Abstract Objective To systematically review the methodological quality and measurement properties of childhood cancer-related fatigue assessment tools based on the consensus-based standards for the selection of health measurement instruments (COSMIN) guidelines, providing a basis for clinical practitioners to select appropriate assessment tools. Methods The databases searched included China National Knowledge Infrastructure, Wanfang Data, China Biomedical Literature, Weipu, PubMed, CINAHL, Embase, and Web of Science for studies published up to January 2024. Children under 12 years old and their primary caregivers were enrolled as subjects. Articles were screened based on inclusion criteria, and the key information regarding the assessment tools was extracted. The risk of bias checklist from the COSMIN guidelines and the quality standard rating scale were employed to evaluate measurement properties and formulate final recommendations. Results A total of 18 articles were included, covering 7 fatigue measurement tools, consisting of 4 specific tools and 3 generic tools tools. Methodological differences were observed in measurement properties across these scales. The Chinese Version of the Pediatric Patient-Reported Outcomes Measurement Information System (C-Ped-PROMIS) was rated as grade A recommendation due to its adequate content validity and internal consistency, while the remaining six scales were rated as grade B recommendation since their content validity was assessed as "insufficient" based on moderate-level evidence or higher. Conclusions The C-Ped-PROMIS scale demonstrates good reliability, validity, and cross-cultural validity as the preferred tool for measuring childhood cancer-related fatigue. The scale can serve as an auxiliary tool, and future research should focus on the applicability of various tools to enhance the effectiveness of interventions for assessing childhood cancer-related fatigue.
ZHAO Qian,WANG Yu,BIAN Lan-Zheng. A systematic review of childhood cancer-related fatigue assessment tools based on the COSMIN guidelines[J]. CJCP, 2025, 27(2): 184-191.
ZHAO Qian,WANG Yu,BIAN Lan-Zheng. A systematic review of childhood cancer-related fatigue assessment tools based on the COSMIN guidelines[J]. CJCP, 2025, 27(2): 184-191.
Bhatia S, Tonorezos ES, Landier W . Clinical care for people who survive childhood cancer: a review[J]. JAMA, 2023, 330( 12): 1175- 1186. PMID: 37750876. DOI: 10.1001/jama.2023.16875 .
Ehrhardt MJ, Krull KR, Bhakta N, et al . Improving quality and quantity of life for childhood cancer survivors globally in the twenty-first century[J]. Nat Rev Clin Oncol, 2023, 20( 10): 678- 696. PMID: 37488230. DOI: 10.1038/s41571-023-00802-w .
Shaheen AAM, Masoud A, Omar MTA . Measurement properties of the Arabic version of the pediatric functional assessment of chronic illness therapy-fatigue in children with cancer[J]. J Back Musculoskelet Rehabil, 2023, 36( 4): 921- 930. PMID: 37092214. DOI: 10.3233/BMR-220234 .
Lai JS, Cella D, Kupst MJ, et al . Measuring fatigue for children with cancer: development and validation of the pediatric Functional Assessment of Chronic Illness Therapy-Fatigue (pedsFACIT-F)[J]. J Pediatr Hematol Oncol, 2007, 29( 7): 471- 479. PMID: 17609625. DOI: 10.1097/MPH.0b013e318095057a .
Hockenberry MJ, Hinds PS, Barrera P, et al . Three instruments to assess fatigue in children with cancer: the child, parent and staff perspectives[J]. J Pain Symptom Manage, 2003, 25( 4): 319- 328. PMID: 12691683. DOI: 10.1016/s0885-3924(02)00680-2 .
Chiang YC, Hinds PS, Yeh CH, et al . Development and psychometric testing of a Chinese version of the Fatigue Scale-Children in Taiwan[J]. J Clin Nurs, 2008, 17( 9): 1201- 1210. PMID: 18416796. DOI: 10.1111/j.1365-2702.2007.02138.x .
Chung JOK, Li WHC, Chan GCF, et al . Psychometric evaluation of the Chinese version of the Fatigue Scale for Children: abridged secondary publication[J]. Hong Kong Med J, 2020, 26 Suppl 6( 6): 17- 19. PMID: 33229597.
Ho KY, Li WH, Lam KW, et al . The psychometric properties of the Chinese version of the Fatigue Scale for Children[J]. Cancer Nurs, 2016, 39( 5): 341- 348. PMID: 26378402. DOI: 10.1097/NCC.0000000000000297 .
