LIFT project
Longitudinal Investigation of cancer-related Fatigue and its Treatment
Project Coordination
Prof. Dr. Karen Steindorf, Dr. Martina Schmidt, Prof. Dr. Imad Maatouk
Summary
Cancer-related fatigue is one of the most frequent symptoms during and after cancer therapy and can considerably impair quality of life, daily functioning and return to work. Although therapeutic approaches, such as exercise training and psychosocial interventions, have shown significant effects, fatigue is often insufficiently treated and sometimes inadequately diagnosed or even disregarded. Recommendations for care of fatigue including structured screening, evaluation, counseling, and interventions appear insufficiently established in clinical practice in Germany. Among healthcare professionals, there seems to be large heterogeneity in the level of knowledge, attitudes, and support provided regarding cancer-related fatigue. Likewise, cancer patients often have a lack of knowledge, false beliefs, and unmet needs regarding fatigue. However, profound investigations of these issues and reliable data on the actual fatigue management in Germany are still lacking.
Therefore, our LIFT project aims to thoroughly investigate the current status of cancer-related fatigue management in Germany from the institutional, professionals', and patients' perspective. The project follows a multimodal approach including a comprehensive assessment of fatigue management and support offered by different institutions (uncertified hospitals, uncertified oncological practices, counselling units, certified cancer centers; n=350), a survey and qualitative interviews among physicians, nurses and psycho-oncologists (n=490). The patients' perspective on fatigue management is assessed by a longitudinal survey (n=1400) and focus groups.
Principal aims of the LIFT project are to investigate the characteristics, patterns, and potential effects or shortcomings of the current fatigue management. The findings shall provide a basis to identify and overcome shortcomings in the actual fatigue management in Germany, and, to eventually ameliorate this severe burden in cancer patients and survivors.
Current status
Recruitment of patients for the longitudinal survey was completed in January 2023.The assessment timepoints t2, t3 are still ongoing, t4 started in March 2023. The surveys among healthcare professionals were completed in autumn 2022.
Publications
Patient–Professional and Interprofessional Communication Barriers in Cancer‐Related Fatigue Management: A Monocentric Focus‐Group Study Among Multidisciplinary Healthcare Professionals (2025): Wagner, A. S. ; Milzer, M. ; Maatouk, I. ; Wehlen, L. ; Kiermeier, S. ; Steindorf, K. ; Schmidt, M. European Journal of Cancer Care, 1179081, 9 pages, https://doi.org/10.1155/ecc/1179081
Living with cancer-related fatigue.[Leben mit krebsassoziierter Fatigue.] [Die Perspektive der Betroffenen und involvierter Fachpersonen].The perspective of those affected and professionals involved (2025): Wagner, A. S. ; Schmidt, M. ; Blickle, P. ; Jentschke, E. ; Steindorf, K. ; Maatouk, I. Die Onkologie, 31, 708-713, https://doi.org/10.1007/s00761-025-01692-6
An interdisciplinary challenge: responsibilities in German cancer-related fatigue management from the professional and patient perspective (2025): Wagner AS, Milzer M, Steindorf K, Kiermeier S, Nguyen TD, Schmidt ME, Maatouk I Oncologist, Vol 30, Issue 9, doi: 10.1093/oncolo/oyaf233
Fatigue bei Krebs: Wie (gut) sind Betroffene an onkologischen Einrichtungen in Deutschland versorgt? [Cancer-related fatigue: How (good) is the quality of care at cancer care facilities in Germany?] (2025): Wagner AS, Milzer M, Kiermeier S, Schmidt ME, Lei Q, Steindorf K, Maatouk I. Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen, Vol 194, 40-47, doi: 10.1016/j.zefq.2025.02.003
Nurses' Knowledge of Cancer-Related Fatigue and the Coverage of This Subject in Nursing Training: A Cross-Sectional Study (2025): Wagner AS, Milzer M, Schmidt ME, Kiermeier S, Maatouk I, Steindorf K. Journal of Nursing Research, 33 (2), doi: 10.1097/jnr.0000000000000666
Physicians’ perspectives on cancer-related fatigue management and their suggestions for improvements in medical training: a cross-sectional survey study in Germany (2024): Wagner AS, Wehlen L, Milzer, M, Schmidt ME, Kiermeier S, Maatouk I, Steindorf K. Supportive Care in Cancer, 32, 788, https://doi.org/10.1007/s00520-024-08978-2
Patient-physician communication about cancer-related fatigue: a survey of patient-perceived barriers (2024): Milzer M, Wagner AS, Schmidt ME, Maatouk I, Hermann S; Cancer Registry of Baden-Württemberg; Kiermeier S, Steindorf K. Journal of cancer research and clinical oncology, 150, 29, https://doi.org/10.1007/s00432-023-05555-8
Cancer-related fatigue: Quality, credibility, usability, and readability of information on websites of health care institutions in Germany (2024): Wagner AS, Milzer M, Steindorf K, Kiermeier S, Schmidt ME, Maatouk I. Patient Education and Counseling, 121, 108135, https://doi.org/10.1016/j.pec.2024.108135
Psycho-oncologists’ knowledge of cancer-related fatigue and the targets for improving education and training: results from a cross-sectional survey study (2023): Milzer M, Wagner AS, Steindorf K, Kiermeier S, Schmidt ME & Maatouk I Supportive Care in Cancer, 31, 412, https://doi.org/10.1007/s00520-023-07882-5
The study is funded by the German Research Foundation (Deutsche Forschungsgemeinschaft – DFG).
Contact
-
Dr. Martina Schmidt
Senior Scientist