{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T07:40:36Z","timestamp":1776238836078,"version":"3.50.1"},"reference-count":40,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:00:00Z","timestamp":1772928000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Support Care Cancer"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study aims to evaluate patient-reported peri-operative sleep quality and identify demographic, clinical, and psychosocial factors associated with poor sleep perioperatively among individuals with gynecologic malignancies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This prospective study included patients with confirmed gynecologic malignancies who underwent surgery between September 2020 and October 2023 and were admitted to the hospital for at least one overnight stay. Preoperative sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while postoperative sleep quality was measured with the Richards-Campbell Sleep Questionnaire (RCSQ). \u201cGood\u201d sleep was defined as a PSQI score\u2009&lt;\u20095 or an RCSQ score\u2009&gt;\u200950. Statistical analyses were conducted using t-tests, Pearson\u2019s \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      , or Fisher\u2019s exact tests, as appropriate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean age of participants was 58.6\u00a0years (SD 13.2); 68.9% identified as white, 50% had ovarian cancer, and 54.6% had advanced-stage disease. Pre-operatively, 56.1% of patients reported poor sleep, most commonly due to overnight awakenings from nocturia (67.4%) and vasomotor symptoms (28%). Poor sleep was more common among patients with cervical or vulvar cancer (p\u2009=\u20090.02), those using sleep medications preoperatively (p\u2009=\u20090.002), and those with co-morbid anxiety and depression (p\u2009=\u20090.06). Good post-operative sleep on post-operative day 1 and on day of discharge was associated with increased use of opioid medications (p\u2009=\u20090.007 and 0.02, respectively). Overall, sleep quality significantly declined during hospitalization (p\u2009&lt;\u20090.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Poor perioperative sleep in patients with gynecologic cancers was linked to cancer type, mental health, pain management, and the hospital environment with sleep deteriorating during hospitalizations. Addressing these factors may offer meaningful opportunities to improve sleep.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00520-026-10493-5","type":"journal-article","created":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T00:57:56Z","timestamp":1772931476000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating perioperative self-reported sleep quality in patients with a gynecologic malignancy"],"prefix":"10.1007","volume":"34","author":[{"given":"Ria M.","family":"Desai","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jason","family":"Silberman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Reasner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison","family":"Grubbs","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karl","family":"Bilimoria","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma L.","family":"Barber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,8]]},"reference":[{"key":"10493_CR1","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2023.101786","volume":"69","author":"N Butris","year":"2023","unstructured":"Butris N, Tang E, Pivetta B et al (2023) The prevalence and risk factors of sleep disturbances in surgical patients: a systematic review and meta-analysis. Sleep Med Rev 69:101786. https:\/\/doi.org\/10.1016\/j.smrv.2023.101786","journal-title":"Sleep Med Rev"},{"issue":"2","key":"10493_CR2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.2.205","volume":"163","author":"NT Ayas","year":"2003","unstructured":"Ayas NT, White DP, Manson JE et al (2003) A prospective study of sleep duration and coronary heart disease in women. Arch Intern Med 163(2):205. https:\/\/doi.org\/10.1001\/archinte.163.2.205","journal-title":"Arch Intern Med"},{"issue":"5","key":"10493_CR3","doi-asserted-by":"publisher","first-page":"1314","DOI":"10.1213\/ANE.0000000000005323","volume":"132","author":"DR