The Association of Insomnia with Febrile Neutropenia, Leucopenia, and Infection in Women Receiving Adjuvant Chemotherapy for Breast Cancer

Audreylie Lemelin,Josée Savard,Michelle B. Chen,L. Shepherd,M. Burnell,Mark N. Levine,Bingshu E. Chen,J. Lemieux

Published 2025 in Cancers

ABSTRACT

Simple Summary Insomnia can affect the immune system. Cancer chemotherapy can also affect the immune system. This study evaluated whether there was an association between insomnia and immune dysfunction (neutropenia, leucopenia, and the occurrence of infections) in women treated with chemotherapy after breast cancer surgery. Insomnia was associated with febrile neutropenia, a serious consequence of immune dysfunction in patients receiving chemotherapy. This association remained significant after adjusting for confounders. In addition, chemotherapy dose reductions (often necessary to manage adverse effects) were more common in women with insomnia.

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