Colorectal Cancer Anatomical Site and Sleep Quality
Abstract
:Simple Summary
Abstract
1. Introduction
2. Materials and Methods
2.1. Study Population
2.2. Sleep Quality Assessment
2.3. Tumor Site Ascertainment
2.4. Covariates
2.5. Statistical Analysis
3. Results
4. Discussion
4.1. Main Findings
4.2. Interpretation of Findings
4.3. Implications for Research and Practice
4.4. Strengths and Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Overall N = 1453 N (%) | Rectal Cancer N = 543 N (%) | Colon Cancer N = 910 N (%) | p-Value | |
---|---|---|---|---|
Age (years) | 57.6 ± 10.6 | 55.6 ± 10.2 | 58.8 ± 10.7 | <0.001 |
Sex | 0.270 | |||
Male | 789 (54.3) | 305 (56.2) | 484 (53.2) | |
Female | 664 (45.7) | 238 (43.8) | 426 (46.8) | |
Race | 0.127 | |||
Caucasian/White | 1144 (78.7) | 416 (76.6) | 728 (80.0) | |
Person of Color 1 | 252 (17.3) | 108 (19.9) | 144 (15.8) | |
Missing | 57 (3.9) | 19 (3.5) | 38 (4.2) | |
Education | 0.173 | |||
Less than HS or HS graduate 2 | 295 (20.3) | 124 (22.8) | 171 (18.8) | |
Some college | 494 (34.0) | 183 (33.7) | 311 (34.2) | |
College graduate or higher | 650 (44.7) | 229 (42.2) | 421 (46.3) | |
BMI | 0.050 | |||
<25 | 526 (36.2) | 208 (38.3) | 318 (35.0) | |
25–30 | 444 (30.6) | 178 (32.8) | 266 (29.2) | |
>30 | 446 (30.7) | 143 (26.3) | 303 (33.3) | |
Missing | 37 (2.6) | 14 (2.6) | 23 (2.5) | |
Income | <0.001 | |||
Less than $30,000 | 316 (21.8) | 134 (24.7) | 182 (20.0) | |
$30,000–$69,000 | 346 (23.8) | 99 (18.2) | 247 (27.1) | |
$70,000+ | 682 (46.9) | 276 (50.8) | 406 (44.6) | |
Missing | 109 (7.5) | 34 (6.3) | 75 (8.2) | |
Stage | 0.004 | |||
Localized | 531 (36.6) | 173 (31.9) | 358 (39.3) | |
Regional | 622 (42.8) | 261 (48.1) | 361 (39.7) | |
Distant | 267 (18.4) | 93 (17.1) | 174 (19.1) | |
Missing | 33 (2.3) | 16 (3.0) | 17 (1.9) | |
Ostomy | <0.001 | |||
Yes | 290 (20.0) | 210 (38.7) | 80 (8.8) | |
No | 1157 (79.6) | 330 (60.8) | 827 (90.9) | |
Chemotherapy 3 | 647 (44.5) | 254 (46.8) | 393 (43.2) | <0.001 |
Radiation 3 | 185 (12.7) | 170 (31.3) | 15 (1.7) | <0.001 |
Time Since Diagnosis (Months) | 6.9 ± 3.5 | 7.3 ± 3.8 | 6.7 ± 3.4 | 0.001 |
Overall N = 1453 N (%) | Rectal Cancer N = 543 N (%) | Colon Cancer N = 910 N (%) | p-Value | |
---|---|---|---|---|
Sleep Duration | 0.244 | |||
≤5 h | 166 (11.4) | 71 (13.1) | 95 (10.4) | |
6 h | 333 (22.9) | 137 (25.2) | 196 (21.5) | |
7 h | 357 (24.6) | 132 (24.3) | 225 (24.7) | |
8 h | 317 (21.8) | 100 (18.4) | 217 (23.9) | |
9 h | 123 (8.5) | 46 (8.5) | 77 (8.5) | |
