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Insomnia therapy works well for cancer survivors and is barely offered. A trial that fixes sleep and then follows recurrence would test whether restoring the body clock changes the disease as well as the symptom.
CBT-I has strong evidence for insomnia symptoms in survivors, and disrupted rest-activity rhythms predict shorter survival in metastatic cancer, but no trial has tested whether treating sleep and circadian disruption affects recurrence or survival. Digital CBT-I and timed light therapy are scalable and cheap, making a large pragmatic trial with an oncological endpoint feasible for the first time.
Shares Chronotherapy: timing treatment to the body clock, Circadian control, Structured exercise programmes after curative treatment, Diet, exercise and lifestyle roadmap: causes established → interventions that disappointed → exercise proven as treatment.
Shares Cognitive behavioural therapy for insomnia (CBT-I), Sleep after cancer: how common insomnia is, how long it lasts, and the treatment that works, Structured exercise programmes after curative treatment, Survivorship care and late-effects surveillance.
Shares Circadian control, Give immunotherapy in the morning.
Shares Cognitive behavioural therapy for insomnia (CBT-I), Sleep after cancer: how common insomnia is, how long it lasts, and the treatment that works.
Shares Sleep after cancer: how common insomnia is, how long it lasts, and the treatment that works, Structured exercise programmes after curative treatment, Survivorship and late effects are neglected, HR-positive / HER2-negative breast cancer.
Shares Structured exercise programmes after curative treatment, Diet, exercise and lifestyle roadmap: causes established → interventions that disappointed → exercise proven as treatment, Survivorship and late effects are neglected, HR-positive / HER2-negative breast cancer.
Shares Structured exercise programmes after curative treatment, Survivorship care and late-effects surveillance, Survivorship and late effects are neglected, HR-positive / HER2-negative breast cancer.
Shares Structured exercise programmes after curative treatment, Diet, exercise and lifestyle roadmap: causes established → interventions that disappointed → exercise proven as treatment, Survivorship and late effects are neglected, HR-positive / HER2-negative breast cancer.