{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:08:01Z","timestamp":1792786081484,"version":"4.5.0"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T00:00:00Z","timestamp":1791158400000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"\u201cR\u00e9gion Pays de la Loire\u201d and \u201cLa Ligue Contre Le Cancer.\u201d PROSOMK","id":[{"id":"https:\/\/ror.org\/00rkrv905","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004097","name":"Fondation ARC pour la recherche sur le cancer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004097","id-type":"DOI","asserted-by":"publisher"}]},{"name":"French Sleep Society"},{"DOI":"10.13039\/501100018696","name":"R\u00e9gion Normandie","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100018696","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Canc\u00e9rop\u00f4le Nord-Ouest","id":[{"id":"https:\/\/ror.org\/04rhf8d87","id-type":"ROR","asserted-by":"crossref"}]},{"name":"Ligue contre le Cancer\u2014Normandie"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The associations between adjuvant treatment combinations and sleep-wake processes in women treated for breast cancer remain poorly understood, thereby limiting the development of individualized supportive care. This exploratory study aims to investigate this effect in women treated for breast cancer receiving chemotherapy (CT) combined or not with radio- (RT) and endocrine (ET) therapies on sleep-wake processes and cancer-related fatigue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Sixty participants were evaluated (21 patients receiving CT+RT+ET [CT group], 23 patients receiving RT+ET only [non-CT group], and 16 healthy control women [HC group]). Participants completed questionnaires assessing cancer-related fatigue and sleep complaints and wore a wrist actigraph for 72 hours to extract sleep-derived and rest-activity rhythm (RAR) parameters. General linear model served to compare groups when controlling for age and cancer stage. Correlation matrices were computed using Spearman\u2019s correlations to evaluate the links between variables in each patient\u2019 group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sleep complaints and cancer-related fatigue did not significantly differ between groups. The CT group had fewer but longer nocturnal awakenings and shorter sleep-onset latency compared to both non-CT and HC groups. The non-CT group had lower dichotomy index\u2014reflecting robustness of the RAR\u2014than the CT group but did not differ significantly from the HCs. Fatigue was negatively correlated with RAR amplitude in the non-CT group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This exploratory study suggests that distinct patterns of sleep-wake parameters may be observed across the treatment exposure- groups (ie, RT and ET\u2009+\u2009or\u2014CT). These results should not be interpreted as evidence that treatment exposure itself explains the observed sleep-wake differences and require further investigation to be confirmed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration number<\/jats:title>\n                    <jats:p>NCT04391543 (https:\/\/clinicaltrials.gov\/study\/NCT04391543)<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/oncolo\/oyag378","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T11:45:34Z","timestamp":1790941534000},"source":"Crossref","is-referenced-by-count":0,"title":["Distinct sleep and rest-activity profiles according to adjuvant treatment exposure in women treated for breast cancer"],"prefix":"10.1093","volume":"31","author":[{"given":"Alicia","family":"Leclercq","sequence":"first","affiliation":[{"name":"Movement-Interactions-Performance, MIP, UR 4334, Le Mans Universit\u00e9 , Av. Olivier Messiaen , Le Mans, 72085,","place":["France"]},{"name":"2LPN, Universit\u00e9 de Lorraine , Metz F-57000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abderrahmane","family":"Rahmani","sequence":"additional","affiliation":[{"name":"Movement-Interactions-Performance, MIP, UR 4334, Le Mans Universit\u00e9 , Av. Olivier Messiaen , Le Mans, 72085,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baptiste","family":"Morel","sequence":"additional","affiliation":[{"name":"Inter-University Laboratory of Human Movement Biology, Universit\u00e9 