Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea. A prospective randomized 1‐year follow‐up study
The objectives of this study were: to evaluate the change in the three quality of life (QOL) dimensions of vitality, contentment and sleep before intervention and 1 year after treatment with a dental appliance or uvulopalatopharyngoplasty (UPPP); to compare the effect of treatment between these two...
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Veröffentlicht in: | Journal of sleep research 2000-09, Vol.9 (3), p.303-308 |
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description | The objectives of this study were: to evaluate the change in the three quality of life (QOL) dimensions of vitality, contentment and sleep before intervention and 1 year after treatment with a dental appliance or uvulopalatopharyngoplasty (UPPP); to compare the effect of treatment between these two treatment groups on these three dimensions; and to determine the relation between the QOL scores and somnographic values. Ninety‐five patients with mild to moderate obstructive sleep apnoea (OSA) (AI > 5) were randomly allocated to either a dental appliance or UPPP treatment group. Seven patients withdrew after randomization but before treatment, leaving 88 patients eligible for treatment. The patients were examined using somnography and administered the Minor Symptoms Evaluation‐Profile (MSE‐P), a QOL questionnaire, before and 1 year after intervention. Thirty‐seven patients in the dental appliance group and 43 in the UPPP group completed the 1‐year follow‐up. The mean values for the three dimensions vitality, contentment and sleep improved significantly 1 year after intervention in the dental appliance and UPPP groups. No difference in the QOL scores at baseline was noted between the groups. One year after intervention the UPPP group showed significantly more contentment than the dental appliance group. In contrast, vitality and sleep dimensions did not differ between the two treatment groups. No significant correlations were observed between the QOL scores and somnographic values. In conclusion, quality of life improved significantly in the dental appliance and UPPP groups 1 year after intervention. However, the dental appliance group showed a lower level of contentment than the UPPP group, even though the somnographic values were superior in the former group. |
doi_str_mv | 10.1046/j.1365-2869.2000.00210.x |
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A prospective randomized 1‐year follow‐up study</title><source>Wiley</source><source>MEDLINE</source><source>Wiley Free Archive</source><source>EZB Electronic Journals Library</source><creator>Walker‐Engström ; Wilhelmsson ; Tegelberg ; Dimenäs ; Ringqvist</creator><creatorcontrib>Walker‐Engström ; Wilhelmsson ; Tegelberg ; Dimenäs ; Ringqvist</creatorcontrib><description>The objectives of this study were: to evaluate the change in the three quality of life (QOL) dimensions of vitality, contentment and sleep before intervention and 1 year after treatment with a dental appliance or uvulopalatopharyngoplasty (UPPP); to compare the effect of treatment between these two treatment groups on these three dimensions; and to determine the relation between the QOL scores and somnographic values. Ninety‐five patients with mild to moderate obstructive sleep apnoea (OSA) (AI > 5) were randomly allocated to either a dental appliance or UPPP treatment group. Seven patients withdrew after randomization but before treatment, leaving 88 patients eligible for treatment. The patients were examined using somnography and administered the Minor Symptoms Evaluation‐Profile (MSE‐P), a QOL questionnaire, before and 1 year after intervention. Thirty‐seven patients in the dental appliance group and 43 in the UPPP group completed the 1‐year follow‐up. The mean values for the three dimensions vitality, contentment and sleep improved significantly 1 year after intervention in the dental appliance and UPPP groups. No difference in the QOL scores at baseline was noted between the groups. One year after intervention the UPPP group showed significantly more contentment than the dental appliance group. In contrast, vitality and sleep dimensions did not differ between the two treatment groups. No significant correlations were observed between the QOL scores and somnographic values. In conclusion, quality of life improved significantly in the dental appliance and UPPP groups 1 year after intervention. However, the dental appliance group showed a lower level of contentment than the UPPP group, even though the somnographic values were superior in the former group.