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Quality of Life Research
Gepubliceerd in: Quality of Life Research 10/2017

27-06-2017

Relationship between subjective and actigraphy-measured sleep in 237 patients with metastatic colorectal cancer

Auteurs: Oxana Palesh, Karyn Haitz, Francis Lévi, Georg A. Bjarnason, Carl Deguzman, Igbal Alizeh, Ayhan Ulusakarya, Mary Melissa Packer, Pasquale F. Innominato

Gepubliceerd in: Quality of Life Research | Uitgave 10/2017

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Abstract

Objective

Patients with cancers frequently experience sleep and circadian dysfunction. To date, only a few studies have used both a questionnaire and actigraphy for concomitant evaluation of sleep and circadian function in patients with cancer. We sought to evaluate objective sleep and circadian parameters in metastatic colon cancer (MCC) patients and their associations with symptoms and quality of life (QOL).

Methods

Patients reported subjective sleep problems on the EORTC QLQ-C30. Sleep and circadian parameters were calculated using a wrist-actigraph that patients wore for 72 h.

Results

237 Patients with MCC (mean age: 60.4 years; range: 20.7–77.6; Male/Female ratio: 1.66) participated in this cross-sectional study. Subjective sleep problems were reported by 63.4% of patients (S+). No differences in any sleep parameters (sleep efficiency, sleep latency, total sleep time, total time in bed, wake after sleep onset, activity bathyphase) were observed between S+ and S− patients. However, S+ patients displayed a significantly worse circadian function than S− patients (96.4 vs 98.1%; p = 0.005). The presence of poor subjective sleep and objective circadian dysfunction negatively affected symptoms and QOL domains (p = 0.038).

Conclusions

Subjective report of sleep problems was not associated with worse objectively measured sleep parameters in patients with MCC although it was associated with disrupted circadian rest-activity rhythm and poorer QOL. These findings coincide with prior research in cancer patients in that an inconsistent relationship exists between subjective and objective sleep measurements on some sleep domains. This study supports the value of coupled evaluation of self-reported and objective measures of sleep and circadian function in cancer patients.
vorige artikel Quality of life among survivors of early-stage cervical cancer in Taiwan: an exploration of treatment modality differences
volgende artikel Factors associated with sexual quality of life among midlife women in Serbia
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Metagegevens
Titel
Relationship between subjective and actigraphy-measured sleep in 237 patients with metastatic colorectal cancer
Auteurs
Oxana Palesh
Karyn Haitz
Francis Lévi
Georg A. Bjarnason
Carl Deguzman
Igbal Alizeh
Ayhan Ulusakarya
Mary Melissa Packer
Pasquale F. Innominato
Publicatiedatum
27-06-2017
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 10/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-017-1617-2

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