Savoie Mont-Blanc , Chamb\u00e9ry, 73000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4853-180X","authenticated-orcid":false,"given":"Antoine","family":"Chatrenet","sequence":"additional","affiliation":[{"name":"Movement-Interactions-Performance, MIP, UR 4334, Le Mans Universit\u00e9 , Av. Olivier Messiaen , Le Mans, 72085,","place":["France"]},{"name":"APCoSS-Institute of Physical Education and Sports Sciences (IFEPSA), UCO , Angers, 49000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2720-9172","authenticated-orcid":false,"given":"Hugues","family":"Bourgeois","sequence":"additional","affiliation":[{"name":"Elsan-Clinique Victor Hugo, Centre Jean Bernard , Le Mans, 72085,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oana","family":"Cojocarasu","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Le Mans (CHM) , Le Mans, 72085,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clara","family":"Mathie","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Le Mans (CHM) , Le Mans, 72085,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Fonsegrive","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Le Mans (CHM) , Le Mans, 72085,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Gernier","sequence":"additional","affiliation":[{"name":"Departments of Clinical Research Unit and Medical Oncology , Caen, 14000,","place":["France"]},{"name":"Institut Normand du Sein, Centre Fran\u00e7ois Baclesse Caen, 14000,","place":["France"]},{"name":"ANTICIPE U1086 INSERM-UCN, Equipe Labellis\u00e9e Ligue Contre le Cancer, Centre Fran\u00e7ois Baclesse, Universit\u00e9 de Caen Normandie , Caen, 14000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4225-0069","authenticated-orcid":false,"given":"Marie","family":"Fernette","sequence":"additional","affiliation":[{"name":"Departments of Clinical Research Unit and Medical Oncology , Caen, 14000,","place":["France"]},{"name":"Institut Normand du Sein, Centre Fran\u00e7ois Baclesse Caen, 14000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Michel","family":"Grellard","sequence":"additional","affiliation":[{"name":"Departments of Clinical Research Unit and Medical Oncology , Caen, 14000,","place":["France"]},{"name":"Institut Normand du Sein, Centre Fran\u00e7ois Baclesse Caen, 14000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6168-4942","authenticated-orcid":false,"given":"Florence","family":"Joly","sequence":"additional","affiliation":[{"name":"Departments of Clinical Research Unit and Medical Oncology , Caen, 14000,","place":["France"]},{"name":"Institut Normand du Sein, Centre Fran\u00e7ois Baclesse Caen, 14000,","place":["France"]},{"name":"ANTICIPE U1086 INSERM-UCN, Equipe Labellis\u00e9e Ligue Contre le Cancer, Centre Fran\u00e7ois Baclesse, Universit\u00e9 de Caen Normandie , Caen, 14000,","place":["France"]},{"name":"Comprehensive Cancer Center Fran\u00e7ois Baclesse, UNICANCER , Caen, 14000,","place":["France"]},{"name":"Cancer and Cognition Platform, Ligue Nationale Contre le Cancer , Caen, 14000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8296-0755","authenticated-orcid":false,"given":"Myl\u00e8ne","family":"Duivon","sequence":"additional","affiliation":[{"name":"Cancer and Cognition Platform, Ligue Nationale Contre le Cancer , Caen, 14000,","place":["France"]},{"name":"Inserm, EPHE-PSL, PSL Universit\u00e9 Paris, CHU de Caen, GIP Cyceron, U1077, NIMH, Universit\u00e9 de Caen Normandie , Caen, 14000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benedicte","family":"Giffard","sequence":"additional","affiliation":[{"name":"Cancer and Cognition Platform, Ligue Nationale Contre le Cancer , Caen, 14000,","place":["France"]},{"name":"Inserm, EPHE-PSL, PSL Universit\u00e9 Paris, CHU de Caen, GIP Cyceron, U1077, NIMH, Universit\u00e9 de Caen Normandie , Caen, 14000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8639-9985","authenticated-orcid":false,"given":"Joy","family":"Perrier","sequence":"additional","affiliation":[{"name":"Inserm, EPHE-PSL, PSL Universit\u00e9 Paris, CHU de Caen, GIP Cyceron, U1077, NIMH, Universit\u00e9 de Caen Normandie , Caen, 14000,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"Martin","sequence":"additional","affiliation":[{"name":"Movement-Interactions-Performance, MIP, UR 4334, Le Mans