</description><identifier>ISSN: 0962-1105</identifier><identifier>EISSN: 1365-2869</identifier><identifier>DOI: 10.1046/j.1365-2869.2000.00210.x</identifier><identifier>PMID: 11012871</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>1‐year follow‐up ; Adult ; Aged ; dental appliance ; Female ; Follow-Up Studies ; Humans ; Male ; Mandibular Advancement ; Middle Aged ; Orthodontic Appliances, Removable ; Otorhinolaryngologic Surgical Procedures ; Palate, Soft - surgery ; Pharynx - surgery ; Polysomnography ; Prospective Studies ; Quality of Life ; Severity of Illness Index ; Sleep Apnea, Obstructive - diagnosis ; Sleep Apnea, Obstructive - prevention & control ; Sleep Apnea, Obstructive - surgery ; sleep apnoea ; Surveys and Questionnaires ; Treatment Outcome ; UPPP ; Uvula - surgery</subject><ispartof>Journal of sleep research, 2000-09, Vol.9 (3), p.303-308</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3640-11629e04d145d1617b0d9776342cb18ffa5dba6a465e86ff5e8a9a4cf2591f7d3</citedby><cites>FETCH-LOGICAL-c3640-11629e04d145d1617b0d9776342cb18ffa5dba6a465e86ff5e8a9a4cf2591f7d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1365-2869.2000.00210.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1365-2869.2000.00210.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,782,786,1419,1435,27931,27932,45581,45582,46416,46840</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11012871$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Walker‐Engström</creatorcontrib><creatorcontrib>Wilhelmsson</creatorcontrib><creatorcontrib>Tegelberg</creatorcontrib><creatorcontrib>Dimenäs</creatorcontrib><creatorcontrib>Ringqvist</creatorcontrib><title>Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea. A prospective randomized 1‐year follow‐up study</title><title>Journal of sleep research</title><addtitle>J Sleep Res</addtitle><description>The objectives of this study were: to evaluate the change in the three quality of life (QOL) dimensions of vitality, contentment and sleep before intervention and 1 year after treatment with a dental appliance or uvulopalatopharyngoplasty (UPPP); to compare the effect of treatment between these two treatment groups on these three dimensions; and to determine the relation between the QOL scores and somnographic values. Ninety‐five patients with mild to moderate obstructive sleep apnoea (OSA) (AI > 5) were randomly allocated to either a dental appliance or UPPP treatment group. Seven patients withdrew after randomization but before treatment, leaving 88 patients eligible for treatment. The patients were examined using somnography and administered the Minor Symptoms Evaluation‐Profile (MSE‐P), a QOL questionnaire, before and 1 year after intervention. Thirty‐seven patients in the dental appliance group and 43 in the UPPP group completed the 1‐year follow‐up. The mean values for the three dimensions vitality, contentment and sleep improved significantly 1 year after intervention in the dental appliance and UPPP groups. No difference in the QOL scores at baseline was noted between the groups. One year after intervention the UPPP group showed significantly more contentment than the dental appliance group. In contrast, vitality and sleep dimensions did not differ between the two treatment groups. No significant correlations were observed between the QOL scores and somnographic values. In conclusion, quality of life improved significantly in the dental appliance and UPPP groups 1 year after intervention. However, the dental appliance group showed a lower level of contentment than the UPPP group, even though the somnographic values were superior in the former group.</description><subject>1‐year follow‐up</subject><subject>Adult</subject><subject>Aged</subject><subject>dental appliance</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Male</subject><subject>Mandibular Advancement</subject><subject>Middle Aged</subject><subject>Orthodontic Appliances, Removable</subject><subject>Otorhinolaryngologic Surgical Procedures</subject><subject>Palate, Soft - surgery</subject><subject>Pharynx - surgery</subject><subject>Polysomnography</subject><subject>Prospective Studies</subject><subject>Quality of Life</subject><subject>Severity of Illness Index</subject><subject>Sleep Apnea, Obstructive - diagnosis</subject><subject>Sleep Apnea, Obstructive - prevention & control</subject><subject>Sleep Apnea, Obstructive - surgery</subject><subject>sleep apnoea</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>UPPP</subject><subject>Uvula - surgery</subject><issn>0962-1105</issn><issn>1365-2869</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkUuO1DAQhi0EYpqBKyCv2HWw83ASic1oxGPQSDSPWVuVuCzccuJgO_Q0K44wl-FCnARn0oItG7uq_q_KLv2EUM4yzkrxcp_xQlTbvBFtljPGMsbypN0-IJu_wkOyYa3It5yz6ow8CWHPGK-ron1MzlKN503NN-TXxxmsiUfqNLVGI4UQMIQBx7iUokeI98nBxK9UpQgshWmyBsYeqfP0ZrfbUTPSCaJJcljJwVhFo6ODU-ghJrIL0c99NN-RBos4pSmjQ8joBZ28CxOumodRucH8QEX57593RwRPtbPWHVI2TzTEWR2fkkcabMBnp_uc3Lx5_eXy3fb6w9ury4vrbV-IkqXVRd4iKxUvK8UFrzum2roWRZn3HW-0hkp1IKAUFTZC63RCC2Wv86rlulbFOXmxzk0__DZjiHIwoUdrYUQ3B1nnBRNNUyewWcE-rRI8ajl5M4A_Ss7kYpncy8UZuTgjF8vkvWXyNrU-P70xdwOqf40njxLwagUOxuLxvwfL958_paD4A_jOqrk</recordid><startdate>200009</startdate><enddate>200009</enddate><creator>Walker‐Engström</creator><creator>Wilhelmsson</creator><creator>Tegelberg</creator><creator>Dimenäs</creator><creator>Ringqvist</creator><general>Blackwell Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200009</creationdate><title>Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea. A