Prevalence and assessment of sleep-disordered breathing in head and neck cancer patients: a systematic review
- 10-10-2024
- Radiotherapy
- Sleep Breathing Physiology and Disorders • Review
Published in:
- Authors
- Guihua Hao
- Fen Gu
- Min Hu
- Wenjing Ding
- Wentao Shi
- Jingjing Dai
- Lili Hou
- Published in
- Sleep and Breathing | Issue 6/2024
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.
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- Title
- Prevalence and assessment of sleep-disordered breathing in head and neck cancer patients: a systematic review
- Authors
-
Guihua Hao
Fen Gu
Min Hu
Wenjing Ding
Wentao Shi
Jingjing Dai
Lili Hou
- Publication date
- 10-10-2024
- Publisher
- Springer International Publishing
- Keyword
- Radiotherapy
- Published in
-
Sleep and Breathing / Issue 6/2024
Print ISSN: 1520-9512
Electronic ISSN: 1522-1709 - DOI
- https://doi.org/10.1007/s11325-024-03075-4
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