Sleep Disturbances in Surgical Patients With GI Cancers: A Quantitative and Qualitative Analysis

Study Overview
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Brief Summary
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The primary objective of the study is to determine sleep disturbance and its types among patients with gastrointestinal cancers during the perioperative period (preoperative and in-hospital stay following surgery) by using Richard Campbell sleep questionnaire (RCSQ). The primary objective of this study is to determine the SD during preoperative and post-operative periods evaluated by Richard Campbell Sleep questionnaire. Patients will be asked every 24 hours while at the hospital (before and after surgery) to fill out this questionnaire. The mean RCSQ score at each time point (i.e., before and after surgery) will be calculated for each patient. The overall mean (across all patients) will be calculated and reported along a 95% CI.

Detailed Description
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Primary: • Determine sleep disturbance and its types among patients with gastrointestinal cancers during the perioperative period (preoperative and in-hospital stay following surgery) by using Richard Campbell sleep questionnaire(RCSQ). Secondary: Determine sleep disturbance and its types at 30 day post-discharge follow-up visit by RCSQ. Determine the correlation between objective sleep variables assessed using Actigraphy and Fitbit and patient-reported SD on Richard Campbell Sleep questionnaire. Determine the association of severity and impact of SD among Quality of recovery (QoR-15), Pittsburgh sleep quality index, MDASI-GI and Richard Campbell Sleep questionnaire, and Insomnia Severity Index (ISI). Exploratory: • Determine the association between the preoperative inflammatory burden, sleep health {insomnia (using Insomnia Severity Index (ISI)),sleep architecture(sleep-wake cycles usingActigraphy)}, and perioperative inflammatory responses on postoperative SD

Official Title
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Sleep Disturbances in Surgical Patients With GI Cancers: A Quantitative and Qualitative Analysis

Conditions
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GI Cancers, Gastrointestinal Cancer

Intervention / Treatment
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* Other: Sleeping Disturbances


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult GI Cancer patients admitted for elective gastrointestinal surgery. Patients with an expected hospitalstay of at least 72 hours. Able to be able to read and speak English. Must have access to internet or use of mobile device for FitBit. Exclusion Criteria: <18 years of age. Night shift workers. Obtained from job history, any patient >/= 2 days per week, within the last six months prior consenting, are not eligible.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Screening
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Sleep Disturbances<br>Difficulty Sleeping | Other: Sleeping Disturbances<br>* most common complaints of patients after surgery and may affect the ability to carry out daily activities, quality of life, and post-surgery recovery.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Correlating the sleep disturbance and its types among patients with gastrointestinal cancers. | This questionnaire will be used to assess during the stay by using (preoperative and in-hospital stay following surgery) by using Richard Campbell sleep questionnaire(RCSQ). scale of 1 to 10 (with 1 being poor and 10 being excellent | through study completion, an average of 1 year |