Kirurgisk behandling af obstruktiv søvnapnø-syndrom. En evidensbaseret opgørelse

V Backer, N Rasmussen

Abstract

OBJECTIVES: To determine the current efficacy of type of surgery in the treatment of obstructive sleep apnoea.

SEARCH STRATEGY: Electronic searches of the Cochrane Airways Group Sleep Apnoea RCT Register, MEDLINE, EMBASE and Cinahl. The references of relevant review articles were handsearched. Experts in the field were contacted to identify unpublished studies.

SELECTION CRITERIA: The inclusion criteria were all randomised or quasi-randomised controlled comparisons of any surgical intervention for obstructive sleep apnoea versus other surgical or non-surgical intervention for obstructive sleep apnoea or no intervention.

DATA COLLECTION AND ANALYSIS: No completed RCTs were identified by the search.

MAIN RESULTS: A total of 666 articles were identified and assessed. No articles fulfilled the inclusion criteria.

CONCLUSIONS: A thorough search with broad inclusion criteria yielded no evidence from randomised controlled trials to support the use of surgery in the treatment of obstructive sleep apnoea. Patients should be made aware of the lack of good trial-based evidence for the operations. An urgent need for high quality RCTs in this area was identified.

Bidragets oversatte titelSurgical treatment of obstructive sleep apnea syndrome. An evidence-based agreement
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind160
Udgave nummer46
Sider (fra-til)6629-31
Antal sider3
ISSN0041-5782
StatusUdgivet - 9 nov. 1998
Udgivet eksterntJa

Emneord

  • Controlled Clinical Trials as Topic
  • Evidence-Based Medicine
  • Humans
  • Sleep Apnea Syndromes/surgery

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