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Recommendation
Fatigue management and referral
Offer therapy or referral, as appropriate, for factors that may impact on or cause fatigue (e.g. depression, sleep disturbance, pain, anaemia, lymphoedema, thyroid or cardiac dysfunction). For those patients who do not have an otherwise identifiable cause of fatigue, offer referral to appropriate assessment and treatment services (such as a psychologist).
It is recommended that primary care clinicians should offer treatment or referral for factors that may impact fatigue (e.g., mood disorders, sleep disturbance, pain, etc.) for those who do not have an otherwise identifiable cause of fatigue (Level of evidence – 1)
How this guidance was developed
This recommendation was adapted from the ACS/ASCO 2016 guidelines (US). The source recommendation was based on a systematic review of the evidence conducted to April 2015 and was not graded by the source guideline authors. The source recommendation was adapted by adding in lymphoedema as a cause of fatigue, and reference to referral to appropriate assessment and treatment services.
Related guidance by topic
Fatigue management and referral
Recommendation
Offer therapy or referral, as appropriate, for factors that may impact on or cause fatigue (e.g. depression, sleep disturbance, pain, anaemia, lymphoedema, thyroid or cardiac dysfunction). For those patients who do not have an otherwise identifiable cause of fatigue, offer referral to appropriate assessment and treatment services (such as a psychologist).
Principles in action
Multidisciplinary care
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Supportive care
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Communication
This recommendation was adapted from the ACS/ASCO 2016 guidelines (US). The source recommendation was based on a systematic review of the evidence conducted to April 2015 and was not graded by the source guideline authors. The source recommendation was adapted by adding in lymphoedema as a cause of fatigue, and reference to referral to appropriate assessment and treatment services.
Related guidance by topic
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Lymphoedema
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