ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2026
Evaluating perioperative self-reported sleep quality in patients with a gynecologic malignancy.
Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aims to evaluate patient-reported peri-operative sleep quality and identify demographic, clinical, and psychosocial factors associated with poor sleep perioperatively among individuals with gynecologic malignancies.
methodsThis prospective study included patients with confirmed gynecologic malignancies who underwent surgery between September 2020 and October 2023 and were admitted to the hospital for at least one overnight stay. Preoperative sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while postoperative sleep quality was measured with the Richards-Campbell Sleep Questionnaire (RCSQ). "Good" sleep was defined as a PSQI score < 5 or an RCSQ score > 50. Statistical analyses were conducted using t-tests, Pearson's χ
resultsThe mean age of participants was 58.6 years (SD 13.2); 68.9% identified as white, 50% had ovarian cancer, and 54.6% had advanced-stage disease. Pre-operatively, 56.1% of patients reported poor sleep, most commonly due to overnight awakenings from nocturia (67.4%) and vasomotor symptoms (28%). Poor sleep was more common among patients with cervical or vulvar cancer (p = 0.02), those using sleep medications preoperatively (p = 0.002), and those with co-morbid anxiety and depression (p = 0.06). Good post-operative sleep on post-operative day 1 and on day of discharge was associated with increased use of opioid medications (p = 0.007 and 0.02, respectively). Overall, sleep quality significantly declined during hospitalization (p < 0.001).
conclusionPoor perioperative sleep in patients with gynecologic cancers was linked to cancer type, mental health, pain management, and the hospital environment with sleep deteriorating during hospitalizations. Addressing these factors may offer meaningful opportunities to improve sleep.
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