Patient-controlled methylphenidate for the management of fatigue in patients with advanced cancer: A preliminary report
Patient-controlled methylphenidate for the management of fatigue in patients with advanced cancer: A preliminary report
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DOI:
10.1200/jco.2003.06.156
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发表时间:
2003-12-01
影响因子:
45.3
通讯作者:
Escalante, C
中科院分区:
文献类型:
--
作者:
Bruera, E;Driver, L;Escalante, C
Purpose: To assess the effects of patient-controlled methylphenidate for cancer-related fatigue.Patients and Methods: In this prospective open study, 31 patients with advanced cancer and fatigue who scored greater than or equal to 4 on a scale of 0 to 10 received methylphenidate 5 mg by mouth every 2 hours as needed for 7 days (maximum, 20 mg/d). Multiple symptoms were assessed daily; the primary end point, fatigue, was measured using the 0 to 10 scale, and the Functional Assessment for Chronic Illness Therapy-Fatigue (FACIT-F) was performed at baseline, day 7, and day 28.Results: The following mean (+/- standard deviation) scores for 30 assessable patients improved significantly between baseline and day 7: fatigue (0 to 10 scale), 7.2 +/- 1.6 v 3.0 +/- 1.9 (P