>10 h | 67 (4.6) | 25 (4.6) | 42 (4.6) | |
>10 h | 50 (3.4) | 19 (3.5) | 31 (3.4) | |
Problems Staying Awake | 195 (13.4) | 72 (13.3) | 123 (13.5) | 0.612 |
Poor Sleep Quality 1 | 321 (22.1) | 141 (26.0) | 180 (19.8) | 0.005 |
Sleep Medication Use | 259 (17.8) | 101 (18.6) | 158 (17.4) | 0.820 |
Trouble Sleeping Issues | ||||
Any problems | 1019 (70.1) | 405 (74.6) | 614 (67.5) | <0.001 |
No sleep within 30 min | 261 (18.0) | 107 (19.7) | 154 (16.9) | 0.128 |
Wake up in middle of sleep | 381 (26.2) | 152 (28.0) | 229 (25.2) | 0.147 |
Use the bathroom | 438 (30.1) | 189 (34.8) | 249 (27.4) | 0.002 |
Pain | 209 (14.4) | 96 (17.7) | 113 (12.4) | 0.005 |
Breathing/cough/snore | 54 (3.7) | 14 (2.6) | 40 (4.4) | 0.097 |
Change in Sleep | 268 (18.4) | 125 (23.0) | 143 (15.7) | 0.002 |
Unadjusted OR (95% CI) | Adjusted 1 OR (95% CI) | |
---|---|---|
Sleep Duration | ||
<7 h | 1.31 (1.05, 1.64) | 1.22 (0.97, 1.55) |
7–8 h | 0.78 (0.63, 0.96) | 0.84 (0.67, 1.05) |
≥9 h | 1.00 (0.75, 1.33) | 0.99 (0.73, 1.34) |
Problems Staying Awake | 0.97 (0.71, 1.33) | 0.87 (0.63, 1.21) |
Poor Sleep Quality | 1.40 (1.09, 1.80) | 1.26 (0.97, 1.64) |
Sleep Medication Use | 1.07 (0.79, 1.46) | 1.08 (0.78, 1.49) |
Trouble Sleeping Issues | ||
Any problems | 1.71 (1.30, 2.25) | 1.58 (1.19, 2.10) |
No sleep within 30 min | 1.24 (0.94, 1.64) | 1.13 (0.84, 1.51) |
Wake up in middle of sleep | 1.20 (0.94, 1.53) | 1.15 (0.89, 1.49) |
Use the bathroom | 1.48 (1.17, 1.87) | 1.53 (1.20, 1.96) |
Pain | 1.56 (1.16, 2.11) | 1.58 (1.15, 2.17) |
Breathing/cough/snore | 0.59 (0.32, 1.09) | 0.51 (0.27, 0.99) |
Change in Sleep | 1.53 (1.18, 1.97) | 1.38 (1.05, 1.80) |
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Ton, M.; Watson, N.F.; Sillah, A.; Malen, R.C.; Labadie, J.D.; Reedy, A.M.; Cohen, S.A.; Burnett-Hartman, A.N.; Newcomb, P.A.; Phipps, A.I. Colorectal Cancer Anatomical Site and Sleep Quality. Cancers 2021, 13, 2578. https://doi.org/10.3390/cancers13112578
Ton M, Watson NF, Sillah A, Malen RC, Labadie JD, Reedy AM, Cohen SA, Burnett-Hartman AN, Newcomb PA, Phipps AI. Colorectal Cancer Anatomical Site and Sleep Quality. Cancers. 2021; 13(11):2578. https://doi.org/10.3390/cancers13112578
Chicago/Turabian StyleTon, Mimi, Nathaniel F. Watson, Arthur Sillah, Rachel C. Malen, Julia D. Labadie, Adriana M. Reedy, Stacey A. Cohen, Andrea N. Burnett-Hartman, Polly A. Newcomb, and Amanda I. Phipps. 2021. "Colorectal Cancer Anatomical Site and Sleep Quality" Cancers 13, no. 11: 2578. https://doi.org/10.3390/cancers13112578