Evidence map›Paper›PMID 31758321›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2020

Preoperative insomnia and its association with psychological factors, pain and anxiety in Chinese colorectal cancer patients.

Guang-Wei Sun, Yi-Long Yang, Xue-Bin Yang, Yin-Yin Wang, Xue-Jiao Cui, Ying Liu, Cheng-Zhong Xing

Abstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.2field-weighted citation impact, top 4% 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

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  7. Factors associated with anxiety in colorectal cancer survivors: a scoping review.Journal of cancer survivorship : research and practice · 2026
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  13. Perioperative Anxiety and Depression in Older Adults: Epidemiology and Treatment.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2023
    Review
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  16. SymptomGraph: Identifying Symptom Clusters from Narrative Clinical Notes using Graph Clustering.Proceedings of the ... Symposium on Applied Computing. Symposium on Applied Computing · 2023
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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

7 authors at 4 institutions in 1 country.

Guang-Wei SunDepartment of Anorectal, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Yi-Long YangDepartment of Social Medicine, School of Public Health, China Medical University, Shenyang, Liaoning, People's Republic of China.
Xue-Bin YangDalian Seventh People's Hospital, Dalian, Liaoning, PR China.
Yin-Yin WangDalian Seventh People's Hospital, Dalian, Liaoning, PR China.
Xue-Jiao CuiPsychological Clinic, The Second Hospital of Dalian Medical University, Dalian, Liaoning, People's Republic of China.
Ying LiuDepartment of Psychiatry, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China. liuyingpsy1@163.com.
Cheng-Zhong XingDepartment of Anorectal, The First Affiliated Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China. xczcoloyto5876@163.com.
China Medical University · CNSeventh People's Hospital of Dalian · CNFirst Hospital of China Medical University · CNSecond Affiliated Hospital of Dalian Medical University · CN

Funding

Basic Research Projects of the Higher Education Department of Liaoning Province LQNK201732National Natural Science Foundation of China 81472853
6 · The paper itself

Abstract

purposeSleep disturbances are common in cancer patients, but little is known about preoperative insomnia and its associated factors in colorectal cancer (CRC) patients. The aim of this study was to clarify the relationship between preoperative insomnia and its associated factors (i.e., pain, anxiety, self-esteem, and coping styles) in CRC patients.

methodsA cross-sectional study was conducted in consecutive CRC inpatients (N = 434), who were required to complete the questionnaires about insomnia, pain, anxiety, self-esteem, and coping styles (acceptance/resignation, confrontation, avoidance) before the day of surgery. Hierarchical regression analyses were conducted to explore the relationships between preoperative anxiety and its associated factors.

resultsBased on the cutoff value of Athens Insomnia Scale (scores ≥ 6) in Chinese cancer patients, the prevalence of insomnia was 38.2% before surgery. Pain (β = 0.087, p = 0.015) and anxiety (β = 0.372, p < 0.001) were positively associated with preoperative insomnia, while self-esteem (β = - 0.479, p < 0.001) and confrontation coping (β = - 0.124, p = 0.003) showed protective effects on preoperative insomnia when putting them together into hierarchical regression. The associated factors together accounted for an additional variance of preoperative insomnia (47.6%).

conclusionsIn line with previous findings, the detrimental effects of pain and anxiety on preoperative insomnia were also observed in our study. More importantly, our main new findings were that self-esteem and confrontation coping played important roles in alleviating preoperative insomnia among CRC patients. Clinicians should take these results into account when developing cancer care management to relieve preoperative insomnia.

Indexed as

Adaptation, PsychologicalAdultAgedAged, 80 and overAnxietyAsian PeopleCancer PainChinaColorectal NeoplasmsCross-Sectional StudiesFemaleHumansMaleMiddle AgedPreoperative PeriodPrevalenceAnxietyColorectal cancerCoping stylesPainPreoperative insomniaSelf-esteem

Identifiers

PMID31758321
OpenAlexW2990412286

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Registered trials

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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.