Cancer related fatigue (CRF) represents one of the most prevalent symptoms among cancer survivors, significantly impacting their quality of life. Current CRF management in China faces substantial challenges, including insufficient awareness, non-standardized screening protocols, and limited implementation of intervention strategies. To develop a standardized community-based CRF management framework suitable for China's healthcare context, the Community Rehabilitation Working Committee of Chinese Rehabilitation Medicine Association assembled an expert panel to conduct a systematic review of domestic and international CRF management practices, culminating in the Chinese Expert Consensus on Community-based Cancer-related Fatigue Management (2025 Edition). Following evidence-based medicine principles, the consensus panel systematically searched domestic and international databases, screening and evaluating high-quality clinical practice guidelines and expert consensus documents. The expert group addressed critical questions regarding CRF screening, non-pharmacological interventions, pharmacological treatments, exercise protocols, and management considerations for special populations. This consensus aims to provide community healthcare professionals with standardized CRF management recommendations, enhance the capacity of primary healthcare institutions to identify and intervene in CRF cases, empower patients and caregivers, alleviate fatigue symptoms, and ultimately improve quality of life.

癌因性疲乏（CRF）是癌症幸存者普遍存在的症状之一，对癌症幸存者的生活质量产生了显著影响。目前我国在CRF管理方面仍存在认识不足、筛查不规范、干预措施实施受限等挑战。为制订适用于我国社区的CRF规范化管理方案，中国康复医学会社区康复工作委员会组织专家团队对国内外CRF管理现状进行了系统评述，并形成《社区癌因性疲乏管理的中国专家共识（2025年版）》。通过检索国内外数据库，按照循证医学原则筛选和评价高质量临床实践指南及专家共识，本共识专家组重点回答CRF的筛查、非药物干预、药物干预、运动原则以及特殊人群CRF管理注意事项等重要问题，旨在为社区医务人员提供标准化的CRF管理建议，提高基层医疗机构对CRF的识别与干预能力，赋能患者及照护者，减轻患者疲劳状态，最终改善生活质量。