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
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.
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.
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.
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.
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