Hillman","year":"2021","unstructured":"Hillman DR (2021) Sleep loss in the hospitalized patient and its influence on recovery from illness and operation. Anesth Analg 132(5):1314\u20131320. https:\/\/doi.org\/10.1213\/ANE.0000000000005323","journal-title":"Anesth Analg"},{"issue":"6","key":"10493_CR4","doi-asserted-by":"publisher","first-page":"727","DOI":"10.5665\/sleep.1846","volume":"35","author":"FS Luyster","year":"2012","unstructured":"Luyster FS, Strollo PJ, Zee C, Walsh JK (2012) Sleep: a health imperative. Sleep 35(6):727\u2013734. https:\/\/doi.org\/10.5665\/sleep.1846","journal-title":"Sleep"},{"issue":"1","key":"10493_CR5","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1146\/annurev-psych-010213-115205","volume":"66","author":"MR Irwin","year":"2015","unstructured":"Irwin MR (2015) Why sleep is important for health: a psychoneuroimmunology perspective. Annu Rev Psychol 66(1):143\u2013172. https:\/\/doi.org\/10.1146\/annurev-psych-010213-115205","journal-title":"Annu Rev Psychol"},{"issue":"4","key":"10493_CR6","doi-asserted-by":"publisher","first-page":"2532","DOI":"10.1007\/s00464-021-08541-8","volume":"36","author":"WJ Kane","year":"2022","unstructured":"Kane WJ, Hassinger TE, Chu DL et al (2022) Preoperative REM sleep is associated with complication development after colorectal surgery. Surg Endosc 36(4):2532\u20132540. https:\/\/doi.org\/10.1007\/s00464-021-08541-8","journal-title":"Surg Endosc"},{"issue":"9","key":"10493_CR7","doi-asserted-by":"publisher","first-page":"1201","DOI":"10.1001\/jamainternmed.2018.2669","volume":"178","author":"HM Wesselius","year":"2018","unstructured":"Wesselius HM, van den Ende ES, Alsma J et al (2018) Quality and of sleep and factors associated with sleep disturbance in hospitalized patients. JAMA Intern Med 178(9):1201. https:\/\/doi.org\/10.1001\/jamainternmed.2018.2669","journal-title":"JAMA Intern Med"},{"key":"10493_CR8","doi-asserted-by":"publisher","first-page":"109","DOI":"10.1016\/j.sleep.2016.07.019","volume":"24","author":"GN Pires","year":"2016","unstructured":"Pires GN, Bezerra AG, Tufik S, Andersen ML (2016) Effects of acute sleep deprivation on state anxiety levels: a systematic review and meta-analysis. Sleep Med 24:109\u2013118. https:\/\/doi.org\/10.1016\/j.sleep.2016.07.019","journal-title":"Sleep Med"},{"key":"10493_CR9","doi-asserted-by":"publisher","first-page":"268","DOI":"10.1016\/j.jss.2020.04.032","volume":"254","author":"CA Mouch","year":"2020","unstructured":"Mouch CA, Baskin AS, Yearling R, Miller J, Dossett LA (2020) Sleep patterns and quality among inpatients recovering from elective surgery: a mixed-method study. J Surg Res 254:268\u2013274. https:\/\/doi.org\/10.1016\/j.jss.2020.04.032","journal-title":"J Surg Res"},{"issue":"1","key":"10493_CR10","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1111\/anae.15564","volume":"77","author":"ML van Zuylen","year":"2022","unstructured":"van Zuylen ML, Meewisse AJG, Ten Hoope W et al (2022) Effects of surgery and general anaesthesia on sleep\u2013wake timing: CLOCKS observational study. Anaesthesia 77(1):73\u201381. https:\/\/doi.org\/10.1111\/anae.15564","journal-title":"Anaesthesia"},{"issue":"1","key":"10493_CR11","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-023-02267-x","volume":"23","author":"J Zheng","year":"2023","unstructured":"Zheng J, Wang L, Wang W et al (2023) Association and prediction of subjective sleep quality and postoperative delirium during major non-cardiac surgery: a prospective observational study. BMC Anesthesiol 23(1):306. https:\/\/doi.org\/10.1186\/s12871-023-02267-x","journal-title":"BMC Anesthesiol"},{"issue":"5","key":"10493_CR12","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1093\/intqhc\/mzw079","volume":"28","author":"JR DuBose","year":"2016","unstructured":"DuBose JR, Hadi K (2016) Improving inpatient environments to support patient sleep. Int J Qual Health Care 28(5):540\u2013553. https:\/\/doi.org\/10.1093\/intqhc\/mzw079","journal-title":"Int J Qual Health Care"},{"issue":"2","key":"10493_CR13","doi-asserted-by":"publisher","first-page":"405","DOI":"10.1007\/s00520-017-3927-x","volume":"26","author":"D Chen","year":"2018","unstructured":"Chen D, Yin