Evidence map›Paper›PMID 29506921›Full record

ArticleJournal of geriatric oncology2018

Elucidating the associations between sleep disturbance and depression, fatigue, and pain in older adults with cancer.

Kah Poh Loh, Jason Zittel, Sindhuja Kadambi, Chintan Pandya, Huiwen Xu, Marie Flannery, Allison Magnuson, Javier Bautista, Colin McHugh, Karen Mustian and 3 more

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Journal of geriatric oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Article
  7. Risk factors associated with the co-occurrence of severe pain and sleep disturbance in oncology outpatients receiving chemotherapy.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  8. Article
  9. Sleep quality trajectories and their relationship with quality of life in patients with hepatocellular carcinoma: a prospective cohort study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  10. Review
  11. Article
  12. Associations Between Self-Reported Sleep Quality, Fatigue Severity, Factors Associated With Successful Cessation, and Cessation Beliefs Among Regular Smokers.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024
    Observational
  13. Article
  14. Longitudinal changes of health-related quality of life over 10 years in breast cancer patients treated with radiotherapy following breast-conserving surgery.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
    Article
  15. Article
  16. Article
  17. Review
  18. Impact of worst pain severity and morning fatigue profiles on oncology outpatients' symptom burden and quality of life.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

Kah Poh LohJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Jason ZittelJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Sindhuja KadambiJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Chintan PandyaJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Huiwen XuDepartment of Public Health Sciences, University of Rochester School of Medicine and Dentistry, United States.
Marie FlannerySchool of Nursing, University of Rochester School of Medicine and Dentistry, United States.
Allison MagnusonJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Javier BautistaJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Colin McHughJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Karen MustianJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
William DaleDepartment of Medicine, Section of Geriatrics & Palliative Medicine, University of Chicago Medical Center, United States.
Paul DubersteinJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States.
Supriya G MohileJames P Wilmot Cancer Institute, University of Rochester School of Medicine and Dentistry, United States. Electronic address: supriya_mohile@urmc.rochester.edu.
University of Rochester · USUniversity of Chicago Medical Center · US

Funding

URCC NCORP Research BaseUG1CA189961 · NCI · UNIVERSITY OF ROCHESTER · PI Michelle C Janelsins, KAREN M. MUSTIAN · 2014 to 2026
$67.7M
NCI NIH HHS UG1 CA189961
6 · The paper itself

Abstract

objectivesSleep disturbance is prevalent and often coexists with depression, fatigue, and pain in the cancer population. The aim of this study was to describe the prevalence of sleep disturbance with co-existing depression, fatigue, and pain in older patients with cancer. We also examined the associations of several socio-demographic and clinical variables with sleep disturbance.

methodsThis cross-sectional study consisted of 389 older patients with solid and hematologic malignancies who were referred to the Specialized Oncology Care & Research in the Elderly (SOCARE) clinics at the Universities of Rochester and Chicago between May 2011 and October 2015 and completed a sleep and geriatric assessment (that inquires about fatigue, pain, and depression). Multivariate logistic regression was used to identify variables associated with sleep disturbance.

resultsThe prevalence of sleep disturbance was 40%. Of those with sleep disturbance (n = 154), 84% also had at least one of the other three symptoms (25% had one symptom, 38% had two symptoms, and 21% had three symptoms). Sleep disturbance was more likely to be reported in those with comorbidities (45% vs. 28%, P = 0.002), depression (49% vs. 36%, P = 0.015), fatigue (49% vs. 23%, P < 0.001), and pain (45% vs. 31%, P = 0.010). On multivariable analysis, only fatigue (adjusted odds ratio (AOR) 1.90, 95% CI 1.10-3.30, P = 0.020) was independently associated with sleep disturbance.

conclusionsSleep disturbance is prevalent and often co-occurs with depression, fatigue, or pain in older patients with cancer. Fatigue was significantly associated with sleep disturbance and future studies should explore interventions that target sleep disturbance and fatigue.

Indexed as

AgedAged, 80 and overComorbidityCross-Sectional StudiesDepressionFatigueFemaleGeriatric AssessmentHumansMaleMiddle AgedNeoplasmsPainPrevalenceSleep Wake DisordersCancerDepressionOlder adultsPainSleep disturbance

Identifiers

PMID29506921
PMCPMC12491937
OpenAlexW2791168386

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.