private physicians' offices in California. SAMPLE 15 women with stage I, II, or III breast cancer receiving dose-dense or standard chemotherapy. The average female participant was 48 years old (mean = 48.3), was married (80%), and had a college degree (73%). METHODS The revised Piper Fatigue Scale was completed by patients at three different times: pretreatment, three days after their cycle 1 chemotherapy dose, and three days after their cycle 2 chemotherapy dose. Patients returned completed surveys by mail. MAIN RESEARCH VARIABLES Fatigue levels associated with chemotherapy. FINDINGS Pretreatment total fatigue scores were not significantly different in the dose-dense and standard chemotherapy groups. Total fatigue scores were significantly higher in the dose-dense group at the cycle 1 and 2 time points. Fatigue scores were significantly higher in women who had undergone a mastectomy, were working, were HER2 positive, and had a tumor size larger than 2 cm. CONCLUSIONS Dose-dense chemotherapy resulted in significantly greater fatigue. IMPLICATIONS FOR NURSING Nurses should educate women receiving dose-dense chemotherapy as part of informed consent and assist them in preparing and planning for fatigue. Information about which patients are more likely to experience significant fatigue allows nurses to judge the frequency with which they need to assess and manage fatigue to improve patient outcomes.