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Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis

BACKGROUND: Obstructive sleep-disordered breathing (OSDB) is a term for several chronic conditions in which partial or complete cessation of breathing occurs many times throughout the night, resulting in fatigue or daytime sleepiness that interferes with a person’s functions and reduces the quality...

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Autores principales: El Hamid, Alaa Ahmed Abd, Askoura, Anas Mohamed, Abdel Hamed, Diaa Marzouk, Taha, Mohamed Shehata, Allam, Mohamed Farouk
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Science Publishers 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705953/
https://www.ncbi.nlm.nih.gov/pubmed/33299493
http://dx.doi.org/10.2174/1874306402014010047
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author El Hamid, Alaa Ahmed Abd
Askoura, Anas Mohamed
Abdel Hamed, Diaa Marzouk
Taha, Mohamed Shehata
Allam, Mohamed Farouk
author_facet El Hamid, Alaa Ahmed Abd
Askoura, Anas Mohamed
Abdel Hamed, Diaa Marzouk
Taha, Mohamed Shehata
Allam, Mohamed Farouk
author_sort El Hamid, Alaa Ahmed Abd
collection PubMed
description BACKGROUND: Obstructive sleep-disordered breathing (OSDB) is a term for several chronic conditions in which partial or complete cessation of breathing occurs many times throughout the night, resulting in fatigue or daytime sleepiness that interferes with a person’s functions and reduces the quality of life. OBJECTIVE: Comparing the effectiveness of surgical versus non-surgical treatment of OSDB in children in clinical trials through a meta-analysis study. PATIENTS AND METHODS: A number of available studies and abstracts concerning the surgical versus non-surgical treatment of OSDB in children were identified through a comprehensive search of electronic databases. Data were abstracted from every study in the form of a risk estimate and its 95% confidence interval. RESULTS: The current study revealed that there was a statistically significant improvement in the surgically treated patients rather than non-surgically treated patients regarding the quality of life. CONCLUSION: The current meta-analysis reports a significant clinical improvement in the surgical (adenotonsillectomy) group as compared to the non-surgical group, in terms of disease specific quality of life, and healthcare utilization in spite of the availability of only one study.
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spelling pubmed-77059532020-12-08 Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis El Hamid, Alaa Ahmed Abd Askoura, Anas Mohamed Abdel Hamed, Diaa Marzouk Taha, Mohamed Shehata Allam, Mohamed Farouk Open Respir Med J Respiratory Medicine BACKGROUND: Obstructive sleep-disordered breathing (OSDB) is a term for several chronic conditions in which partial or complete cessation of breathing occurs many times throughout the night, resulting in fatigue or daytime sleepiness that interferes with a person’s functions and reduces the quality of life. OBJECTIVE: Comparing the effectiveness of surgical versus non-surgical treatment of OSDB in children in clinical trials through a meta-analysis study. PATIENTS AND METHODS: A number of available studies and abstracts concerning the surgical versus non-surgical treatment of OSDB in children were identified through a comprehensive search of electronic databases. Data were abstracted from every study in the form of a risk estimate and its 95% confidence interval. RESULTS: The current study revealed that there was a statistically significant improvement in the surgically treated patients rather than non-surgically treated patients regarding the quality of life. CONCLUSION: The current meta-analysis reports a significant clinical improvement in the surgical (adenotonsillectomy) group as compared to the non-surgical group, in terms of disease specific quality of life, and healthcare utilization in spite of the availability of only one study. Bentham Science Publishers 2020-11-26 /pmc/articles/PMC7705953/ /pubmed/33299493 http://dx.doi.org/10.2174/1874306402014010047 Text en © 2020 El Hamid et al. https://creativecommons.org/licenses/by/4.0/legalcode This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Respiratory Medicine
El Hamid, Alaa Ahmed Abd
Askoura, Anas Mohamed
Abdel Hamed, Diaa Marzouk
Taha, Mohamed Shehata
Allam, Mohamed Farouk
Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis
title Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis
title_full Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis
title_fullStr Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis
title_full_unstemmed Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis
title_short Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis
title_sort surgical versus non-surgical management of obstructive sleep-disordered breathing in children: a meta-analysis
topic Respiratory Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7705953/
https://www.ncbi.nlm.nih.gov/pubmed/33299493
http://dx.doi.org/10.2174/1874306402014010047
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