Christine Miaskowski, RN, PhD, FAAN, Steven M. Paul, PhD, Bruce A

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Presentation transcript:

Trajectories of Fatigue in Men with Prostate Cancer Before, During, and After Radiation Therapy Christine Miaskowski, RN, PhD, FAAN, Steven M. Paul, PhD, Bruce A. Cooper, PhD, Kathryn Lee, RN, PhD, FAAN, Marylin Dodd, RN, PhD, FAAN, Claudia West, RN, MS, Bradley E. Aouizerat, PhD, Patrick S. Swift, MD, William Wara, MD Journal of Pain and Symptom Management Volume 35, Issue 6, Pages 632-643 (June 2008) DOI: 10.1016/j.jpainsymman.2007.07.007 Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 1 Trajectories of evening and morning fatigue over the 25 weeks of the study. Journal of Pain and Symptom Management 2008 35, 632-643DOI: (10.1016/j.jpainsymman.2007.07.007) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 2 Spaghetti plot of the 82 patients' individual trajectories of evening fatigue (a) and a plot of ten individual evening fatigue trajectories (b) over the 25 weeks of the study. Journal of Pain and Symptom Management 2008 35, 632-643DOI: (10.1016/j.jpainsymman.2007.07.007) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 3 Trajectories of evening fatigue by age (i.e., younger/older), level of sleep disturbance at baseline (i.e., low sleep/high sleep), and level of evening fatigue at baseline (i.e., low fatigue/high fatigue). Journal of Pain and Symptom Management 2008 35, 632-643DOI: (10.1016/j.jpainsymman.2007.07.007) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 4 Trajectories of morning fatigue by lower level of depression at baseline (i.e., LOW CES-D) and by age (i.e., younger/older), level of sleep disturbance at baseline (i.e., low sleep/high sleep), and level of morning fatigue at baseline (i.e., low fatigue/high fatigue). Journal of Pain and Symptom Management 2008 35, 632-643DOI: (10.1016/j.jpainsymman.2007.07.007) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions

Fig. 5 Trajectories of morning fatigue by higher level of depression at baseline (i.e., HIGH CES-D) and by age (i.e., younger/older), level of sleep disturbance at baseline (i.e., low sleep/high sleep), and level of morning fatigue at baseline (i.e., low fatigue/high fatigue). Journal of Pain and Symptom Management 2008 35, 632-643DOI: (10.1016/j.jpainsymman.2007.07.007) Copyright © 2008 U.S. Cancer Pain Relief Committee Terms and Conditions