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

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

Alaa Ahmed Abd El Hamid (1), Anas Mohamed Askoura (2), Diaa Marzouk Abdel Hamed (1), Mohamed Shehata Taha (2), Mohamed Farouk Allam (1)

1. Department of Family Medicine, Faculty of Medicine, Ain Shams University, Egypt

2. Department of ENT, Faculty of Medicine, Ain Shams University, Egypt

 

The Open Respiratory Medicine Journal 2020;14:47-52. 

Electronic publication date: 23/10/2020

Publisher Item Identifier (PII): BMS-TORMJ-2020-10

 DOI: 10.2174/1874306402014010047

Abstract

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.

 

Keywords: OSDB, Children, Surgical, Meta-analysis, Systematic review, Quality of life.

The Open Respiratory Medicine Journal 2020;14:47-52.

https://benthamopen.com/contents/pdf/TORMJ/TORMJ-14-47.pdf