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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 ISSN 1527-2729.

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Official URL: https://doi.org/10.1007/s11864-021-00872-x

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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 itsโ€™ 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
Subjects: Q Science > QP Physiology
R Medicine > RC Internal medicine
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
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:
DateEvent
2 July 2021Published
25 May 2021Accepted
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
Date of first compliant deposit: 3 June 2021
Date of first compliant Open Access: 2 July 2022
Is Part Of: 1
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