Insomnia in adult patients with cancer: ESMO Clinical Practice Guideline
Open accessAbstract
•Insomnia is common in patients with cancer, with a higher prevalence than observed in the general population.•Insomnia is often under-recognised and inadequately treated in patients with cancer.•Brief validated screening tools are available for the evaluation of insomnia in clinical practice.•First-line therapy should be based on international guidelines recommending cognitive behavioural therapy for insomnia.
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Subsequent treatment options for insomnia in cancer survivors include brief CBT-I or mindfulness-based therapies (level II, grade B) and pharmacological intervention (level II, grade C).
“Subsequent treatment options include brief CBT-I or mindfulnessbased therapies (II, B) and pharmacological intervention (II, C). 20”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [20]
The Management recommendations give mindfulness-based therapy for cancer survivors a [II, B] rating when CBT-I is unavailable or not preferred, and list hypnotics as an option for patients and survivors at [II, C], while cautioning against long-term use. But brief behavioural therapy for insomnia receives [II, B] specifically for patients in active cancer treatment, not cancer survivors; the guideline recommends standard CBT-I for survivors at [I, A]. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe European Society for Medical Oncology (ESMO) clinical practice guideline recommends CBT-I as the standard of care for treating insomnia in cancer survivors (level of evidence I, grade of recommendation A).
“The European Society for Medical Oncology (ESMO) clinical practice guideline recommends CBT-I as the standard of care for treating insomnia in cancer survivors (level of evidence I, grade of recommendation A)”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [20]
The ESMO clinical practice guideline recommends offering dCBT-I when in-person CBT-I is not available (level II, grade A).
“and offering dCBT-I when in-person CBT-I is not available (II, A).”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [20]
High-quality trials are needed to strengthen the evidence base for dCBT-I in people living with and beyond cancer.
“underscoring the need for high-quality trials to strengthen the evidence base for dCBT-I in people living with and beyond cancer.”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [20]
dCBT-I shows highly promising effects for cancer survivors.
“dCBT-I shows highly promising effects for survivors”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [20]
Few studies have been conducted on dCBT-I in cancer survivors.
“despite few studies have been conducted”
From Digital Cognitive-Behavioral Therapy for Insomnia in Cancer Survivors: Protocol for a Pragmatic Clinical Trial (2024) · cites this paper as [20]
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References 109 · Cited by 96
- Authors
- Grassi, L., Zachariae, R., Caruso, R., Palagini, L., Campos-Ródenas, R., Riba, M. B., Lloyd-Williams, M., Kissane, D., Rodin, G., McFarland, D., Ripamonti, C. I., & Santini, D.
- Affiliations
- University of Ferrara (IT)
- Aarhus University Hospital (DK)
- University of Pisa (IT)
- University of Michigan (US)
- Monash Medical Centre (AU)
- Princess Margaret Cancer Centre (CA)
- University of Rochester Medicine (US)
- University of Brescia (IT)
- Policlinico Umberto I (IT)
- ORCID
- Venue
- ESMO Open
- Publisher
- Elsevier BV
- Published
- 2023-12
- Volume
- 8
- Issue
- 6
- Pages
- 102047
- ISSN
- 2059-7029 (ISSN-L)
- PMC
- PMC10774975
- OpenAlex
- W4388840640
- Cited by
- 96
- References
- 109
- Citations by year
- 2026: 36 · 2025: 41 · 2024: 19
- FWCI
- 24.82
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- ESMO Open (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Liverpool John Moores University (acceptedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion, other-oa)
- Institutional Research Information System University of Ferrara (University of Ferrara) (submittedVersion, cc-by-nc-nd)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by-nc-nd)
- Zaguan (University of Zaragoza Repository) (submittedVersion, cc-by-nc-nd)
- Funders
- European Society for Medical Oncology
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Intensive Care Unit Cognitive Disorders
- Keywords
- insomnia, cancer patients, insomnia prevalence, insomnia screening, cognitive behavioral therapy for insomnia, insomnia treatment
- MeSH terms
- Adult, Humans, Sleep Initiation and Maintenance Disorders, Medical Oncology, Neoplasms
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