A randomised trial of the cool pad pillow topper versus standard care for sleep disturbance and hot flushes in women on endocrine therapy for breast cancer

Marshall-McKenna, Rebecca; Morrison, Audrey; Stirling, Lynne; Hutchison, C. B.; Rice, Ann Marie; Hewitt, Christopher J.; Paul, Lorna; Rodger, Marc; Macpherson, Iain; McCartney, Elaine

doi:10.1007/s00520-015-2967-3

Cited by 11 publications

(10 citation statements)

References 43 publications

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“…These symptoms have also been proposed to have an additive effect whereby when men wake up due to night doi: 10.18282/amor.v2.i2.94 sweats, they may also empty their bladder, thus prolonging the length of time they are awake at night and possibly making it more difficult to resume sleep [47] . Some men can adapt to the adverse effects of ADT [47] ; however, the management of insomnia may be improved by treating adverse treatment side effects with greater use of interventions such as the cool pad pillow topper, which reduces the frequency/severity of hot flushes and sleep disturbance among women, and a greater use of incontinence medication (e.g., tolterodine) [47,63] . Men with a personal and/or family history of insomnia, those who experience distress, anxiety and/or depression, and men with later stages of cancer are at an increased risk of insomnia.…”

Section: Discussionmentioning

confidence: 99%

Are we sleeping on the job? Insomnia among men with prostate cancer

Drummond

2016

Adv Mod Oncol Res

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Prostate cancer is one of the most commonly diagnosed cancers in men and almost half of male cancer survivors in the US have had a prostate cancer diagnosis. Insomnia is common among cancer patients and survivors. There is evidence that cognitive behavioural therapy can be used to effectively manage insomnia among women with breast cancer. The aim of this review was to investigate the prevalence, risk factors and management of insomnia among men with prostate cancer. The effect of insomnia on the psychological health and health-related quality of life of these patients and/or survivors is also discussed. Increased awareness and knowledge of this symptom among men with prostate cancer may facilitate improved diagnosis, and management of insomnia in this large population. This in turn may improve the health-related quality of life of these men. Therefore, research into the effective management of insomnia among men with prostate cancer is essential.Keywords: prostate cancer; insomnia; androgen deprivation therapy; radiotherapy; health-related quality of life; depression; anxiety

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Section: Discussionmentioning

confidence: 99%

Are we sleeping on the job? Insomnia among men with prostate cancer

Drummond

2016

Adv Mod Oncol Res

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“…Furthermore, we established a connection between insomnia and pain, depression, anxiety and/or a reduced quality of life [ 27 , 43 , 53 , 54 , 58 , 63 , 64 , 65 ]. Various types of treatments for insomnia include pharmacological therapies (e.g., hypnotica, sedativa, antidrepressiva, neuroleptics, antihistamine, hormones (melatonin) and herbal extracts) [ 28 , 30 , 42 , 44 , 48 , 57 ] and nonpharmacological therapies (like Psychoeducational intervention, Cognitive Behavior Therapy (CBT), Professionally administered CBT (PCBT), Video-based CBT (VCBT), Behavioral Therapy (BT), Individualized Sleep Promotion Plan (ISPP), Mindfulness-Based Stress Reduction (MBSR), Valencia model of Waking hypnosis, Internet intervention/Sleep Healthy Using The internet (SHUTi), Progressive Muscle Relaxation (PMR), Autogenic Training (AT), (Electro)Acupuncture (EA), Tai Chi Chih (TCC), Cool Pad Pillow Topper (CPPT), Combined multimodal-aerobic Treatment (CT), Multimodal Treatment (MT) and Aerobic Treatment (AeT)) [ 29 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 44 , 46 , 47 , 49 , 50 , 51 , 52 , 55 , 56 , 57 , 59 , 61 , 62 , 66 , 67 , 68 , 69 , 70 ...…”

Section: State-of-the-artmentioning

confidence: 99%

“…Sleep disturbances/disorders and excessive daytime sleepiness (EDS) have been reported to influence fatigue [ 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 ] and its perceptions. Savard et al studied cancer survivors and showed that 52% of them reported sleeping difficulties, and 58% reported that cancer either caused or aggravated their sleeping problems [ 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , <...>…”