Universit\u00e9 , Av. Olivier Messiaen , Le Mans, 72085,","place":["France"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,10,3]]},"reference":[{"key":"2026100907313419700_oyag378-B1","author":"World Health Organization (WHO)","year":"2025"},{"key":"2026100907313419700_oyag378-B2","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.breast.2022.08.010","article-title":"Current and future burden of breast cancer: global statistics for 2020 and 2040","volume":"66","author":"Arnold","year":"2022","journal-title":"Breast"},{"key":"2026100907313419700_oyag378-B3","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1038\/s41568-020-0266-x","article-title":"Key steps for effective breast cancer prevention","volume":"20","author":"Britt","year":"2020","journal-title":"Nat Rev Cancer"},{"key":"2026100907313419700_oyag378-B4","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1177\/1049909113485804","article-title":"Insomnia in patients with advanced cancer","volume":"31","author":"Davis","year":"2014","journal-title":"Am J Hosp Palliat Care"},{"key":"2026100907313419700_oyag378-B5","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.smrv.2006.03.005","article-title":"Insomnia and its treatment in women with breast cancer","volume":"10","author":"Fiorentino","year":"2006","journal-title":"Sleep Med Rev"},{"key":"2026100907313419700_oyag378-B6","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1186\/s12966-024-01601-x","article-title":"Longitudinal associations of diurnal rest-activity rhythms with fatigue, insomnia, and health-related quality of life in survivors of colorectal cancer up to 5 years post-treatment","volume":"21","author":"Chong","year":"2024","journal-title":"Int J Behav Nutr Phys Act"},{"key":"2026100907313419700_oyag378-B7","doi-asserted-by":"crossref","first-page":"837","DOI":"10.5665\/sleep.3642","article-title":"Actigraphy-measured sleep disruption as a predictor of survival among women with advanced breast cancer","volume":"37","author":"Palesh","year":"2014","journal-title":"Sleep"},{"key":"2026100907313419700_oyag378-B8","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1002\/cam4.356","article-title":"Systematic review of sleep disorders in cancer patients: can the prevalence of sleep disorders be ascertained?","volume":"4","author":"Otte","year":"2015","journal-title":"Cancer Med"},{"key":"2026100907313419700_oyag378-B9","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1080\/07420528.2017.1286501","article-title":"Worsening of rest-activity circadian rhythm and quality of life in female breast cancer patients along progression of chemotherapy cycles","volume":"34","author":"Sultan","year":"2017","journal-title":"Chronobiol Int"},{"key":"2026100907313419700_oyag378-B10","first-page":"12","article-title":"Fatigue and circadian activity rhythms in breast cancer patients before and after chemotherapy: a controlled study","volume":"1","author":"Liu","year":"2013","journal-title":"Fatigue"},{"key":"2026100907313419700_oyag378-B11","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/j.bbi.2012.02.001","article-title":"Fatigue and sleep quality are associated with changes in inflammatory markers in breast cancer patients undergoing chemotherapy","volume":"26","author":"Liu","year":"2012","journal-title":"Brain Behav Immun"},{"key":"2026100907313419700_oyag378-B12","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.msom.2020.12.002","article-title":"Le sommeil dans les cancers non c\u00e9r\u00e9braux: revue de la litt\u00e9rature, m\u00e9canismes potentiels et perspectives pour mieux comprendre les troubles cognitifs associ\u00e9s","volume":"18","author":"Perrier","year":"2021","journal-title":"M\u00e9decine du Sommeil"},{"key":"2026100907313419700_oyag378-B13","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.3390\/curroncol28020113","article-title":"The relationship between fatigue and actigraphy-derived sleep and rest\u2013activity patterns in cancer survivors","volume":"28","author":"Martin","year":"2021","journal-title":"Curr Oncol"},{"key":"2026100907313419700_oyag378-B14","first-page":"e13597","article-title":"Can improving quality of sleep reduce the symptoms of cancer-related fatigue in adults?: a systematic review","volume":"31","author":"Dean","year":"2022","journal-title":"Eur