成人原发性打鼾的管理:对干预措施、结果和用于评估临床效果的工具进行范围审查。

IF 11.2 1区 医学 Q1 CLINICAL NEUROLOGY
Chidsanu Changsiripun , Naricha Chirakalwasan , Sofia Dias , Catriona McDaid
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引用次数: 0

摘要

虽然针对原发性鼾症有多种治疗方案,但确定最佳干预措施的循证建议仍未确定。为了为未来的研究方向提供信息,以指导临床决策,我们进行了此次范围界定综述,以绘制有关成人原发性鼾症干预措施、结果和用于评估其临床效果的工具的现有证据图。此外,还评估了进一步开展系统性综述和使用网络荟萃分析比较这些疗法的结果的可行性。在已确定的 1673 条记录中,有 38 项干预性研究符合纳入标准,其中五分之三是前后对比研究。排除研究的最常见原因是报告的结果是原发性打鼾和阻塞性睡眠呼吸暂停(OSA)患者的综合结果。干预措施包括手术(73%)、行为干预和使用设备/药物。确定了 26 项常见结果,并将其分为六个领域。用于评估结果的工具有 59 种,主要基于未经验证的调查问卷。我们的研究结果表明:(1)有必要进行随机对照试验,严格区分原发性打鼾和 OSA 患者;(2)使用某些结果进一步进行网络荟萃分析是可行的;(3)应开发一套核心结果,为未来研究的标准化报告提供依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of primary snoring in adults: A scoping review examining interventions, outcomes and instruments used to assess clinical effects

While various treatment options for primary snoring are available, evidence-based recommendations to determine the optimal intervention remain unestablished. To inform future directions of research to guide clinical decision-making, this scoping review was conducted to map the existing evidence on interventions for primary snoring, the outcomes and instruments used to assess their clinical effects in adults. The feasibility of conducting further systematic reviews and comparing outcomes across these therapies using network meta-analysis was also assessed. Of the 1673 records identified, 38 interventional studies met the inclusion criteria with three-fifths of them being before-after studies. The most common reason for study exclusion was results being reported for patients with primary snoring and obstructive sleep apnoea (OSA) combined. Interventions were surgical (73 %), behavioural and the use of devices/medications. Twenty-six common outcomes were identified and categorised into six domains. Fifty-nine instruments were used to assess the outcomes and based mainly on non-validated questionnaires. Our findings indicated (1) the need for randomised controlled trials with strict discrimination between patients with primary snoring and OSA, (2) further network meta-analyses using some outcomes is feasible, and (3) a core outcome set to inform standardised reporting for future research should be developed.

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来源期刊
Sleep Medicine Reviews
Sleep Medicine Reviews 医学-临床神经学
CiteScore
20.10
自引率
3.80%
发文量
107
期刊介绍: Sleep Medicine Reviews offers global coverage of sleep disorders, exploring their origins, diagnosis, treatment, and implications for related conditions at both individual and public health levels. Articles comprehensively review clinical information from peer-reviewed journals across various disciplines in sleep medicine, encompassing pulmonology, psychiatry, psychology, physiology, otolaryngology, pediatrics, geriatrics, cardiology, dentistry, nursing, neurology, and general medicine. The journal features narrative reviews, systematic reviews, and editorials addressing areas of controversy, debate, and future research within the field.
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