Treat insomnia in survivors and measure whether the cancer notices
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.
- Survivorship and late effects are neglected · Tens of millions of people live after cancer with heart damage, infertility, second cancers and fear, and few services.
- Toxicity and quality of life are undervalued · Trials measure how long people live, not how they live. Side-effects are under-reported and under-treated.
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not linked directly; found by shared links- TechnologyTime-restricted eating in cancer prevention and survivorship
Shares Chronotherapy: timing treatment to the body clock, Circadian control, Structured exercise programmes after curative treatment, Survivorship and late effects are neglected.
- IdeaSexual health assessed and treated as a standard toxicity domain
Shares Survivorship and late effects are neglected, Toxicity and quality of life are undervalued, HR-positive / HER2-negative breast cancer, Colorectal cancer.
- IdeaProspective arm-volume surveillance to catch and reverse lymphoedema early
Shares Survivorship and late effects are neglected, Toxicity and quality of life are undervalued, HR-positive / HER2-negative breast cancer.
- IdeaPay for supervised exercise the way we pay for drugs
Shares Structured exercise programmes after curative treatment, Survivorship and late effects are neglected, HR-positive / HER2-negative breast cancer, Colorectal cancer.
- IdeaA dose-finding trial for exercise after cancer
Shares Structured exercise programmes after curative treatment, Survivorship and late effects are neglected, HR-positive / HER2-negative breast cancer, Colorectal cancer.
- IdeaVocational rehabilitation integrated into cancer care so survivors can return to work
Shares Survivorship and late effects are neglected, Toxicity and quality of life are undervalued.
- IdeaMeasure and treat chemo brain with objective digital cognitive testing
Shares Survivorship and late effects are neglected, Toxicity and quality of life are undervalued.
- IdeaRisk-stratified follow-up: low-risk survivors to primary care with fast re-entry
Shares Survivorship and late effects are neglected, HR-positive / HER2-negative breast cancer, Colorectal cancer.