prospective randomized 1‐year follow‐up study</title><author>Walker‐Engström ; Wilhelmsson ; Tegelberg ; Dimenäs ; Ringqvist</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3640-11629e04d145d1617b0d9776342cb18ffa5dba6a465e86ff5e8a9a4cf2591f7d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>1‐year follow‐up</topic><topic>Adult</topic><topic>Aged</topic><topic>dental appliance</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Male</topic><topic>Mandibular Advancement</topic><topic>Middle Aged</topic><topic>Orthodontic Appliances, Removable</topic><topic>Otorhinolaryngologic Surgical Procedures</topic><topic>Palate, Soft - surgery</topic><topic>Pharynx - surgery</topic><topic>Polysomnography</topic><topic>Prospective Studies</topic><topic>Quality of Life</topic><topic>Severity of Illness Index</topic><topic>Sleep Apnea, Obstructive - diagnosis</topic><topic>Sleep Apnea, Obstructive - prevention & control</topic><topic>Sleep Apnea, Obstructive - surgery</topic><topic>sleep apnoea</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>UPPP</topic><topic>Uvula - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Walker‐Engström</creatorcontrib><creatorcontrib>Wilhelmsson</creatorcontrib><creatorcontrib>Tegelberg</creatorcontrib><creatorcontrib>Dimenäs</creatorcontrib><creatorcontrib>Ringqvist</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of sleep research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Walker‐Engström</au><au>Wilhelmsson</au><au>Tegelberg</au><au>Dimenäs</au><au>Ringqvist</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea. A prospective randomized 1‐year follow‐up study</atitle><jtitle>Journal of sleep research</jtitle><addtitle>J Sleep Res</addtitle><date>2000-09</date><risdate>2000</risdate><volume>9</volume><issue>3</issue><spage>303</spage><epage>308</epage><pages>303-308</pages><issn>0962-1105</issn><eissn>1365-2869</eissn><abstract>The objectives of this study were: to evaluate the change in the three quality of life (QOL) dimensions of vitality, contentment and sleep before intervention and 1 year after treatment with a dental appliance or uvulopalatopharyngoplasty (UPPP); to compare the effect of treatment between these two treatment groups on these three dimensions; and to determine the relation between the QOL scores and somnographic values. Ninety‐five patients with mild to moderate obstructive sleep apnoea (OSA) (AI > 5) were randomly allocated to either a dental appliance or UPPP treatment group. Seven patients withdrew after randomization but before treatment, leaving 88 patients eligible for treatment. The patients were examined using somnography and administered the Minor Symptoms Evaluation‐Profile (MSE‐P), a QOL questionnaire, before and 1 year after intervention. Thirty‐seven patients in the dental appliance group and 43 in the UPPP group completed the 1‐year follow‐up. The mean values for the three dimensions vitality, contentment and sleep improved significantly 1 year after intervention in the dental appliance and UPPP groups. No difference in the QOL scores at baseline was noted between the groups. One year after intervention the UPPP group showed significantly more contentment than the dental appliance group. In contrast, vitality and sleep dimensions did not differ between the two treatment groups. No significant correlations were observed between the QOL scores and somnographic values. In conclusion, quality of life improved significantly in the dental appliance and UPPP groups 1 year after intervention. However, the dental appliance group showed a lower level of contentment than the UPPP group, even though the somnographic values were superior in the former group.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>11012871</pmid><doi>10.1046/j.1365-2869.2000.00210.x</doi><tpages>6</tpages></addata></record> |
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subjects | 1‐year follow‐up Adult Aged dental appliance Female Follow-Up Studies Humans Male Mandibular Advancement Middle Aged Orthodontic Appliances, Removable Otorhinolaryngologic Surgical Procedures Palate, Soft - surgery Pharynx - surgery Polysomnography Prospective Studies Quality of Life Severity of Illness Index Sleep Apnea, Obstructive - diagnosis Sleep Apnea, Obstructive - prevention & control Sleep Apnea, Obstructive - surgery sleep apnoea Surveys and Questionnaires Treatment Outcome UPPP Uvula - surgery |
title | Quality of life assessment of treatment with dental appliance or UPPP in patients with mild to moderate obstructive sleep apnoea. A prospective randomized 1‐year follow‐up study |
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