Sleep quality and health-related quality of life among long-term survivors of (non-) Hodgkin lymphoma in Germany

Hammersen, Friederike; Lewin, Philip; Gebauer, Judith; Kreitschmann-Andermahr, Ilonka; Brabant, Georg; Katalinic, Alexander; Waldmann, Annika

doi:10.1371/journal.pone.0187673

Cited by 16 publications

(11 citation statements)

References 38 publications

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“…We showed patients having cardiovascular disease, retinopathy, and hypertension had a prediction for poor sleep quality. The data in the current study are consistent with several previous trials [21][22][23] .…”

Section: Discussionsupporting

confidence: 93%

Sleep Quality and Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes: A Cross-sectional Survey in Jordan.

Abu-Shennar¹,

Bebiş²,

Bayraktar³

2020

Preprint

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Objective: The aims of this study were to quantify the prevalence of DPN as was assessed by the MNSI, and to evaluate sleep quality as was assessed by the PSQI. Also, to assess the relevance of other factors to sleep quality and DPN among patients with T2DM.Methods: A cross-sectional study was carried out at the Jordanian Ministry of Health in Amman, Jordan, during the period from the 1 st of June 2018 to the 1 st of September 2018. A total of 549 (269 male and 280 female) patients with type 2 diabetes were recruited. Data were collected using the MNSI to assess DPN a cutoff point of MNSI based on history score of ≥ 7, and physical examination based on the score of ≥ 2. While the PSQI to assess sleep quality with a cutoff point of PSQI ≥8. Participants' demographic background data were also recorded. Statistical analysis was conducted using SPSS version 20. Mean and standard deviation values were used to summarize continuous variables, and proportions were used for categorical variables. Chi-square was used to test the independent distribution of categorical variables where appropriate. Binary logistic regressions were used to examine the net effect for each of the proposed variables. A p-value of less than 0.05 was considered statistically significant.Results: The sample comprised 269 male and 280 female T2DM patients with a mean (SD) age of 2.00 (±0.574) years. Mean (SD) BMI was 3.58 (±0.617) kg/m2, and the mean (SD) duration of diabetes was 1.74 (±0.806) years. The prevalence of DPN based on a history score of ≥ 7 was 31.7% and 33.7% based on physical examination based on the score of ≥ 2 using MNSI. Besides, the results of the study revealed that the mean (SD) PSQI score of the study patients was 6.11(±7.01), with 32.8% who had a PSQI score ≥8. While, logistic regression analyses were conducted to identify factors independently related to DPN were marital status, working status, smoking status, diet regimen, physical activity, regularly visit treatment physicians, cardiovascular disease, dyslipidemia, retinopathy, hypertension, type of treatment (such as insulin and oral hypoglycemia agents or both), with the type of medications (such as a statin, and metformin). Also, uncontrolled diabetes, HDL-cholesterol levels, and duration of diabetes. On the other hand, multivariate logistic regression analyses were conducted to identify factors independently related to sleep quality were cardiovascular disease, dyslipidemia, retinopathy, hypertension, type of treatment (such as insulin and oral hypoglycemia agents or both), with the type of medications (such as a statin, and metformin). The study showed that subjective sleep quality and quantity, night sleep disturbance, and daytime dysfunction were the risk factors for poor glycemic control.Conclusions and recommendations: The high prevalence of DPN and poor sleep quality and patients with T2DM in addition to unawareness and poor management of DPN require more physician and health care professionals’ better management of DPN and improve sleep quality at the Jordanian Ministry of Health. Also, the results highlighted the need for intensive programs targeting early detection and prompt implementation of health education. Also, more attention is needed to prevent late-onset DPN complications, even in asymptomatic patients. Old patients with long-standing DM should be screened continuously for DPN. Moreover, the initial measures to prevent DPN and improves sleep quality include glycemic control and implementation with modification of lifestyle and behavioral changes such as appropriate diet, exercise, and regularly visit treating physician.

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Section: Discussionsupporting

confidence: 93%

Sleep Quality and Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes: A Cross-sectional Survey in Jordan.

Abu-Shennar¹,

Bebiş²,

Bayraktar³

2020

Preprint

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“…These results also provide information about the response rate of observational research, which was 51%. This is comparable with response rates from other population-based studies on quality of life among lymphoma survivors in Germany (54.7%) [ 26 ] and the United States (54.8%) [ 27 ]. However, the current response rate is lower compared with that reported from earlier observational research within our study group at approximately 80%, despite similar patients and recruitment procedures [ 28 ].…”