Section: Introductionmentioning

confidence: 99%

Sleep Disorders in Cancer—A Systematic Review

Büttner-Teleagă

Kim

Osel

et al. 2021

IJERPH

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Introduction: Sleep disorders, especially insomnia, are very common in different kinds of cancers, but their prevalence and incidence are not well-known. Disturbed sleep in cancer is caused by different reasons and usually appears as a comorbid disorder to different somatic and psychiatric diagnoses, psychological disturbances and treatment methods. There can be many different predictors for sleep disturbances in these vulnerable groups, such as pre-existing sleep disorders, caused by the mental status in cancer or as side effect of the cancer treatment. Methods: A systematic literature review of 8073 studies was conducted on the topic of sleep and sleep disorders in cancer patients. The articles were identified though PubMed, PsycInfo and Web of Knowledge, and a total number of 89 publications were qualified for analysis. Results: The identified eighty-nine studies were analyzed on the topic of sleep and sleep disorders in cancer, twenty-six studies on sleep and fatigue in cancer and sixty-one studies on the topic of sleep disorders in cancer. The prevalence of sleep disturbences and/or sleep disorders in cancer was up to 95%. Discussion: Sleep disturbances and sleep disorders (such as insomnia, OSAS, narcolepsy and RLS; REM-SBD) in cancer patients can be associated with different conditions. Side effects of cancer treatment and cancer-related psychological dysfunctions can be instigated by sleep disturbances and sleep disorders in these patients, especially insomnia and OSAS are common. An evidence-based treatment is necessary for concomitant mental and/or physical states.

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“…Nezvyklým prostředkem k ovlivnění poruch spánku v souvislosti s výskytem návalů horka jsou chladicí polštáře. Letos byly publikovány výsledky randomizované klinické studie, která prokázala benefit jejich použití v terapii nejenom poruch spánku, ale i v ovlivnění hot flashes [63]. Přestože jsou poruchy spánku uváděny jako jeden z vedlejších účinků terapie esci-infekce.…”

Section: Poruchy Spánkuunclassified

Ovarian Ablation in Breast Cancer Patients and the Possibility of Influencing Treatment Side Effects

Palácová¹

2016

Klin Onkol

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Ovarian suppression or ovarian ablation used in treatment of breast carcinoma results in temporary or permanent menopause and associated menopausal symptoms - most frequently vasomotoric symptoms (hot flashes, sweats), vaginal atrophy, sleep disturbances. Patients can also experience frequent decrease in bone density (osteopenia, osteoporosis), mood swings or depression, less frequently cardiac toxicity. Managements of these symptoms is complex. As hormonal replacement therapy (estrogens or combined estrogen/gestagen therapy) is contraindicated in women with breast carcinoma, other available options include non-hormonal pharmacological or non-pharmacological methods or their combinations. Women should be advised about cooling techniques and how to avoid known triggers; these measures should be combined with other non-pharmacological and pharmacological intervention. Non-pharmacological methods include the use of acupuncture or cognitive behavioral therapy. Some tips to help stay cool and decrease hot flashes - avoid hot beverages, spicy food, limit coffee or alcohol intake, dress in layers of clothing that can be removed if necessary. Pharmacological options include most frequently antidepressants - SSRI (selective serotonin reuptake inhibitor), SNRI (serotonin norepinephrin reuptake inhibitor), or alternatively gabapentin or pregabali. A very promising drug is paroxetine with a lot of clinical trials. Only this drug has FDA approval for the indication of hot flashes. Paroxetine can lead to disproportional changes in plasma levels of drug in CYP2D6 metabolism and thus it is not suitable for combination of paroxetine with tamoxifen. Several studies demonstrated the effectiveness of the newer generation of SSRI - citalopram, escitalopram, sertralin and duloxetin in ameliorating hot flashes. Venlafaxine in dose 75 or 150 mg has been associated with a 61% reduction in hot flashes frequency if compared to 27% reduction with placebo. Medroxyprogesterone acetate and megestrol acetate were investigated especially in patients with breast cancer history and both drugs demonstrate an effect in hot flashes treatment. Management of vaginal atrophy is challenging. Vaginal dryness/atrophy can be relieved with use of topical lubricants/gels or possibly in highly symptomatic patients with short term use of topical estrogens. As these symptoms require highly complex management, multidisciplinary approach is recommended.Key words: breast cancer - postmenopause - ovarian suppression - postmenopausal osteoporosis - therapyThis work was supported by grant of the Czech Ministry of Health - RVO (MOÚ, 00209805).The author declares she has no potential conflicts of interest concerning drugs, products, or services used in the study.The Editorial Board declares that the manuscript met the ICMJE recommendation for biomedical papers.Submitted: 20. 7. 2016Accepted: 10. 8. 2016.

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A randomised trial of the cool pad pillow topper versus standard care for sleep disturbance and hot flushes in women on endocrine therapy for breast cancer

Abstract: This study supports the use of the CPPT as an aid to reduce sleep disturbance and the frequency/severity of hot flushes.

Cited by 11 publications

References 43 publications

Are we sleeping on the job? Insomnia among men with prostate cancer

Are we sleeping on the job? Insomnia among men with prostate cancer

Sleep Disorders in Cancer—A Systematic Review

Ovarian Ablation in Breast Cancer Patients and the Possibility of Influencing Treatment Side Effects

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