Rest/activity rhythm is related to the coexistence of pain and sleep disturbance among advanced cancer patients with pain

Lai, Chen; Chang, Wen‐Pei

doi:10.1007/s00520-013-1918-0

Cited by 27 publications

(26 citation statements)

References 37 publications

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“…This study is part of a large-scale investigation, the results of which have previously been published (Ma et al, 2014). From the oncology ward of a teaching hospital in Taiwan, we collected data related to 68 cancer patients experiencing pain who were hospitalized for various cancer treatment regimens and the control of symptoms between August 2006 and October 2007.…”

Section: Study Design and Samplementioning

confidence: 99%

“…Pain and other related symptoms experienced by cancer patients can affect their rest-activity rhythms (Innominato et al, 2009a;Ma et al, 2014). Numerous studies have demonstrated that disruptions in restactivity rhythm can have negative consequences for cancer patients and jeopardize survival (Innominato et al, 2009a(Innominato et al, , 2012Mormont et al, 2000).…”

Section: Introductionmentioning

confidence: 95%

“…The dichotomy index (I5O), as measured using an autograph, has been shown to be an independent factor applicable to the prediction of cancer patient prognosis (Innominato et al, 2009a, b). Ma et al (2014) reported a positive correlation between the severity of pain among cancer patients and their rest-activity rhythm, as represented by the dichotomy index (I5O). Differences in restactivity rhythm have been observed among cancer patients with cancer pain of various severities (Mormont et al, 2000;Saini et al, 2013).…”

Section: Introductionmentioning

confidence: 98%

“…Previous studies have revealed relationships between the rest-activity rhythms of cancer patients and sleep disorders, pain and performance status (Innominato et al, 2009a;Ma et al, 2014). The dichotomy index (I5O), as measured using an autograph, has been shown to be an independent factor applicable to the prediction of cancer patient prognosis (Innominato et al, 2009a, b).…”

Section: Introductionmentioning

confidence: 98%

“…The dichotomy index (I5O) has proven to be a representative mediating variable between the pain experienced by cancer patients and sleep disturbance. The pain of cancer patients could be viewed as an indirect reflection of sleep disturbance via the dichotomy index (I5O) (Ma et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

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Correlation between rest-activity rhythm and survival in cancer patients experiencing pain

Chang

2014

Chronobiology International

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The purpose of this study was to investigate the influence of rest-activity rhythm on the survival of cancer patients. This study collected data related to cancer patients experiencing pain who had been hospitalized for treatment between August 2006 and October 2007. Data included the Karnofsky Performance Status Index as a representation of functional condition as well as the Brief Pain Inventory and the Pittsburgh Sleep Quality Index. Actigraphic methods were used to record the dichotomy index (I < O) of patients' rest-activity rhythms over periods of three consecutive days. Patients were closely followed until 31 July 2013. Results were analyzed using Kaplan-Meier survival analysis, log-rank testing and Cox proportional hazards regression analysis to evaluate whether alterations in the rest-activity rhythm affected the survival rate of the patients. Of the 68 hospitalized cancer patients experiencing pain at the time of admission, 51 subsequently died within the study period. A significant difference was observed in the survival curves between the regular I < O group and the disrupted I < O group (log rank = 7.942, p = 0.005). A multivariable proportional hazard model was used for analysis of overall survival, revealing that the risk of death within the study period among patients with disrupted I < O was 4.59 times higher than that of patients with regular I < O (95% CI: 1.92-10.96, p = 0.001). Among patients with poor performance status, the risk of death among patients with disrupted I < O was 8.68 times higher than that of patients with regular I < O (95% CI: 2.50-30.09, p = 0.001). Disruptions in rest-activity rhythm were negatively correlated with the survival of hospitalized cancer patients experiencing pain. Effects were particularly pronounced in cancer patients with poor performance status.

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Section: Study Design and Samplementioning

confidence: 99%

Section: Introductionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Correlation between rest-activity rhythm and survival in cancer patients experiencing pain

Chang

2014

Chronobiology International

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Factors associated with sleep quality during chemotherapy: An integrative review

et al. 2020

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Aim To identify the most important factors associated with sleep pattern changes in patients with cancer during chemotherapy treatment. Design An integrative review of the literature was performed between December 2017–August 2018. Methods Two independent reviewers searching the National Library of Medicine (PubMed/MEDLINE), Cumulative Index of Nursing and Allied Health Literature (CINAHL) and Latin American and Caribbean Literature in Health Sciences (LILACS), Scopus and Scielo. The process followed the recommendations of the PRISMA tool. A total of 16 articles were selected for the final study sample, including 11 cohort studies and 5 cross‐sectional studies. Results The predisposing factors for the most prevalent sleep disturbances were precipitants related to the disease and the treatment, such as fatigue, pain, depression, anxiety and distress. Predisposing factors related to lifestyle and demographic characteristics have a significant correlation with sleep disturbances.

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Sleep disturbances and related factors among family caregivers of patients with advanced cancer

et al. 2015

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Rest/activity rhythm is related to the coexistence of pain and sleep disturbance among advanced cancer patients with pain

Abstract: The rest/activity rhythm influences the coexisting pain and sleep disturbances. Pain functions as a complete mediator in their relationship. Interventions that improve rest/activity rhythms may improve the management of pain and sleep disturbances in cancer patients.

Cited by 27 publications

References 37 publications

Correlation between rest-activity rhythm and survival in cancer patients experiencing pain

Correlation between rest-activity rhythm and survival in cancer patients experiencing pain

Factors associated with sleep quality during chemotherapy: An integrative review

Sleep disturbances and related factors among family caregivers of patients with advanced cancer

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