Impact of adenotonsillectomy on the quality of life in children with sleep disordered breathing

Othman, Mohd Nazir; Goh, Bee See; Latif, Hasniah Abdul

doi:10.1016/j.ijporl.2016.10.018

Cited by 11 publications

(8 citation statements)

References 13 publications

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“…23,32,43 This improvement can be measured not only by the numerical decrease in the scores for each domain of the OSA-18, but also through the changes from total scores reflecting high or moderate impacts on QoL (scores above 60) to total scores reflecting low impact on QoL, which occurred in the current study and in prior research. 7,38,44 Our finding that this outcome is maintained for at least 6 months is consistent with other reports in the literature. 31,34,42,45 Long-term follow-up studies after AT can be difficult to be performed, since most patients do not need further medical evaluation after improvement of the symptoms is observed.…”

Section: Discussionsupporting

confidence: 92%

“…47 Well-designed studies have shown, as our study found, that tonsil and adenoid size is not correlated with either SDB severity or patient QoL. 19,38,47,48 Our study did not find differences between OSA-18 scores and gender, which is similar to the findings of other studies. The analysis of previous studies that found a higher prevalence of OSA in males shows that it is probably influenced by age, once this difference was found only in older boys.…”

Section: Discussionsupporting

confidence: 89%

“…3 This characteristic is recognized as one of the significant differences between adult and pediatric SDB. 3,38 Sleep-disordered breathing can negatively affect children's memory and attention levels, likely because of hypoxia, which is also considered to be responsible for daytime symptoms such as irritability, aggression, and hyperactivity. 39,40 Furthermore, SDB is associated with enuresis, metabolic problems, and with an increased risk of metabolic and cardiovascular abnormalities, decreasing children's QoL.…”

Section: Discussionmentioning

confidence: 99%

“…However, the difficulty in implementing this exam on a large scale leads to use other exams or clinical evaluation alone to diagnose and treat these patients. 30,38,52 Finally, considering that SDB is a prevalent condition, a large, diverse subject population must be surveyed to determine whether AT leads to improvement in the QoL of children,.…”

Section: Discussionmentioning

confidence: 99%

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Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Caixeta

Sampaio

Costa

et al. 2020

Int Arch Otorhinolaryngol

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Introduction Adenotonsillectomy is the first-line treatment for obstructive sleep apnea secondary to adenotonsillar hypertrophy in children. The physical benefits of this surgery are well known as well as its impact on the quality of life (QoL), mainly according to short-term evaluations. However, the long-term effects of this surgery are still unclear. Objective To evaluate the long-term impact of adenotonsillectomy on the QoL of children with sleep-disordered breathing (SDB). Method This was a prospective non-controlled study. Children between 3 and 13 years of age with symptoms of SDB for whom adenotonsillectomy had been indicated were included. Children with comorbities were excluded. Quality of life was evaluated using the obstructive sleep apnea questionnaire (OSA-18), which was completed prior to, 10 days, 6 months, 12 months and, at least, 18 months after the procedure. For statistical analysis, p-values lower than 0.05 were defined as statistically significant. Results A total of 31 patients were enrolled in the study. The average age was 5.2 years, and 16 patients were male. The OSA-18 scores improved after the procedure in all domains, and this result was maintained until the last evaluation, done 22 ± 3 months after the procedure. Improvement in each domain was not superior to achieved in other domains. No correlation was found between tonsil or adenoid size and OSA-18 scores. Conclusion This is the largest prospective study that evaluated the long-term effects of the surgery on the QoL of children with SDB using the OSA-18. Our results show adenotonsillectomy has a positive impact in children's QoL.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Long-term Impact of Adenotonsillectomy on the Quality of Life of Children with Sleep-disordered breathing

Caixeta

Sampaio

Costa

et al. 2020

Int Arch Otorhinolaryngol

View full text Add to dashboard Cite

show abstract

“…7,8 Studies have demonstrated improvements in sleep, [20][21][22] cardiovascular parameters, 23 and quality of life postsurgery. [24][25][26][27][28] The effect of adenotonsillectomy on behavior and cognition is however, less clear; The Childhood Adenotonsillectomy Trial (CHAT) 29 is the only randomized controlled trial that has been undertaken to assess the effects of adenotonsillectomy for mild OSA in school age children. This study did not show improvement in primary outcomes of attention or executive function in those children randomized to surgical treatment for OSA compared with those who underwent a strategy of watchful waiting.…”

Section: Sleep-disordered Breathingmentioning

confidence: 99%