Z, Fang B (2018) Measurements and status of sleep quality in patients with cancers. Support Care Cancer 26(2):405\u2013414. https:\/\/doi.org\/10.1007\/s00520-017-3927-x","journal-title":"Support Care Cancer"},{"issue":"6","key":"10493_CR14","doi-asserted-by":"publisher","first-page":"737","DOI":"10.1093\/sleep\/30.6.737","volume":"30","author":"K Mystakidou","year":"2007","unstructured":"Mystakidou K, Parpa E, Tsilika E et al (2007) The relationship of subjective sleep quality, pain, and quality of life in advanced cancer patients. Sleep 30(6):737\u2013742. https:\/\/doi.org\/10.1093\/sleep\/30.6.737","journal-title":"Sleep"},{"issue":"1688","key":"10493_CR15","doi-asserted-by":"publisher","first-page":"20150110","DOI":"10.1098\/rstb.2015.0110","volume":"371","author":"JA Mong","year":"2016","unstructured":"Mong JA, Cusmano DM (2016) Sex differences in sleep: impact of biological sex and sex steroids. Philosophic Transact Royal Soc B: Biologic Sci 371(1688):20150110. https:\/\/doi.org\/10.1098\/rstb.2015.0110","journal-title":"Philosophic Transact Royal Soc B: Biologic Sci"},{"key":"10493_CR16","doi-asserted-by":"publisher","unstructured":"Shahid A, Wilkinson K, Marcu S, Shapiro CM. Pittsburgh Sleep Quality Index (PSQI). In: STOP, THAT and One Hundred Other Sleep Scales. Springer New York; 2011:279\u2013283. https:\/\/doi.org\/10.1007\/978-1-4419-9893-4_67","DOI":"10.1007\/978-1-4419-9893-4_67"},{"key":"10493_CR17","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2018\/9643937","volume":"2018","author":"OA Famodu","year":"2018","unstructured":"Famodu OA, Barr ML, Hol\u00e1skov\u00e1 I et al (2018) Shortening of the Pittsburgh Sleep Quality Index Survey Using Factor Analysis. Sleep Disord 2018:1\u20139. https:\/\/doi.org\/10.1155\/2018\/9643937","journal-title":"Sleep Disord"},{"key":"10493_CR18","doi-asserted-by":"publisher","unstructured":"Shahid A, Wilkinson K, Marcu S, Shapiro CM. Richards\u2013campbell sleep questionnaire (RCSQ). InSTOP, THAT and one hundred other sleep scales 2011 Nov 24 (pp. 299-302). New York, NY: Springer New York. https:\/\/doi.org\/10.1007\/978-1-4419-9893-4_73","DOI":"10.1007\/978-1-4419-9893-4_73"},{"issue":"4","key":"10493_CR19","doi-asserted-by":"publisher","first-page":"235","DOI":"10.5935\/1984-0063.20190145","volume":"13","author":"H Locihov\u00e1","year":"2020","unstructured":"Locihov\u00e1 H, Axmann K, \u017diakov\u00e1 K, \u0160erkov\u00e1 D, \u010cernochov\u00e1 S (2020) Sleep quality assessment in intensive care: actigraphy vs. Richards-Campbell sleep questionnaire. Sleep Sci 13(4):235\u2013241. https:\/\/doi.org\/10.5935\/1984-0063.20190145","journal-title":"Sleep Sci"},{"issue":"1","key":"10493_CR20","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-021-02349-3","volume":"22","author":"Z Al Naamani","year":"2021","unstructured":"Al Naamani Z, Gormley K, Noble H, Santin O, Al Maqbali M (2021) Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis. BMC Nephrol 22(1):157. https:\/\/doi.org\/10.1186\/s12882-021-02349-3","journal-title":"BMC Nephrol"},{"key":"10493_CR21","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2022.102601","volume":"90","author":"VV Nguyen","year":"2022","unstructured":"Nguyen VV, Zainal NH, Newman MG (2022) Why sleep is key: poor sleep quality is a mechanism for the bidirectional relationship between major depressive disorder and generalized anxiety disorder across 18 years. J Anxiety Disord 90:102601. https:\/\/doi.org\/10.1016\/j.janxdis.2022.102601","journal-title":"J Anxiety Disord"},{"issue":"9","key":"10493_CR22","doi-asserted-by":"publisher","first-page":"1879","DOI":"10.1002\/pon.5167","volume":"28","author":"D Papadopoulos","year":"2019","unstructured":"Papadopoulos D, Kiagia M, Charpidou A, Gkiozos I, Syrigos K (2019) Psychological correlates of sleep quality in lung cancer patients under chemotherapy: a single-center cross-sectional study. Psycho-Oncol 28(9):1879\u20131886. https:\/\/doi.org\/10.1002\/pon.5167","journal-title":"Psycho-Oncol"},{"issue":"36","key":"10493_CR23","doi-asserted-by":"publisher","first-page":"e39611","DOI":"10.1097\/MD.0000000000039611","volume":"103","author":"Y Tu","year":"2024","unstructured":"Tu Y, Qing G, Chen M, Chen H (2024) Association