O'Connor-Reina C, Rodriguez Alcala L, Ignacio JM, Garcia-Iriarte MT, Carrasco Llatas M, Casado Morente JC, Perez Del Rey D, Segovia Hilara A, Hernandez Ibarburu G, Baptista P, Plaza G. Risk of cancer in patients with sleep apnea: comparison of surgery versus CPAP in a long-term follow-up study.
Eur Arch Otorhinolaryngol 2024;
281:3131-3141. [PMID:
38206392 DOI:
10.1007/s00405-023-08446-3]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Accepted: 12/27/2023] [Indexed: 01/12/2024]
Abstract
PURPOSE
This study aimed to obtain a comprehensive view of the risk of developing cancer in patients with obstructive sleep apnea (OSA) and to compare this risk between patients receiving continuous positive airway pressure (CPAP) therapy versus upper airway surgery (UAS).
METHODS
We used both local data and a global-scale federated data research network, TriNetX, to access electronic medical records, including those of patients diagnosed with OSA from health-care organizations (HCOs) worldwide. We used propensity score matching and the score-matched analyses of data for 5 years of follow-up, RESULTS: We found that patients who had undergone UAS had a similar risk of developing cancer than those who used CPAP [hazard ratio of 0.767 (95% CI 0.559-1.053; P = 0.100)].
CONCLUSION
Analysis of the large data sets collected from HCOs in Europe and globally lead us to conclude that in patients with OSA, neither CPAP nor UAS were associated with the development of cancer better than in non-treated patients.
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