On 2015 Feb 18, Radboudumc Psycho-Oncology Journal Club commented:

This study examines a uniquely large cohort of breast cancer survivors after a long follow-up period (median 6.3 years post-diagnosis). Since severe postcancer fatigue becomes a chronic condition in approximately 25% of breast cancer survivors*, we believe it is important to identify predictors of long-term fatigue. During the plenary discussion of this paper in our Journal club, the following questions were raised:

1) We would like to know how fatigue scores develop in course of time. What are the mean fatigue scores and how many patients in your cohort are severely fatigued?

2) Misinterpretation of the 0-10 fatigue rating scale was reason for exclusion of cases with high pre-diagnosis fatigue levels. We wonder how you assessed if this rating scale was misinterpreted?

3) You have reported interesting outcomes on the predictors of long-term fatigue in breast cancer survivors. We are curious about your recommendations on these outcomes for future research and clinical practice.

*Servaes P, 2007

On 2015 Feb 18, Radboudumc Psycho-Oncology Journal Club commented:

This study examines a uniquely large cohort of breast cancer survivors after a long follow-up period (median 6.3 years post-diagnosis). Since severe postcancer fatigue becomes a chronic condition in approximately 25% of breast cancer survivors*, we believe it is important to identify predictors of long-term fatigue. During the plenary discussion of this paper in our Journal club, the following questions were raised:

1) We would like to know how fatigue scores develop in course of time. What are the mean fatigue scores and how many patients in your cohort are severely fatigued?

2) Misinterpretation of the 0-10 fatigue rating scale was reason for exclusion of cases with high pre-diagnosis fatigue levels. We wonder how you assessed if this rating scale was misinterpreted?

3) You have reported interesting outcomes on the predictors of long-term fatigue in breast cancer survivors. We are curious about your recommendations on these outcomes for future research and clinical practice.

*Servaes P, 2007