between depression severity and trouble sleeping: a population-based study. Medic (Baltimore) 103(36):e39611. https:\/\/doi.org\/10.1097\/MD.0000000000039611","journal-title":"Medic (Baltimore)"},{"key":"10493_CR24","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2020.101282","volume":"51","author":"RC Cox","year":"2020","unstructured":"Cox RC, Olatunji BO (2020) Sleep in the anxiety-related disorders: a meta-analysis of subjective and objective research. Sleep Med Rev 51:101282. https:\/\/doi.org\/10.1016\/j.smrv.2020.101282","journal-title":"Sleep Med Rev"},{"issue":"5","key":"10493_CR25","doi-asserted-by":"publisher","first-page":"1401","DOI":"10.1007\/s00520-014-2493-8","volume":"23","author":"J Tian","year":"2015","unstructured":"Tian J, Chen GL, Zhang HR (2015) Sleep status of cervical cancer patients and predictors of poor sleep quality during adjuvant therapy. Support Care Cancer 23(5):1401\u20131408. https:\/\/doi.org\/10.1007\/s00520-014-2493-8","journal-title":"Support Care Cancer"},{"issue":"2","key":"10493_CR26","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1111\/aogs.14710","volume":"103","author":"D Zach","year":"2024","unstructured":"Zach D, Jensen PT, Falconer H et al (2024) Anxiety and depression among women with newly diagnosed vulvar cancer - a nationwide longitudinal study. Acta Obstet Gynecol Scand 103(2):396\u2013406. https:\/\/doi.org\/10.1111\/aogs.14710","journal-title":"Acta Obstet Gynecol Scand"},{"issue":"1","key":"10493_CR27","doi-asserted-by":"publisher","first-page":"63","DOI":"10.3390\/cancers14010063","volume":"14","author":"F Malandrone","year":"2021","unstructured":"Malandrone F, Bevilacqua F, Merola M et al (2021) The impact of vulvar cancer on psychosocial and sexual functioning: a literature review. Cancers (Basel) 14(1):63. https:\/\/doi.org\/10.3390\/cancers14010063","journal-title":"Cancers (Basel)"},{"issue":"1 Suppl","key":"10493_CR28","doi-asserted-by":"publisher","first-page":"S86","DOI":"10.1016\/j.juro.2012.11.033","volume":"189","author":"JLHR Bosch","year":"2013","unstructured":"Bosch JLHR, Weiss JP (2013) The prevalence and causes of nocturia. J Urol 189(1 Suppl):S86-92. https:\/\/doi.org\/10.1016\/j.juro.2012.11.033","journal-title":"J Urol"},{"issue":"11","key":"10493_CR29","doi-asserted-by":"publisher","first-page":"2502","DOI":"10.1111\/jgs.15027","volume":"65","author":"CH Fung","year":"2017","unstructured":"Fung CH, Vaughan CP, Markland AD et al (2017) Nocturia is associated with poor sleep quality among older women in the study of osteoporotic fractures. J Am Geriatr Soc 65(11):2502\u20132509. https:\/\/doi.org\/10.1111\/jgs.15027","journal-title":"J Am Geriatr Soc"},{"issue":"1","key":"10493_CR30","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1097\/AOG.0000000000000600","volume":"125","author":"A Hsu","year":"2015","unstructured":"Hsu A, Nakagawa S, Walter LC et al (2015) The burden of nocturia among middle-aged and older women. Obstet Gynecol 125(1):35\u201343. https:\/\/doi.org\/10.1097\/AOG.0000000000000600","journal-title":"Obstet Gynecol"},{"issue":"12","key":"10493_CR31","doi-asserted-by":"publisher","first-page":"1262","DOI":"10.1001\/archinte.166.12.1262","volume":"166","author":"MM Ohayon","year":"2006","unstructured":"Ohayon MM (2006) Severe hot flashes are associated with chronic insomnia. Arch Intern Med 166(12):1262\u20131268. https:\/\/doi.org\/10.1001\/archinte.166.12.1262","journal-title":"Arch Intern Med"},{"issue":"11","key":"10493_CR32","doi-asserted-by":"publisher","first-page":"2257","DOI":"10.5664\/jcsm.9432","volume":"17","author":"H Hachul","year":"2021","unstructured":"Hachul H, Castro LS, Bezerra AG et al (2021) Hot flashes, insomnia, and the reproductive stages: a cross-sectional observation of women from the EPISONO study. J Clin Sleep Med 17(11):2257\u20132267. https:\/\/doi.org\/10.5664\/jcsm.9432","journal-title":"J Clin Sleep Med"},{"issue":"1","key":"10493_CR33","doi-asserted-by":"publisher","first-page":"65.e1","DOI":"10.1016\/j.ajog.2010.08.020","volume":"204","author":"ND Fleming","year":"2011","unstructured":"Fleming ND, Havrilesky LJ, Valea FA et al (2011) Analgesic and antiemetic needs following minimally invasive vs open staging for