Ankylosing Spondylitis Is Associated With Risk of New-Onset Obstructive Sleep Apnea: A Nationwide Population-Based Cohort Study
Identifieur interne : 000A87 ( Main/Exploration ); précédent : 000A86; suivant : 000A88Ankylosing Spondylitis Is Associated With Risk of New-Onset Obstructive Sleep Apnea: A Nationwide Population-Based Cohort Study
Auteurs : Chien-Han Tsao [Taïwan] ; Jing-Yang Huang [Taïwan] ; Hsin-Hsin Huang [Taïwan] ; Yao-Min Hung [Taïwan] ; James Cheng-Chung Wei [Taïwan] ; Yin-Tsan Hung [République populaire de Chine]Source :
- Frontiers in Medicine [ 2296-858X ] ; 2019.
Abstract
Url:
DOI: 10.3389/fmed.2019.00285
PubMed: 31867336
PubMed Central: 6908486
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Ankylosing Spondylitis Is Associated With Risk of New-Onset Obstructive Sleep Apnea: A Nationwide Population-Based Cohort Study</title><author><name sortKey="Tsao, Chien Han" sort="Tsao, Chien Han" uniqKey="Tsao C" first="Chien-Han" last="Tsao">Chien-Han Tsao</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Otolaryngology, Chung Shan Medical University Hospital</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>School of Medicine, Chung Shan Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Jing Yang" sort="Huang, Jing Yang" uniqKey="Huang J" first="Jing-Yang" last="Huang">Jing-Yang Huang</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Medical Research, Chung Shan Medical University Hospital</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Institute of Medicine, Chung Shan Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Hsin Hsin" sort="Huang, Hsin Hsin" uniqKey="Huang H" first="Hsin-Hsin" last="Huang">Hsin-Hsin Huang</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>School of Medicine, Chung Shan Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hung, Yao Min" sort="Hung, Yao Min" uniqKey="Hung Y" first="Yao-Min" last="Hung">Yao-Min Hung</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Yuh-Ing Junior College of Health Care and Management</institution>,<addr-line>Kaohsiung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>School of Medicine, National Yang-Ming University</institution>,<addr-line>Taipei</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wei, James Cheng Chung" sort="Wei, James Cheng Chung" uniqKey="Wei J" first="James Cheng-Chung" last="Wei">James Cheng-Chung Wei</name><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Department of Internal Medicine, Kaohsiung Municipal United Hospital</institution>,<addr-line>Kaohsiung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff8"><institution>Division of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff9"><institution>Graduate Institute of Integrated Medicine, China Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hung, Yin Tsan" sort="Hung, Yin Tsan" uniqKey="Hung Y" first="Yin-Tsan" last="Hung">Yin-Tsan Hung</name><affiliation wicri:level="1"><nlm:aff id="aff10"><institution>Department of Otolaryngology, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University</institution>,<addr-line>Nanjing</addr-line>,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">31867336</idno><idno type="pmc">6908486</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6908486</idno><idno type="RBID">PMC:6908486</idno><idno type="doi">10.3389/fmed.2019.00285</idno><date when="2019">2019</date><idno type="wicri:Area/Pmc/Corpus">000549</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000549</idno><idno type="wicri:Area/Pmc/Curation">000549</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000549</idno><idno type="wicri:Area/Pmc/Checkpoint">000A13</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000A13</idno><idno type="wicri:Area/Ncbi/Merge">000D62</idno><idno type="wicri:Area/Ncbi/Curation">000D62</idno><idno type="wicri:Area/Ncbi/Checkpoint">000D62</idno><idno type="wicri:Area/Main/Merge">000A87</idno><idno type="wicri:Area/Main/Curation">000A87</idno><idno type="wicri:Area/Main/Exploration">000A87</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Ankylosing Spondylitis Is Associated With Risk of New-Onset Obstructive Sleep Apnea: A Nationwide Population-Based Cohort Study</title><author><name sortKey="Tsao, Chien Han" sort="Tsao, Chien Han" uniqKey="Tsao C" first="Chien-Han" last="Tsao">Chien-Han Tsao</name><affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Otolaryngology, Chung Shan Medical University Hospital</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>School of Medicine, Chung Shan Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Jing Yang" sort="Huang, Jing Yang" uniqKey="Huang J" first="Jing-Yang" last="Huang">Jing-Yang Huang</name><affiliation wicri:level="1"><nlm:aff id="aff3"><institution>Department of Medical Research, Chung Shan Medical University Hospital</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4"><institution>Institute of Medicine, Chung Shan Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Huang, Hsin Hsin" sort="Huang, Hsin Hsin" uniqKey="Huang H" first="Hsin-Hsin" last="Huang">Hsin-Hsin Huang</name><affiliation wicri:level="1"><nlm:aff id="aff2"><institution>School of Medicine, Chung Shan Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hung, Yao Min" sort="Hung, Yao Min" uniqKey="Hung Y" first="Yao-Min" last="Hung">Yao-Min Hung</name><affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Yuh-Ing Junior