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Evaluation and management of sleep and circadian rhythm disturbance in cancer
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Balachandran, D. D., Miller, Michelle A., Yennurajaling, S. and Innominato, Pasquale F. (2021) Evaluation and management of sleep and circadian rhythm disturbance in cancer. Current Treatment Options in Oncology, 22 . 81. doi:10.1007/s11864-021-00872-x
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WRAP-evaluation-management-sleep-circadian-rhythm-disturbance-cancer-Miller-2021.pdf - Accepted Version - Requires a PDF viewer. Download (1276Kb) | Preview |
Official URL: https://doi.org/10.1007/s11864-021-00872-x
Abstract
Sleep and circadian rhythm disturbance are among the most commonly experienced symptoms in patients with cancer. These disturbances occur throughout the spectrum of cancer care from diagnosis, treatment, and long into survivorship. The pathogenesis of these symptoms and disturbances is based on common inflammatory pathways related to cancer and its’ treatments. The evaluation of sleep and circadian disorders requires an understanding of how these symptoms cluster with other cancer-related symptoms and potentiate each other. A thorough evaluation of these symptoms and disorders utilizing validated diagnostic tools, directed review of clinical information, and diagnostic testing is recommended. Treatment of sleep and circadian disturbance in cancer patients should be based on the findings of a detailed evaluation, including specific treatment of primary sleep and circadian disorders, and utilize integrative and personalised management of cancer-related symptoms through multiple pharmacologic and non-pharmacologic modalities. Recognition, evaluation, and treatment of sleep and circadian rhythm disturbance in cancer may lead to improved symptom management, quality of life, and outcomes.
| Item Type: | Journal Article | ||||||
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| Subjects: | Q Science > QP Physiology R Medicine > RC Internal medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Sleep disorders, Circadian rhythms , Cancer -- Patients , Cancer -- Treatment -- Complications, Sleep deprivation , Sleep-wake cycle | ||||||
| Journal or Publication Title: | Current Treatment Options in Oncology | ||||||
| Publisher: | Springer | ||||||
| ISSN: | 1527-2729 | ||||||
| Official Date: | 2 July 2021 | ||||||
| Dates: |
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| Volume: | 22 | ||||||
| Article Number: | 81 | ||||||
| DOI: | 10.1007/s11864-021-00872-x | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Reuse Statement (publisher, data, author rights): | This is a post-peer-review, pre-copyedit version of an article published in Current Treatment Options in Oncology. The final authenticated version is available online at: https://doi.org/10.1007/s11864-021-00872-x | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
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