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, *
1 Department of Family Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt


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Creative Commons License
© 2020 El Hamid et al.

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.

Correspondence: Address correspondence to this author at Department of Family Medicine, Faculty of Medicine, Ain Shams University, Cairo, Egypt; Tel: + 2 01143559946; E-mail: farouk.allam@med.asu.edu.eg.


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.