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Increased risk of Eustachian tube disorders in patients with sleep-disordered breathing.

Abstract Sleep-disordered breathing (SDB) and Eustachian tube disorders (ETDs) share the same risk factors. The specific aim of this study was to determine the correlation between these 2 conditions and to determine whether treatments for SDB reduce the risk of ETD.This is a retrospective and large population-based cohort study. According to Taiwan's National Health Insurance Research Database, out of 1,000,000 insured patients, 24,251 patients were newly diagnosed with SDB from year 2000 through 2009. The control group for this study comprised 96,827 patients without SDB who were randomly selected from the same database at a ratio of 1:4, frequency matched for sex, age, and index year of SDB. The incidence of developing ETD was compared between these 2 groups; the main covariates were demographic data, interventions, and medical comorbidities.There was an increased risk of developing ETD among the SDB cohort compared with the control group (hazard ratio = 1.51, 95% confidence interval = 1.41-1.63). Compared with SDB patients who did not receive treatment, those who received the treatment, that is, pharyngeal or nasal surgery, CPAP, or multiple modalities (both surgery and CPAP), had a significantly reduced risk of developing ETD.This study showed that patients with SDB are at an increased risk of developing ETD and other comorbidities. The risk of developing ETD can be reduced by implementing prompt treatment for SDB. Multidisciplinary evaluation including ETD should be conducted in the management of patients presenting with SDB.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 28767574
OWN - NLM
STAT- MEDLINE
DA  - 20170802
DCOM- 20170822
LR  - 20170822
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 31
DP  - 2017 Aug
TI  - Increased risk of Eustachian tube disorders in patients with sleep-disordered
      breathing.
PG  - e7586
LID - 10.1097/MD.0000000000007586 [doi]
AB  - Sleep-disordered breathing (SDB) and Eustachian tube disorders (ETDs) share the
      same risk factors. The specific aim of this study was to determine the
      correlation between these 2 conditions and to determine whether treatments for
      SDB reduce the risk of ETD.This is a retrospective and large population-based
      cohort study. According to Taiwan's National Health Insurance Research Database, 
      out of 1,000,000 insured patients, 24,251 patients were newly diagnosed with SDB 
      from year 2000 through 2009. The control group for this study comprised 96,827
      patients without SDB who were randomly selected from the same database at a ratio
      of 1:4, frequency matched for sex, age, and index year of SDB. The incidence of
      developing ETD was compared between these 2 groups; the main covariates were
      demographic data, interventions, and medical comorbidities.There was an increased
      risk of developing ETD among the SDB cohort compared with the control group
      (hazard ratio = 1.51, 95% confidence interval = 1.41-1.63). Compared with SDB
      patients who did not receive treatment, those who received the treatment, that
      is, pharyngeal or nasal surgery, CPAP, or multiple modalities (both surgery and
      CPAP), had a significantly reduced risk of developing ETD.This study showed that 
      patients with SDB are at an increased risk of developing ETD and other
      comorbidities. The risk of developing ETD can be reduced by implementing prompt
      treatment for SDB. Multidisciplinary evaluation including ETD should be conducted
      in the management of patients presenting with SDB.
FAU - Chou, Meng-Shih
AU  - Chou MS
AD  - aDepartment of Otolaryngology-Head and Neck Surgery bDepartment of Sports
      Medicine cManagement Office for Health Data dDepartment of Public Health
      eInstitute of Biostatistics fGraduate Institute of Clinical Medical Science
      gDepartment of Audiology and Speech-Language Pathology, Asia University,
      Taichung, Taiwan.
FAU - Chang, Wen-Dien
AU  - Chang WD
FAU - Lin, Che-Chen
AU  - Lin CC
FAU - Li, Yu-Fen
AU  - Li YF
FAU - Tsou, Yung-An
AU  - Tsou YA
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Comorbidity
MH  - Databases, Factual
MH  - Ear Diseases/*epidemiology/etiology
MH  - Eustachian Tube
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Incidence
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Risk
MH  - Sleep Apnea Syndromes/complications/*epidemiology
MH  - State Medicine
MH  - Taiwan
EDAT- 2017/08/03 06:00
MHDA- 2017/08/23 06:00
CRDT- 2017/08/03 06:00
AID - 10.1097/MD.0000000000007586 [doi]
AID - 00005792-201708040-00010 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Aug;96(31):e7586. doi: 10.1097/MD.0000000000007586.