Referral process to further evaluate poor sleep in breast cancer survivors

Autor: Julie L. Otte, Yelena Chernyak, Shelley A. Johns, Lea' Jackson, Kandice K. Ludwig, Jill Dodson, Shalini Manchanda, Elizabeth Bufink, Claire Draucker
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Cancer Medicine, Vol 11, Iss 8, Pp 1891-1901 (2022)
Druh dokumentu: article
ISSN: 2045-7634
92374506
DOI: 10.1002/cam4.4578
Popis: Abstract Objective Breast cancer survivors (BCS) are twice as likely to report symptoms of poor sleep as those without cancer. However, sleep disorders are under‐assessed and under‐treated among BCS. The purpose of this study was to determine the portion of BCS who completed referral visits to a sleep specialist and identify the acceptability, facilitators, and barriers to the screening and referral process. Methods BCS, who reported having sleep problems, completed questionnaires to screen for symptoms suggestive of sleep disorders. Those with symptoms suggestive of sleep apnea, movement disorders, narcolepsy, insomnia syndrome, or circadian disorders, they were referred to a sleep medicine physician or behavioral sleep medicine psychologist. Two months after the referral, participants were interviewed about their perceptions of the acceptability, barriers, and facilitators to sleep screenings and referrals. Results Of 34 BCS assessed for eligibility, 29 were eligible and had sleep problems. Only eight of 29 participants (27.6%) completed the sleep referral process. Most thought the screening and referral process was acceptable. However, BCS identified barriers to completing the referral visit, including time, not seeing the need for treatment, insurance/sick leave concerns, and distance/transportation. Conclusion Adequate evaluation and treatment of sleep disorders in BCS are rare. Creative solutions to address barriers to timely sleep referrals are needed to reduce long‐term negative consequences of inadequate sleep.
Databáze: Directory of Open Access Journals
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