Evidence map›Paper›PMID 41144100›Full record

Trial reportClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2026

Integrated sleep and psychological interventions enhance postoperative recovery and quality of life in colorectal cancer: a randomized controlled trial.

Gang Wang, Shengjie Pan

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Gang WangDepartment of General Surgery, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, China.
Shengjie PanDepartment of Neurology, The First Affiliated Hospital of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu, China. 448331812@qq.com.ORCID http://orcid.org/0009-0006-1274-7613

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with colorectal cancer frequently experience sleep disturbance, psychological distress, and impaired quality of life after surgery. These symptoms are interrelated through inflammatory and neuroendocrine pathways but are rarely addressed using integrated interventions.

methodsWe conducted a prospective, single-center randomized controlled trial at the First Affiliated Hospital of Soochow University (September 2021-September 2023). A total of 300 patients with stage I-III colorectal cancer were randomized (1:1) to standard oncological care or to a combined intervention including sleep hygiene education, relaxation training, stimulus control, and cognitive-behavioral therapy-based psychological support. Outcomes included Pittsburgh Sleep Quality Index (PSQI), Visual Analog Scale (VAS) pain, Zung Anxiety (SAS) and Depression (SDS) scales, and EORTC QLQ-C30 Global Health/Quality of Life (GHS/QL). Analyses followed the intention-to-treat principle, with multiple imputation for missing data and analysis of covariance (ANCOVA) adjusted for baseline scores.

resultsOf 356 patients screened, 300 were randomized (150 per group). At 3 months, the intervention group showed greater improvement in PSQI (aMD - 7.5, 95% CI - 8.4 to - 6.6, p < 0.001), VAS pain (aMD - 3.2, 95% CI - 3.6 to - 2.8, p < 0.001), SAS (aMD - 13.2, 95% CI - 14.7 to - 11.7, p < 0.001), and SDS (aMD - 13.5, 95% CI - 15.1 to - 12.0, p < 0.001). Global quality of life improved significantly (aMD + 12.5, 95% CI + 10.9 to + 14.1, p < 0.001). All changes exceeded minimal clinically important differences. Intervention adherence was high (93.3%), and no adverse events occurred.

conclusionAn integrated program of sleep and psychological interventions produced clinically and statistically significant improvements in postoperative sleep quality, pain, anxiety, depression, and overall quality of life in colorectal cancer patients. This safe, feasible, and replicable strategy may complement enhanced recovery after surgery (ERAS) protocols and warrants multicenter evaluation with extended follow-up.

Indexed as

Cognitive Behavioral TherapyColorectal NeoplasmsQuality of LifeSleep Wake DisordersAgedAnxietyDepressionFemaleHumansMaleMiddle AgedProspective StudiesRelaxation TherapySleep HygieneSleep QualityCognitive-behavioral therapyColorectal cancerEnhanced recovery after surgery (ERAS)Psychological distressQuality of lifeRandomized controlled trialSleep intervention

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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.