J Cancer Care (Engl)"},{"key":"2026100907313419700_oyag378-B15","first-page":"157","article-title":"Factors associated with sleep disturbances in women undergoing treatment for early-stage breast cancer","volume":"30","author":"Grayson","year":"2022","journal-title":"Support Care Cancer"},{"key":"2026100907313419700_oyag378-B16","author":"National Comprehensive Cancer Network - Home","year":"2025"},{"key":"2026100907313419700_oyag378-B17","doi-asserted-by":"crossref","first-page":"63","DOI":"10.1016\/j.smrv.2005.05.004","article-title":"Distinguishing sleepiness and fatigue: focus on definition and measurement","volume":"10","author":"Shen","year":"2006","journal-title":"Sleep Med Rev"},{"key":"2026100907313419700_oyag378-B18","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1093\/sleep\/32.9.1155","article-title":"Breast cancer patients have progressively impaired sleep-wake activity rhythms during chemotherapy","volume":"32","author":"Savard","year":"2009","journal-title":"Sleep"},{"key":"2026100907313419700_oyag378-B19","first-page":"201","article-title":"Fatigue, sleep, and circadian rhythms prior to chemotherapy for breast cancer","volume":"14","author":"Ancoli-Israel","year":"2006","journal-title":"Support Care Cancer"},{"key":"2026100907313419700_oyag378-B20","first-page":"679","article-title":"Sleep quality after initial chemotherapy for breast cancer","volume":"18","author":"Beck","year":"2010","journal-title":"Support Care Cancer"},{"key":"2026100907313419700_oyag378-B21","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1007\/s10549-017-4141-8","article-title":"Effects of exercise on sleep problems in breast cancer patients receiving radiotherapy: a randomized clinical trial","volume":"162","author":"Steindorf","year":"2017","journal-title":"Breast Cancer Res Treat"},{"key":"2026100907313419700_oyag378-B22","first-page":"529","article-title":"Evaluation of sleep pattern disorders in breast cancer patients receiving adjuvant treatment (chemotherapy and\/or radiotherapy) using polysomnography","volume":"24","author":"Tag Eldin","year":"2019","journal-title":"J Buon"},{"key":"2026100907313419700_oyag378-B23","doi-asserted-by":"publisher","first-page":"78","DOI":"10.1054\/ejon.1999.0052","article-title":"Perceived symptoms and quality of life in women with breast cancer receiving radiation therapy","volume":"4","author":"Wengstr\u00f6m","year":"2000","journal-title":"Eur J Oncol Nurs"},{"key":"2026100907313419700_oyag378-B24","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1016\/j.breast.2014.09.003","article-title":"Impact of breast cancer treatments on sleep disturbances \u2013 a systematic review","volume":"23","author":"Costa","year":"2014","journal-title":"Breast"},{"key":"2026100907313419700_oyag378-B25","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/zsy245","article-title":"Insomnia in breast cancer: a prospective observational study","volume":"42","author":"Fleming","year":"2019","journal-title":"Sleep"},{"key":"2026100907313419700_oyag378-B26","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/0973-1075.100826","article-title":"Fatigue in breast cancer patients on adjuvant treatment: course and prevalence","volume":"18","author":"Manir","year":"2012","journal-title":"Indian J Palliat Care"},{"key":"2026100907313419700_oyag378-B27","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/j.soncn.2007.01.004","article-title":"Fatigue, depression, and insomnia: evidence for a symptom cluster in cancer","volume":"23","author":"Donovan","year":"2007","journal-title":"Semin Oncol Nurs"},{"key":"2026100907313419700_oyag378-B28","doi-asserted-by":"crossref","first-page":"1703","DOI":"10.1002\/cncr.29244","article-title":"Cancer treatments and their side effects are associated with aggravation of insomnia: results of a longitudinal study","volume":"121","author":"Savard","year":"2015","journal-title":"Cancer"},{"key":"2026100907313419700_oyag378-B29","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1016\/j.clbc.2017.12.012","article-title":"Effect of aromatase inhibitor therapy on sleep and activity patterns in early-stage breast cancer","volume":"18","author":"Bhave","year":"2018","journal-title":"Clin Breast