Prevalence and assessment of sleep-disordered breathing in head and neck cancer patients: a systematic review.

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2024-12-01 Epub Date: 2024-10-10 DOI:10.1007/s11325-024-03075-4

Guihua Hao, Fen Gu, Min Hu, Wenjing Ding, Wentao Shi, Jingjing Dai, Lili Hou

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引用次数: 0

Abstract

Study objectives: Sleep-disordered breathing (SDB) is a very common and underdiagnosed condition in head and neck cancers (HNC) patients. If untreated, SDB can lead to negative health consequences. The identification of SDB in HNC patients is crucial to ensure appropriate treatment and to improve outcomes. The purpose of the study was to investigate the incidence of coexisting SDB in HNC patients and to evaluate methods of assessing SDB in the population.

Methods: A systematic search of PubMed, Embase, CINAHL, Cochrane Database, the Web of Science, and Scopus was performed for studies related to SDB in HNC patients. In total, 1713 articles were identified. 19 articles were selected for qualitative synthesis. The studies involved 584 subjects.

Results: The prevalence of SDB ranged from 57 to 90% before cancer treatment and from 12 to 96% after. When using an apnea-hypopnea index (AHI) cut-off ≥ 5/h to diagnosis SDB, the prevalence of SDB was 57-90% before cancer treatment and 12-94% after treatment. Sleep studies using polysomnography are the most commonly used assessment tools, but thresholds for diagnosis have been inconsistent.

Conclusions: There is a high prevalence of SDB in HNC patients. However, the diagnostic and thresholds methods used for detecting SDB vary widely. To determine the accurate prevalence of SDB, prospective, systematic studies of SDB in unselected cohorts of HNC participants are required.

查看原文本刊更多论文

头颈部癌症患者睡眠呼吸障碍的发生率和评估：系统综述。

研究目的：睡眠呼吸障碍（SDB）是头颈部癌症（HNC）患者中一种非常常见且诊断不足的疾病。如果不及时治疗，SDB 可能会对健康造成负面影响。识别 HNC 患者的 SDB 对确保适当治疗和改善预后至关重要。本研究旨在调查HNC患者并存SDB的发生率，并评估评估人群中SDB的方法：方法：对PubMed、Embase、CINAHL、Cochrane数据库、Web of Science和Scopus进行了系统检索，寻找与HNC患者SDB相关的研究。共发现 1713 篇文章。筛选出 19 篇文章进行定性综合。这些研究涉及 584 名受试者：结果：在癌症治疗前，SDB 的患病率为 57% 至 90%，而在治疗后，患病率为 12% 至 96%。当使用呼吸暂停-低通气指数（AHI）≥5/h的临界值来诊断SDB时，癌症治疗前SDB的患病率为57%-90%，治疗后为12%-94%。使用多导睡眠图进行的睡眠研究是最常用的评估工具，但诊断阈值并不一致：结论：HNC 患者的 SDB 患病率很高。然而，用于检测 SDB 的诊断方法和阈值却大相径庭。要确定 SDB 的准确患病率，需要对未选择的 HNC 患者队列进行 SDB 的前瞻性、系统性研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.