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

• Type: Article in International Scientific Journal
• Date: 2017

Authors

Fontes, F (Author) Other; Alexandra Goncalves (Author) FMUP; Ferreira S (Author) Other; Lunet N (Author) FMUP

Journal

Title: Breast

Vol. 33

Pages: 125-131

ISSN: 0960-9776

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 12 Citations

Scopus - 14 Citations

Other information

Authenticus ID: P-00M-MX8

DOI: 10.1016/j.breast.2017.03.013

Abstract (EN): Objectives: 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 (beta) and 95% confidence intervals (95%Cl) 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) (beta = 0.44, 95%CI: 0.11 to 0.77 versus (beta = 033, 95%CI: 0.08 to 0.59). These differences were accentuated when only the cases of NP with greater severity were considered (beta = 0.86, 95%CI: 0.37 to 1.35 versus (beta = 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.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7