Cancer"},{"key":"2026100907313419700_oyag378-B30","doi-asserted-by":"crossref","first-page":"zsab248","DOI":"10.1093\/sleep\/zsab248","article-title":"Rest activity rhythms characteristics of breast cancer women following endocrine therapy","volume":"45","author":"Martin","year":"2022","journal-title":"Sleep"},{"key":"2026100907313419700_oyag378-B31","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1038\/nrclinonc.2014.127","article-title":"Cancer-related fatigue\u2014mechanisms, risk factors, and treatments","volume":"11","author":"Bower","year":"2014","journal-title":"Nat Rev Clin Oncol"},{"key":"2026100907313419700_oyag378-B32","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1002\/cncr.33939","article-title":"Fatigue and endocrine symptoms among women with early breast cancer randomized to endocrine versus chemoendocrine therapy: Results from the TAILORx patient-reported outcomes substudy","volume":"128","author":"Garcia","year":"2022","journal-title":"Cancer"},{"key":"2026100907313419700_oyag378-B33","first-page":"319","article-title":"Multidisciplinary analysis of cancer-related fatigue at the time of diagnosis: preliminary results of the BIOCARE FActory cohort","volume":"32","author":"Leclercq","year":"2024","journal-title":"Support Care Cancer"},{"key":"2026100907313419700_oyag378-B34","doi-asserted-by":"crossref","first-page":"1140","DOI":"10.1186\/s12885-021-08831-3","article-title":"Building a biopsychosocial model of cancer-related fatigue: the BIOCARE FActory cohort study protocol","volume":"21","author":"Chartogne","year":"2021","journal-title":"BMC Cancer"},{"key":"2026100907313419700_oyag378-B35","doi-asserted-by":"publisher","first-page":"866","DOI":"10.1186\/s12885-018-4762-2","article-title":"Impact of breast cancer on prospective memory functioning assessed by virtual reality and influence of sleep quality and hormonal therapy: PROSOM-K study","volume":"18","author":"Duivon","year":"2018","journal-title":"BMC Cancer"},{"key":"2026100907313419700_oyag378-B36","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1186\/s12955-018-0949-0","article-title":"Psychometric properties of the fatigue questionnaire EORTC QLQ-FA12 and proposal of a cut-off value for young adults with cancer","volume":"16","author":"Friedrich","year":"2018","journal-title":"Health Qual Life Outcomes"},{"key":"2026100907313419700_oyag378-B37","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/0022-3999(94)00125-O","article-title":"The multidimensional fatigue inventory (MFI) psychometric qualities of an instrument to assess fatigue","volume":"39","author":"Smets","year":"1995","journal-title":"J Psychosom Res"},{"key":"2026100907313419700_oyag378-B38","doi-asserted-by":"crossref","first-page":"1615","DOI":"10.1007\/s11136-019-02147-3","article-title":"Measuring fatigue in cancer patients: a common metric for six fatigue instruments","volume":"28","author":"Friedrich","year":"2019","journal-title":"Qual Life Res"},{"key":"2026100907313419700_oyag378-B39","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/0165-1781(89)90047-4","article-title":"The Pittsburgh sleep quality index: a new instrument for psychiatric practice and research","volume":"28","author":"Buysse","year":"1989","journal-title":"Psychiatry Res"},{"key":"2026100907313419700_oyag378-B40","doi-asserted-by":"crossref","first-page":"4700","DOI":"10.1158\/0008-5472.CAN-08-4747","article-title":"Circadian rhythm in rest and activity: a biological correlate of quality of life and a predictor of survival in patients with metastatic colorectal cancer","volume":"69","author":"Innominato","year":"2009","journal-title":"Cancer Res"},{"key":"2026100907313419700_oyag378-B41","doi-asserted-by":"crossref","first-page":"2783","DOI":"10.1007\/s11136-017-1617-2","article-title":"Relationship between subjective and actigraphy-measured sleep in 237 patients with metastatic colorectal cancer","volume":"26","author":"Palesh","year":"2017","journal-title":"Qual Life Res"},{"key":"2026100907313419700_oyag378-B42","doi-asserted-by":"crossref","first-page":"891","DOI":"10.3109\/07420528.2014.924523","article-title":"Wrist actimetry circadian rhythm as a robust predictor of colorectal cancer patients survival","volume":"31","author":"L\u00e9vi","year":"2014","journal-title":"Chronobiol Int"},{"issue":"Suppl 