Section: Discussionsupporting

confidence: 85%

Web-Based Self-Management for Patients With Lymphoma: Assessment of the Reach of Intervention of a Randomized Controlled Trial

et al. 2020

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Background Randomized controlled trials (RCTs) often provide accurate estimates of the internal validity of an intervention but lack information on external validity (generalizability). We conducted an RCT on the effectiveness of a self-management intervention among patients with lymphoma in a population-based setting. Objective The objectives of the current study were to describe the proportion of RCT participants compared to all patients invited to participate, and compare sociodemographic and clinical characteristics of RCT participants with all respondents, all patients invited to participate, and all patients selected from the Netherlands Cancer Registry (NCR) to determine the reach of the intervention. An additional objective was to assess differences on RCT outcome variables between RCT and paper respondents. Methods Patients with lymphoma or chronic lymphocytic leukemia ≥18 years old at diagnosis from 13 hospitals in the Netherlands were selected from the population-based NCR, which routinely collects data on sociodemographic and clinical characteristics. Eligible patients were invited to participate in an RCT and complete a questionnaire. Web-based completion determined RCT enrollment, whereas paper respondents were followed observationally. Results A total of 1193 patients were selected from the NCR, 892 (74.77%) of whom were invited to participate in the trial by their hematologist after verifying eligibility. Among those invited, 25.4% (227/892) completed the web-based questionnaire and were enrolled in the RCT. The RCT participants were younger and there was a higher proportion of men than nonparticipants (P<.001). In addition, 25.7% (229/892) of those invited opted to participate in the paper-based observational follow-up study. Compared with paper respondents, RCT participants were younger (P<.001), with a higher proportion of men (P=.002), and had higher education levels (P=.02). RCT participants more often wanted to receive all available information on their disease (P<.001), whereas paper respondents reported higher levels of emotional distress (P=.009). Conclusions From a population-based sample of eligible patients, the participation rate in the RCT was approximately 25%. RCT participants may not be representative of the target population because of different sociodemographic and clinical characteristics. Since RCT participants represent a minority of the target population, RCT results should be interpreted with caution as patients in the RCT may be those least in need of a self-management intervention. Trial Registration Netherlands Trial Register NTR5953; https://www.trialregister.nl/trial/5790

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“…For instance, previous researchers have reported a total PSQI score of 6.0 points in patients with COPD (43). Moreover, in a large study from a population-based German regional cancer registry, involving 515 long-term survivors of HL and NHL, mean PSQI scores of 5.8 points and 6.4 points for HL and NHL, respectively, were reported (44). In addition, mean PSQI scores of 6.5 and 8.1 points were found among SLE patients without and with metabolic syndrome, respectively (45).…”

Section: Discussionmentioning

confidence: 98%

Influence of Itch and Pain on Sleep Quality in Atopic Dermatitis and Psoriasis

Kaaz¹,

Szepietowski²,

Matusiak³

2019

Acta Derm Venerol

111

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Atopic dermatitis and psoriasis are chronic, inflammatory and debilitating skin conditions. As skin conditions can affect sleep activity, it is possible that such dermatoses can disturb sleep quality. Moreover, atopic dermatitis-and psoriasis-related subjective symptoms may worsen sleep disturbances. In this study, we demonstrate that patients with atopic dermatitis experience far more problems with insomnia and sleep quality than those with psoriasis. We show that atopic dermatitis and psoriasis-related itch, but not pain, has a substantial association with insomnia and sleep quality, and is a crucial subjective symptom in these two chronic inflammatory diseases. Subjective symptoms accompanying atopic dermatitis and psoriasis can negatively influence patients' well-being. This study assessed the impact of itch and pain on sleep quality among 100 patients with atopic dermatitis and 100 patients with psoriasis, compared with 50 controls. The Athens Insomnia Scale (AIS) and Pittsburgh Sleep Quality Index (PSQI) were used to evaluate a spectrum of sleep disturbances. Coexistence of insomnia was indicated in the majority of patients; atopic dermatitis; 82%, psoriasis; 62%. PSQI total scores for patients with atopic dermatitis (8.3 ± 4.2 points) and those with psoriasis (8.1 ± 4.8 points) qualified them, in 80% of cases, as poor sleepers and were significantly higher compared with controls (3.1 ± 1.9 points). However, subjects with atopic dermatitis experienced more problems with insomnia and sleep quality than did those with psoriasis. Atopic dermatitis and psoriasis-related itch, but not pain, has a substantial association with insomnia and sleep quality in these patients, and is a crucial subjective symptom in these chronic, inflammatory skin diseases.

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Sleep quality and health-related quality of life among long-term survivors of (non-) Hodgkin lymphoma in Germany

Cited by 16 publications

References 38 publications

Sleep Quality and Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes: A Cross-sectional Survey in Jordan.

Sleep Quality and Diabetic Peripheral Neuropathy among Patients with Type 2 Diabetes: A Cross-sectional Survey in Jordan.

Web-Based Self-Management for Patients With Lymphoma: Assessment of the Reach of Intervention of a Randomized Controlled Trial

Influence of Itch and Pain on Sleep Quality in Atopic Dermatitis and Psoriasis

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