Association of Sleep Quality and Mental Status With Early Recurrence and Prognosis of Colorectal Cancer

Other illness

• Have a family history of severe mental illness;
• People with mental illness or intellectual disability who cannot correctly describe their feelings;
• The patient has severe systemic infection;
• Patients with intestinal obstruction, intestinal perforation, intestinal bleeding, peritonitis, etc. requiring emergency surgery;
• Have serious heart, lung, liver and kidney diseases, can not tolerate surgery;
• Severe coagulation mechanism disorder and bleeding tendency;
• Serious uncontrolled medical disease, recent history of myocardial infarction (within 3 months); Acute infection;
• Patients with uncontrolled severe hypertension and severe diabetes after intervention;

Lab values

• Active stage of liver disease or abnormal liver function, ALT, AST, TBIL is more than 2 times the upper limit of normal value;
• The subject's blood white blood cells are lower than the lower limit of normal, or platelets are lower than the lower limit of normal, or there are other blood system diseases;

Age

• Under 18 years of age or over 80 years of age;

Other

• No radical operation was performed during the operation due to various reasons;
• Merge other parts of the transfer;
• Renal function damage, Cr ≥ 2 times the upper limit of normal value or BUN ≥ 2 times the upper limit of normal value;
• The researchers considered that other candidates were not suitable for inclusion in this study.

• Preoperative fibrocolonoscopy and pathological examination confirmed colorectal cancer;
• Age 18 \~ 80 years old;
• Baseline clinical stage TNM Ⅰ to Ⅲ : cT1-4N0-2M0 (AJCC-8 version);
• The United States Eastern Oncology Consortium (ECOG) physical status score was 0 to 2 points;
• Laboratory examination results before admission met the following surgical conditions: neutrophil (ANC) ≥1.5×109/L, platelets (PLT) ≥ 100×109/L, total bilirubin (TBI) ≤1.5× upper limit of normal (2mg/dl), alanine aminotransferase (ALT), aspartate aminotransferase (AST) ≤2× upper limit of normal; Coagulation parameters in the normal range;
• Able to complete the required research questionnaire independently or with the assistance of the researcher;
• Patients were willing to undergo regular follow-up after surgery and had no psychological, family, social, or geographic constraints that affected protocol compliance and follow-up time;
• Patients and their families can understand and are willing to participate in this clinical study, and sign informed consent.