1","key":"2026100907313419700_oyag378-B43","first-page":"1","article-title":"Glossary of chronobiology","volume":"4","author":"Halberg","year":"1977","journal-title":"Chronobiologia"},{"key":"2026100907313419700_oyag378-B44","first-page":"305","article-title":"Methods for cosinor-rhythmometry","volume":"6","author":"Nelson","year":"1979","journal-title":"Chronobiologia"},{"key":"2026100907313419700_oyag378-B45","doi-asserted-by":"crossref","first-page":"1156","DOI":"10.1080\/07420528.2019.1621330","article-title":"Rest-activity circadian rhythm in breast cancer survivors at 5 years after the primary diagnosis","volume":"36","author":"Roveda","year":"2019","journal-title":"Chronobiol Int"},{"key":"2026100907313419700_oyag378-B46","doi-asserted-by":"crossref","first-page":"925","DOI":"10.3109\/07420528.2015.1053909","article-title":"The difference between in bed and out of bed activity as a behavioral marker of cancer patients: a comparative actigraphic study","volume":"32","author":"Natale","year":"2015","journal-title":"Chronobiol Int"},{"key":"2026100907313419700_oyag378-B47","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1016\/j.bbi.2023.11.020","article-title":"Internal circadian misallignment in a mouse model of chemotherapy induced fatigue","volume":"115","author":"Wang","year":"2024","journal-title":"Brain Behav Immun"},{"key":"2026100907313419700_oyag378-B48","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.cmet.2018.04.021","article-title":"A role for hypocretin\/orexin in metabolic and sleep abnormalities in a mouse model of non-metastatic breast cancer","volume":"28","author":"Borniger","year":"2018","journal-title":"Cell Metab"},{"key":"2026100907313419700_oyag378-B49","doi-asserted-by":"crossref","first-page":"2557","DOI":"10.1038\/s41598-022-06664-z","article-title":"Sleep macro- and microstructure in breast cancer survivors","volume":"12","author":"Perrier","year":"2022","journal-title":"Sci Rep"},{"key":"2026100907313419700_oyag378-B50","doi-asserted-by":"crossref","first-page":"1840","DOI":"10.1200\/JCO.2013.53.4495","article-title":"Screening, assessment, and management of fatigue in adult survivors of cancer: an American Society of Clinical Oncology Clinical Practice Guideline Adaptation","volume":"32","author":"Bower","year":"2014","journal-title":"J Clin Oncol"},{"key":"2026100907313419700_oyag378-B51","doi-asserted-by":"crossref","first-page":"453","DOI":"10.1186\/1471-2407-10-453","article-title":"Factors associated with cancer-related fatigue in breast cancer patients undergoing endocrine therapy in an urban setting: a cross-sectional study","volume":"10","author":"Huang","year":"2010","journal-title":"BMC Cancer"},{"key":"2026100907313419700_oyag378-B52","first-page":"6615635","article-title":"Fatigue and co-occurring cancer-related symptoms in breast cancer survivors: a systematic review and network meta-analysis","volume":"2025","author":"Huang","year":"2025","journal-title":"Eur J Cancer Care (Engl)"},{"key":"2026100907313419700_oyag378-B53","doi-asserted-by":"crossref","first-page":"583","DOI":"10.1093\/sleep\/24.5.583","article-title":"Prevalence, clinical characteristics, and risk factors for insomnia in the context of breast cancer","volume":"24","author":"Savard","year":"2001","journal-title":"Sleep"}],"container-title":["The Oncologist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/oncolo\/advance-article-pdf\/doi\/10.1093\/oncolo\/oyag378\/71581737\/oyag378.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/oncolo\/article-pdf\/31\/11\/oyag378\/71581737\/oyag378.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/oncolo\/article-pdf\/31\/11\/oyag378\/71581737\/oyag378.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:31:44Z","timestamp":1791545504000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/oncolo\/article\/doi\/10.1093\/oncolo\/oyag378\/8860753"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,3]]},"references-count":53,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,10,7]]}},"URL":"https:\/\/doi.org\/10.1093\/oncolo\/oyag378","relation":{},"ISSN":["1083-7159","1549-490X"],"issn-type":[{"value":"1083-7159","type":"print"},{"value":"1549-490X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,11]]},"published":{"date-parts":[[2026,10,3]]},"article-number":"oyag378"}}