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Neuropathic pain after breast cancer treatment and its impact on sleep quality one year after cancer diagnosis

dc.contributor.authorFontes, F
dc.contributor.authorGonçalves, M
dc.contributor.authorPereira, S
dc.contributor.authorLunet, N
dc.date.accessioned2017-08-24T22:06:54Z
dc.date.available2017-08-24T22:06:54Z
dc.date.issued2017-06
dc.description.abstractOBJECTIVES: Data regarding the impact of breast cancer treatment-related neuropathic pain (NP) on sleep quality are scarce. Therefore, we aimed to assess the impact of breast cancer treatment-related NP on patients' sleep quality, during the first year after cancer diagnosis. MATERIALS AND METHODS: A total of 501 breast cancer patients were followed prospectively. Incident NP was identified through systematic evaluations after treatments and one year after enrolment. NP severity was quantified using the Brief Pain Inventory severity subscale and sleep quality was evaluated through the Pittsburgh Sleep Quality Index (PSQI), at baseline and after one year. Adjusted regression coefficients (β) and 95% confidence intervals (95%CI) were used to quantify the relation between NP and the variation in the PSQI z-scores. RESULTS: The occurrence of NP was associated with a deterioration in sleep quality during the first year of follow-up, more pronounced among those with good sleep quality (PSQI≤5) than those with poor sleep quality at baseline (PSQI>5) (β = 0.44, 95%CI: 0.11 to 0.77 versus β = 0.33, 95%CI: 0.08 to 0.59). These differences were accentuated when only the cases of NP with greater severity were considered (β = 0.86, 95%CI: 0.37 to 1.35 versus β = 0.31, 95%CI: -0.08 to 0.64). Within the PSQI components, daytime dysfunction and sleep duration were the most impaired by NP. CONCLUSION: Our findings highlight the importance of the promotion of sleep hygiene among breast cancer patients diagnosed with NP, especially among those with good sleep quality before treatments.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBreast. 2017 Jun;33:125-131.pt_PT
dc.identifier.doi10.1016/j.breast.2017.03.013pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/18868
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationEpidemiology Research Unit - Institute of Public Health, University of Porto
dc.subjectNeoplasias da Mamapt_PT
dc.subjectNeuralgiapt_PT
dc.subjectSonopt_PT
dc.subjectBreast Neoplasmspt_PT
dc.subjectSleeppt_PT
dc.titleNeuropathic pain after breast cancer treatment and its impact on sleep quality one year after cancer diagnosispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleEpidemiology Research Unit - Institute of Public Health, University of Porto
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UID%2FDTP%2F04750%2F2013/PT
oaire.citation.endPage131pt_PT
oaire.citation.startPage125-131pt_PT
oaire.citation.volume33pt_PT
oaire.fundingStream6817 - DCRRNI ID
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isProjectOfPublicationbf0d2b5f-ce73-4e53-9bc2-7e82b137d9e2
relation.isProjectOfPublication.latestForDiscoverybf0d2b5f-ce73-4e53-9bc2-7e82b137d9e2

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