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Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis
BACKGROUND: Nasal surgeries have been applied to obstructive sleep apnea (OSA) patients with nasal obstruction for decades. However, the efficiency of nasal surgery in improving OSA remains controversial. The aim of this study was to identify whether isolated nasal surgery can improve apnea–hypopnea...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer Health
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293463/ https://www.ncbi.nlm.nih.gov/pubmed/28151900 http://dx.doi.org/10.1097/MD.0000000000006008 |
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author | Wu, Jun Zhao, Guoqiang Li, Yunchuan Zang, Hongrui Wang, Tong Wang, Dongbo Han, Demin |
author_facet | Wu, Jun Zhao, Guoqiang Li, Yunchuan Zang, Hongrui Wang, Tong Wang, Dongbo Han, Demin |
author_sort | Wu, Jun |
collection | PubMed |
description | BACKGROUND: Nasal surgeries have been applied to obstructive sleep apnea (OSA) patients with nasal obstruction for decades. However, the efficiency of nasal surgery in improving OSA remains controversial. The aim of this study was to identify whether isolated nasal surgery can improve apnea–hypopnea index (AHI). METHODS: Computerized searches were performed in MEDLINE, Web of Science, Cochrane Library, and Scopus from January 1, 2000 to April 30, 2016. A total of 18 articles and 587 participants were included. There were 1 randomized controlled trials, 2 nonrandomized trials, 11 prospective studies, and 4 retrospective studies. Data regarding study design (prospective/retrospective clinical trial, randomized, and controlled), population size, participant characteristics (age, gender, and body mass index), surgical intervention, and outcomes (AHI, Epworth sleep scale [ESS]) was collected. RESULTS: Statistically significant improvement in AHI (subgroup 1: weighted mean difference [WMD] [95%confidence interval (CI)], −4.17 [−7.62, −0.73]; subgroup 2: WMD [95%CI], −4.19 [−7.51, −0.88]; overall: WMD [95%CI], −4.15 [−6.48, −1.82]) and ESS (subgroup 1: WMD [95%CI], −2.14 [−3.08, −1.19]; subgroup 2: WMD [95%CI], −4.70 [−5.95, −3.44]; overall: WMD [95%CI], −4.08 [−5.27, −2.88]) was revealed. CONCLUSION: Both AHI and ESS improved significantly after isolated nasal surgery, but the improvement of AHI is slightly significant. Future randomized controlled trials are needed to confirm the long-term benefits of nasal surgery on OSA. |
format | Online Article Text |
id | pubmed-5293463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Wolters Kluwer Health |
record_format | MEDLINE/PubMed |
spelling | pubmed-52934632017-02-10 Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis Wu, Jun Zhao, Guoqiang Li, Yunchuan Zang, Hongrui Wang, Tong Wang, Dongbo Han, Demin Medicine (Baltimore) 6000 BACKGROUND: Nasal surgeries have been applied to obstructive sleep apnea (OSA) patients with nasal obstruction for decades. However, the efficiency of nasal surgery in improving OSA remains controversial. The aim of this study was to identify whether isolated nasal surgery can improve apnea–hypopnea index (AHI). METHODS: Computerized searches were performed in MEDLINE, Web of Science, Cochrane Library, and Scopus from January 1, 2000 to April 30, 2016. A total of 18 articles and 587 participants were included. There were 1 randomized controlled trials, 2 nonrandomized trials, 11 prospective studies, and 4 retrospective studies. Data regarding study design (prospective/retrospective clinical trial, randomized, and controlled), population size, participant characteristics (age, gender, and body mass index), surgical intervention, and outcomes (AHI, Epworth sleep scale [ESS]) was collected. RESULTS: Statistically significant improvement in AHI (subgroup 1: weighted mean difference [WMD] [95%confidence interval (CI)], −4.17 [−7.62, −0.73]; subgroup 2: WMD [95%CI], −4.19 [−7.51, −0.88]; overall: WMD [95%CI], −4.15 [−6.48, −1.82]) and ESS (subgroup 1: WMD [95%CI], −2.14 [−3.08, −1.19]; subgroup 2: WMD [95%CI], −4.70 [−5.95, −3.44]; overall: WMD [95%CI], −4.08 [−5.27, −2.88]) was revealed. CONCLUSION: Both AHI and ESS improved significantly after isolated nasal surgery, but the improvement of AHI is slightly significant. Future randomized controlled trials are needed to confirm the long-term benefits of nasal surgery on OSA. Wolters Kluwer Health 2017-02-03 /pmc/articles/PMC5293463/ /pubmed/28151900 http://dx.doi.org/10.1097/MD.0000000000006008 Text en Copyright © 2017 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 6000 Wu, Jun Zhao, Guoqiang Li, Yunchuan Zang, Hongrui Wang, Tong Wang, Dongbo Han, Demin Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis |
title | Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis |
title_full | Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis |
title_fullStr | Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis |
title_full_unstemmed | Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis |
title_short | Apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: A meta-analysis |
title_sort | apnea–hypopnea index decreased significantly after nasal surgery for obstructive sleep apnea: a meta-analysis |
topic | 6000 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5293463/ https://www.ncbi.nlm.nih.gov/pubmed/28151900 http://dx.doi.org/10.1097/MD.0000000000006008 |
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