Sleep quality of endometrial cancer survivors and the effect of treatments

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dc.contributor.authorIlhan, Tolgay Tuyan
dc.contributor.authorUcar, Mustafa Gazi
dc.contributor.authorGul, Ayhan
dc.contributor.authorIlhan, Turkan Saymaz
dc.contributor.authorYavas, Guler
dc.contributor.authorCelik, Cetin
dc.date.accessioned2020-03-26T19:42:38Z
dc.date.available2020-03-26T19:42:38Z
dc.date.issued2017
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjective: Sleep disorders affect 54.9% of gynaecologic cancer survivors. The effect of treatment methods on sleep quality is not clear. This study evaluated the sleep quality of survivors of endometrial cancer and compared the effects of different treatments on sleep quality. Materials and Methods: Patients were categorised as surgery (group 1), surgery + brachytherapy (BRT) (group 2), surgery + external beam radiation therapy (EBRT) (group 3), and surgery + EBRT + BRT + chemotherapy (group 4). Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI) questionnaire. The PSQI was completed by the participants before surgery, 1, 3, and 6 months after each treatment was completed. The PSQI scores were compared between the different measurement times and different study groups. Results: This study enrolled 114 patients with a mean age of 58.1 +/- 11 years. The number of participants in each group was 53 (46.5%), 14 (12.3%), 12 (10.5%), and 35 (30.7%), respectively. At baseline, 28 (24.6%) patients reported poor sleep quality. The mean PSQI score reached the maximum level at the second measurement and decreased slightly during follow-up and the change in the PSQI score was significant (p=0.001). Group 3 and group 4 had significantly higher scores from baseline (p<0.008). At time point 3, the differences between the groups were significant. At time point 4, the most prominent effect of treatment on sleep quality was observed in patients with combined chemo-radiotherapy when compared with the other study groups. Conclusion: Most survivors of endometrial cancer are affected by poor sleep quality during their treatment. To improve these patients' quality of life, this disorder must be considered at each visit and tailored care plans should be developed to meet the women's needs. Further studies are needed to evaluate the long-term results of sleep quality on patients with endometrial cancer.en_US
dc.identifier.doi10.4274/tjod.59265en_US
dc.identifier.endpage248en_US
dc.identifier.issn2149-9322en_US
dc.identifier.issn2149-9330en_US
dc.identifier.issue4en_US
dc.identifier.pmid29379668en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage243en_US
dc.identifier.urihttps://dx.doi.org/10.4274/tjod.59265
dc.identifier.urihttps://hdl.handle.net/20.500.12395/35479
dc.identifier.volume14en_US
dc.identifier.wosWOS:000424218200011en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGALENOS YAYINCILIKen_US
dc.relation.ispartofTURKISH JOURNAL OF OBSTETRICS AND GYNECOLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectEndometrial canceren_US
dc.subjectsleep disordersen_US
dc.subjectsleep qualityen_US
dc.titleSleep quality of endometrial cancer survivors and the effect of treatmentsen_US
dc.typeArticleen_US

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