College of Health Care and Management</institution>,<addr-line>Kaohsiung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff6"><institution>School of Medicine, National Yang-Ming University</institution>,<addr-line>Taipei</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wei, James Cheng Chung" sort="Wei, James Cheng Chung" uniqKey="Wei J" first="James Cheng-Chung" last="Wei">James Cheng-Chung Wei</name><affiliation wicri:level="1"><nlm:aff id="aff7"><institution>Department of Internal Medicine, Kaohsiung Municipal United Hospital</institution>,<addr-line>Kaohsiung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff8"><institution>Division of Allergy, Immunology and Rheumatology, Chung Shan Medical University Hospital</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff9"><institution>Graduate Institute of Integrated Medicine, China Medical University</institution>,<addr-line>Taichung</addr-line>,<country>Taiwan</country></nlm:aff><country xml:lang="fr">Taïwan</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Hung, Yin Tsan" sort="Hung, Yin Tsan" uniqKey="Hung Y" first="Yin-Tsan" last="Hung">Yin-Tsan Hung</name><affiliation wicri:level="1"><nlm:aff id="aff10"><institution>Department of Otolaryngology, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University</institution>,<addr-line>Nanjing</addr-line>,<country>China</country></nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Frontiers in Medicine</title><idno type="eISSN">2296-858X</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><bold>Objectives:</bold> Investigating the risk of obstructive sleep apnea(OSA) among ankylosing spondylitis (AS) patients based on administrative healthcare databases.</p><p><bold>Methods:</bold> We conducted a nationwide cohort study by using the Taiwan National Health Insurance Research Database with 1997–2013 claim records. The AS cohort included 2,210 patients who were newly diagnosed between 2003 and 2013. Randomly selected non-AS controls were matched at a 1:4 ratio. The endpoint was set as OSA occurrence or the end of 2013. Cumulative incidences, hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated after adjusting for age, gender, comorbidities, and co-medication. Multivariate analyses were performed using the Cox proportional hazards model. Due to the violation of the proportionality assumption, landmark analysis was conducted to explore the risk of OSA during specific follow-up periods.</p><p><bold>Results:</bold> The adjusted HR (aHR) of OSA in the AS group was 2.826 (95% C.I. = 1.727–4.625) compared to the control group. On landmark analysis, aHR was 7.919 (95% C.I. = 3.169–19.792) for the AS group 0–24 months from the index date and decreased to 1.816 (95% C.I. = 0.944–3.494) at ≥ 24 months from the index date. The increased risks of OSA in the AS group compared to the control group were found for both males and females (aHRs were 4.533 and 2.672). On age-stratified analysis, a significant risk only for the 40–59 age group with aHR of 3.913 (95% C.I. = 1.890–8.102).</p><p><bold>Conclusions:</bold> A higher risk of developing OSA was found among newly diagnosed AS cohort during the maximum 11-year follow-up period, especially within 2 years after newly diagnosed AS and in the 40–59 age group.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Mannarino, Mr" uniqKey="Mannarino M">MR Mannarino</name></author><author><name sortKey="Di Filippo, F" uniqKey="Di Filippo F">F Di Filippo</name></author><author><name sortKey="Pirro, M" uniqKey="Pirro M">M Pirro</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Epstein, Lj" uniqKey="Epstein L">LJ Epstein</name></author><author><name sortKey="Kristo, D" uniqKey="Kristo D">D Kristo</name></author><author><name sortKey="Strollo, Pj" uniqKey="Strollo P">PJ Strollo</name></author><author><name 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last="Tsao">Chien-Han Tsao</name></noRegion><name sortKey="Huang, Hsin Hsin" sort="Huang, Hsin Hsin" uniqKey="Huang H" first="Hsin-Hsin" last="Huang">Hsin-Hsin Huang</name><name sortKey="Huang, Jing Yang" sort="Huang, Jing Yang" uniqKey="Huang J" first="Jing-Yang" last="Huang">Jing-Yang Huang</name><name sortKey="Huang, Jing Yang" sort="Huang, Jing Yang" uniqKey="Huang J" first="Jing-Yang" last="Huang">Jing-Yang Huang</name><name sortKey="Hung, Yao Min" sort="Hung, Yao Min" uniqKey="Hung Y" first="Yao-Min" last="Hung">Yao-Min Hung</name><name sortKey="Hung, Yao Min" sort="Hung, Yao Min" uniqKey="Hung Y" first="Yao-Min" last="Hung">Yao-Min Hung</name><name sortKey="Tsao, Chien Han" sort="Tsao, Chien Han" uniqKey="Tsao C" first="Chien-Han" last="Tsao">Chien-Han Tsao</name><name sortKey="Wei, James Cheng Chung" sort="Wei, James Cheng Chung" uniqKey="Wei J" first="James Cheng-Chung" last="Wei">James Cheng-Chung Wei</name><name sortKey="Wei, James Cheng Chung" sort="Wei, James Cheng Chung" uniqKey="Wei J" first="James Cheng-Chung" last="Wei">James Cheng-Chung Wei</name><name sortKey="Wei, James Cheng Chung" sort="Wei, James Cheng Chung" uniqKey="Wei J" first="James Cheng-Chung" last="Wei">James Cheng-Chung Wei</name></country><country name="République populaire de Chine"><noRegion><name sortKey="Hung, Yin Tsan" sort="Hung, Yin Tsan" uniqKey="Hung Y" first="Yin-Tsan" last="Hung">Yin-Tsan Hung</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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