RESEARCH ARTICLE
Surgical versus Non-Surgical Management of Obstructive Sleep-disordered Breathing in Children: A Meta-analysis
Alaa Ahmed Abd El Hamid1, Anas Mohamed Askoura1, Diaa Marzouk Abdel Hamed1, Mohamed Shehata Taha1, Mohamed Farouk Allam1, *
Article Information
Identifiers and Pagination:
Year: 2020Volume: 14
First Page: 47
Last Page: 52
Publisher ID: TORMJ-14-47
DOI: 10.2174/1874306402014010047
Article History:
Received Date: 30/4/2020Revision Received Date: 09/8/2020
Acceptance Date: 02/9/2020
Electronic publication date: 26/11/2020
Collection year: 2020
open-access license: 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.
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.