endometrial cancer. Am J Obstet Gynecol 204(1):65.e1\u20136. https:\/\/doi.org\/10.1016\/j.ajog.2010.08.020","journal-title":"Am J Obstet Gynecol"},{"issue":"15","key":"10493_CR34","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e35185","volume":"10","author":"W Xu","year":"2024","unstructured":"Xu W, Zheng Y, Suo Z et al (2024) Potential vicious cycle between postoperative pain and sleep disorders: a bibliometric analysis. Heliyon 10(15):e35185. https:\/\/doi.org\/10.1016\/j.heliyon.2024.e35185","journal-title":"Heliyon"},{"issue":"2","key":"10493_CR35","doi-asserted-by":"publisher","first-page":"126","DOI":"10.1097\/AJP.0000000000000900","volume":"37","author":"K Kutay Yazici","year":"2021","unstructured":"Kutay Yazici K, Kaya M, Aksu B, \u00dcnver S (2021) The effect of perioperative lidocaine infusion on postoperative pain and postsurgical recovery parameters in gynecologic cancer surgery. Clin J Pain 37(2):126. https:\/\/doi.org\/10.1097\/AJP.0000000000000900","journal-title":"Clin J Pain"},{"issue":"2","key":"10493_CR36","doi-asserted-by":"publisher","first-page":"e287","DOI":"10.1097\/SLA.0000000000005042","volume":"277","author":"LR Maurer","year":"2023","unstructured":"Maurer LR, El Moheb M, Cavallo E et al (2023) Enhanced recovery after surgery patients are prescribed fewer opioids at discharge: a propensity-score matched analysis. Ann Surg 277(2):e287\u2013e293. https:\/\/doi.org\/10.1097\/SLA.0000000000005042","journal-title":"Ann Surg"},{"key":"10493_CR37","doi-asserted-by":"publisher","DOI":"10.1177\/23743735231151544","volume":"10","author":"J Gulati","year":"2023","unstructured":"Gulati J, Arora V, McDaniel L, Affini M, Mason N, Orlov N (2023) Which hospitals promote a sleep-friendly patient experience? J Patient Exp 10:23743735231151544. https:\/\/doi.org\/10.1177\/23743735231151544","journal-title":"J Patient Exp"},{"issue":"6","key":"10493_CR38","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1016\/j.jcjq.2021.02.003","volume":"47","author":"M Herscher","year":"2021","unstructured":"Herscher M, Mikhaylov D, Barazani S et al (2021) A sleep hygiene intervention to improve sleep quality for hospitalized patients. Jt Comm J Qual Patient Saf 47(6):343\u2013346. https:\/\/doi.org\/10.1016\/j.jcjq.2021.02.003","journal-title":"Jt Comm J Qual Patient Saf"},{"issue":"3","key":"10493_CR39","doi-asserted-by":"publisher","first-page":"197","DOI":"10.1097\/NCQ.0000000000000363","volume":"34","author":"C Hedges","year":"2019","unstructured":"Hedges C, Hunt C, Ball P (2019) Quiet time improves the patient experience. J Nurs Care Qual 34(3):197\u2013202. https:\/\/doi.org\/10.1097\/NCQ.0000000000000363","journal-title":"J Nurs Care Qual"},{"key":"10493_CR40","doi-asserted-by":"publisher","DOI":"10.1177\/23743735211056533","volume":"8","author":"A Barden","year":"2021","unstructured":"Barden A, Loeb AE, Giammarinaro N (2021) Promoting a therapeutic healing environment: a retrospective examination of HCAHPS \u201cquiet at night\u201d across a large New York health system. J Patient Exp 8:23743735211056533. https:\/\/doi.org\/10.1177\/23743735211056533","journal-title":"J Patient Exp"}],"container-title":["Supportive Care in Cancer"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10493-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00520-026-10493-5","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00520-026-10493-5.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T06:41:00Z","timestamp":1776235260000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00520-026-10493-5"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,8]]},"references-count":40,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10493"],"URL":"https:\/\/doi.org\/10.1007\/s00520-026-10493-5","relation":{},"ISSN":["0941-4355","1433-7339"],"issn-type":[{"value":"0941-4355","type":"print"},{"value":"1433-7339","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,8]]},"assertion":[{"value":"23 November 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 March 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Northwestern University Institutional Review Board (STU0002144118). This study was conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"292"}}