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Underreporting Chronic Fatigue

Grijalva, R. M.; Perry, C. J.; Perry, R. J.

2025-07-03 primary care research
10.1101/2025.07.01.25330359 medRxiv
Show abstract

While progress has been made toward understanding physical and mental fatigue, chronic fatigue has been under-studied and stigmatized. Unlike other fatigue states that can be relieved by rest, chronic fatigue is a common, debilitating symptom of many chronic conditions. Utilizing deidentified patient data from the Yale-New Haven Hospital System, we analyzed the overlap between diagnosed fatigue and 14 chronic conditions. Our results revealed a significantly lower overlap with fatigue than previous reports in all but one of the current diagnoses fields. The underreporting of disabling fatigue across chronic conditions restricts the translation between medical and basic scientific research. Accurate reporting of the prevalence of chronic fatigue can result in researchers refocusing their efforts toward uncovering targetable mechanisms and physicians consistently reporting and treating chronic fatigue.

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