JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Impact of obstructive sleep apnea risk on prognosis and treatment responses of lung cancer
Abstract
Aims: Obstructive sleep apnea (OSA) may affect oncogenic processes in a specific way for each tumor type. This study was conducted to reveal the relationship between OSA risk and prognosis and treatment responses in patients with lung cancer.
Methods: This prospective study included stage III and IV lung cancer patients aged between 18 and 75 years. Patients with poor performance status, cranial metastasis, congestive heart failure, surgery history, and positive airway pressure device use were excluded. STOP-BANG questionnaire was used to assess the OSA risk. The primary end-point was the differences in the survival and treatment responses of patients at intermediate/high risk of OSA compared with those at low OSA risk. Data from the patients with non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC) were analyzed separately.
Results: Ninety-eight patients (34 SCLC and 64 NSCLC), mostly male (85.7%), with a mean age of 59.3±8 were included in the analysis. Overall survival was similar in the groups. However, in the SCLC group, those at low OSA risk had a shorter progression-free survival (PFS) than those at intermediate/high risk (105±31.8 days, vs 272±16.2 days, p=0.001). Cox regression analysis showed that low OSA risk was an independent risk factor for PFS in only the SCLC group (HR:4.9 CI:1.6-14.7, p=0.005).
Conclusion: Our results showed that low OSA risk was an independent poor prognostic factor for PFS in SCLC regardless of the tumor stage.

Keywords : Lung cancer, obstructive sleep apnea, overall survival, progression-free survival, STOP-BANG questionnaire

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Article available in :
Volume 5, Issue 2, 2024
Page : 97-104
https://doi.org/10.47582/jompac.1442684
Article Information
Received : 25 Şub 2024
Accepted : 18 Mar 2024
Published : 30 Nis 2024
Corresponding Author :

Sezgi Şahin Duyar: Department of Pulmonology, Ankara Atatürk Sanatorium Training and Research Hospital, University of Health Sciences, Ankara, Turkiye

[email protected]
Citation : Şahin Duyar S, Akın Kabalak P, Fırat S, Yılmaz Ü, Kızılgöz D, Kavurgacı S. Impact of obstructive sleep apnea risk on prognosis and treatment responses of lung cancer. J Med Palliat Care. 2024;5(2):97-104.

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