Given the wealth
of experience in pain research and the paucity of trials of
fatigue as a primary endpoint, the analytic approaches adopted
for analgesic trials should be extrapolated for fatigue research.
Change scores, which can be summarized by subtracting the
baseline data from subsequent data points, are likely to be
the most informative outcomes. Because these scores take the
baseline level of fatigue into account, they allow meaningful
comparisons of fatigue levels over time. An alternative approach
that also allows interpretable group comparisons is to control
for baseline fatigue by entering it into an appropriate covariate
analysis.
Fatigue studies
are likely to collect a large amount of data related to the
description of fatigue, potential etiologies, and comorbidities.
Exploratory post-hoc analyses should be pursued in an effort
to clarify the relationships among fatigue characteristics
and other variables. There is so much yet to be learned about
fatigue that this type of analysis is justified, and could
potentially identify associations that were obscure as well
as suggest future lines of research.