The timing of data
collection is a critical element of the protocol. A cross-sectional
survey is simpler, and far less costly to perform, than a
longitudinal study, but the longitudinal approach is capable
of providing important information about time course of fatigue,
and insights about causality may be possible by examining
the temporal relationships between variables. Changes over
time in the incidence or prevalence of a phenomenon can be
addressed through a methodology that longitudinally evaluates
a specific patient sample over time, or assesses different
samples over time from a defined population.
Other issues of
timing also must be carefully considered. Incidence data (newly
fatigued patients) must be framed by a time period of interest.
The period must be long enough to yield a group of affected
patients capable of being evaluated. Prevalence data (all
fatigued patients) usually refers to a specific point in time
(point prevalence), in which case the inquiry must focus on
"fatigue right now" or fatigue during a relatively brief period
(period prevalence), such as "during the past day (or week)."
Some surveys that query period prevalence assess a longer
interval (e.g. fatigue since a specific treatment, e.g. radiation
or chemotherapy, was given).
Some information
about demographics, the disease and its treatments, and drug
therapies usually is recorded routinely in surveys. Additional
information about potential etiologies or relevant comorbidities,
which may be obtained from the medical record, elicited through
questionnaire or interview, or collected through specific
tests, should be pursued if it can clarify the nature of the
clinical problem or the population studied, or will be used
in statistical analyses. Respondent burden, reliability of
data collection, and cost also influence the decision to include
this other information.