ArticleWorld journal of surgical oncology2014
Sleep disturbances and quality of life in postoperative management after esophagectomy for esophageal cancer.
Article in World journal of surgical oncology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 21 citations in OpenAlex.
- Effects of mindful breathing combined with sleep-inducing exercises in patients with insomnia.World journal of clinical cases · 2021Trial
- Survey on and analysis of the factors influencing the postoperative sleep quality of Chinese patients with oesophageal cancer.World journal of surgical oncology · 2025Article
- Sleep disorders, sleep quality, and health-related quality of life in patients with cancer in Turkey: a multi-center cross-sectional survey.Ewha medical journal · 2024Article
- Severe reflux, sleep disturbances, and health-related quality of life after esophageal cancer surgery.Journal of cancer survivorship : research and practice · 2021Article
- Psychological support of esophageal cancer patient?Journal of thoracic disease · 2019Review
- Measurements and status of sleep quality in patients with cancers.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2018Review
- Impact of jejunostomy during esophagectomy for cancer on health related quality of life.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2014Article
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Authors and funding
11 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aims of this prospective study were to analyze the predictors of postoperative sleep disturbance after esophagectomy for cancer and to identify patients at risk for postoperative hypnotic administration.
methodsSixty two consecutive patients who underwent cancer-related esophagectomy were enrolled in this study from May 2011 to February 2012. Data about perioperative management, postoperative complications, ICU stay, and vasopressor, hypnotic, and painkiller administration were retrieved. The EORTC QLQ-C30 was used and global quality of life (QL2 item) and sleep disturbance (SL item) were the primary endpoints. Univariate and multivariate analyses were performed.
resultsPostoperative request of hypnotics independently predicted bad quality of life outcome. Sleep disturbance after esophagectomy was independently predicted by the duration of dopamine infusion in the ICU and the daily request of benzodiazepines. Even in this case, only sleep disturbance at diagnosis revealed to be an independent predictor of hypnotic administration need. ROC curve analysis showed that sleep disturbance at diagnosis was a good predictor of benzodiazepine request (AUC = 73%, P = 0.02).
conclusionsThe use of vasopressors in the ICU affects sleep in the following postoperative period and the use of hypnotics is neither completely successful nor lacking in possible consequences. Sleep disturbance at diagnosis can successfully predict patients who can develop sleep disturbance during the postoperative period.
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