PURPOSE: @entity2969 ( @entity2971 ) and its treatment may cause distressing long-term symptoms. We aimed to examine self-reported symptom frequency and distress as well as the impact of demographic and medical characteristics in @entity2971 survivors. METHODS: A total of 164 @entity2971 survivors receiving follow-up care at the University Cancer Center Hamburg and a specialized private practice facility were interviewed at a median time of 11.6  years after first diagnosis. @entity3 was present in 48  % of the @entity1 and relapse had occurred in 17  %. The @entity1 completed the short form of the Memorial Symptom Assessment Scale (MSAS-SF) assessing 28 physical and 4 @entity1109 . RESULTS: The mean number of physical symptoms was 4.5 (SD  =  4.3) ( @entity1109 M  =  1.4, SD  =  1.4; total M  =  5.9, SD  =  5.2). The most frequent physical symptoms were lack of energy (49  %), feeling drowsy (42  %), sleeping problems (36  %), and difficulty in concentration (32  %). Lack of energy was experienced as highly distressing by 21  % of the @entity1 . The most frequent @entity1109 were @entity146 (47  %) and being worried (42  %). The number of physical symptoms was associated with higher age, lower socioeconomic status, and shorter time since diagnosis in multivariate regression analyses controlling for metastatic vs. localized disease, relapse, extent of surgery, number of chemotherapy cycles, and radiotherapy. CONCLUSIONS: @entity2971 survivors suffered from a significant number of long-term symptoms. Fatigue-related symptoms were most frequent and perceived as highly distressing. Continuous attention toward fatigue is necessary throughout follow-up care to offer support in time, particularly in more vulnerable @entity1 of higher age and lower socioeconomic status.

Symptom burden in long-term XXXX survivors.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity2971 :: ('MESH:D009373', 'Disease') :: ['GCT'] @entity146 :: ('MESH:D001523', 'Disease') :: ['irritability'] @entity1109 :: ('MESH:D012678', 'Disease') :: ['psychological symptoms'] @entity2969 :: ('MESH:C563236', 'Disease') :: ['Testicular germ cell tumor'] @entity3 :: ('MESH:D009362', 'Disease') :: ['Metastatic disease']
@entity2971 :: (MESH:D009373,Disease) :: ['germ cell tumor']