Mahdizadeh F, Mehraban AH, Faranoush M, et al . Fatigue in children with cancer: reliability and validity of the Persian version of child, parent, and staff fatigue scale[J]. Asia Pac J Oncol Nurs, 2020, 7( 2): 174- 179. PMID: 32478135. PMCID: PMC7233566. DOI: 10.4103/apjon.apjon_44_19 .
Ger?eker G?, Yilmaz HB . Reliability and validity of Turkish versions of the child, parent and staff cancer fatigue scales[J]. Asian Pac J Cancer Prev, 2012, 13( 7): 3135- 3141. PMID: 22994723.
Deviaterikova AA, Kasatkin VV, Velichovsky BB . The validity and reliability of the Turkish Scale for the Assessment of Fatigue in Pediatric Oncology Patients Aged 7-18 in Russia[J]. Psychol Russ, 2021, 14( 1): 39- 48. PMID: 36950321. PMCID: PMC10027000. DOI: 10.11621/pir.2021.0104 .
Liu Y, Yuan C, Wang J, et al . Chinese version of Pediatric Patient-Reported Outcomes Measurement Information System short form measures: reliability, validity, and factorial structure assessment in children with cancer in China[J]. Cancer Nurs, 2019, 42( 6): 430- 438. PMID: 30124482. DOI: 10.1097/NCC.0000000000000633 .
Liu Y, Yuan C, Wang J, et al . Comparability of the Patient-Reported Outcomes Measurement Information System Pediatric short form symptom measures across culture: examination between Chinese and American children with cancer[J]. Qual Life Res, 2016, 25( 10): 2523- 2533. PMID: 27165148. DOI: 10.1007/s11136-016-1312-8 .
Rostagno E, Marchetti A, De Maria M, et al . Psychometric properties of Pediatric Quality of Life Multidimensional Fatigue Scale in Italian paediatric cancer patients: a multicentre cross-sectional study[J]. Eur J Cancer Care (Engl), 2021, 30( 6): e13510. PMID: 34515385. DOI: 10.1111/ecc.13510 .
Varni JW, Burwinkle TM, Katz ER, et al . The PedsQL in pediatric cancer: reliability and validity of the Pediatric Quality of Life Inventory Generic Core Scales, Multidimensional Fatigue Scale, and Cancer Module[J]. Cancer, 2002, 94( 7): 2090- 2106. PMID: 11932914. DOI: 10.1002/cncr.10428 .
Al-Gamal E, Long T . The psychometric properties of an Arabic version of the PedsQL Multidimensional Fatigue Scale tested for children with cancer[J]. Compr Child Adolesc Nurs, 2017, 40( 3): 188- 199. PMID: 28541759. DOI: 10.1080/24694193.2017.1316791 .
Penson A, Walraven I, Bronkhorst E, et al . Assessing fatigue in childhood cancer survivors: psychometric properties of the Checklist Individual Strength and the Short Fatigue Questionnaire: a DCCSS LATER study[J]. Cancer Med, 2022, 11( 4): 1172- 1180. PMID: 34953059. PMCID: PMC8855897. DOI: 10.1002/cam4.4490 .
30 Lodder P, Kupper N, Mols F, et al . Assessing the temporal stability of psychological constructs: an illustration of type D personality, anxiety and depression[J]. J Res Pers, 2022, 101: 104299. DOI: 10.1016/j.jrp.2022.104299 .
31 Streiner DL, Norman GR, Cairney J . Health Measurement Scales: A Practical Guide to Their Development and Use[M]. 5th ed. Oxford: Oxford University Press, 2014.
Larsson K, Kallings LV, Ekblom ?, et al . Criterion validity and test-retest reliability of SED-GIH, a single item question for assessment of daily sitting time[J]. BMC Public Health, 2019, 19( 1): 17. PMID: 30611226. PMCID: PMC6321678. DOI: 10.1186/s12889-018-6329-1 .
Christen S, Roser K, Mulder RL, et al . Recommendations for the surveillance of cancer-related fatigue in childhood, adolescent, and young adult cancer survivors: a report from the International Late Effects of Childhood Cancer Guideline Harmonization Group[J]. J Cancer Surviv, 2020, 14( 6): 923- 938. PMID: 32839902. PMCID: PMC7572340. DOI: 10.1007/s11764-020-00904-9 .
