Increased incidence of leukemia in patients with obstructive sleep apnea: Results from the national insurance claim data 2007–2014

Autor: Eun Jung Lee, Kyung Do Han, Sung-Yong Kim, Jeffrey D. Suh, Jin Kook Kim, Jae Hoon Cho
Rok vydání: 2022
Předmět:
Zdroj: Sleep Medicine. 96:113-118
ISSN: 1389-9457
DOI: 10.1016/j.sleep.2022.05.009
Popis: Prior research suggests a link between obstructive sleep apnea (OSA) and the likelihood of developing a variety of solid tumors; however, there are no studies assessing OSA and leukemia. This study is the first to identify a potential association between OSA and leukemia using data from the Korea National Health Insurance Service database.A total of 162,646 patients (≥20 years of age and without any cancer history) newly diagnosed with OSA between 2011 and 2017 were included. A control group of 813,230 subjects was selected using propensity score matching based on age and sex. The mean follow-up time was 4.4 ± 2.0 years. The primary endpoint was newly diagnosed leukemia of any type. The leukemia hazard ratio (95% confidence interval [CI]) was calculated for patients with OSA and compared with that of patients in the control group.The incidence of leukemia among patients with OSA was significantly higher than that in the controls (1.35 [1.05-1.74]). The hazard ratio was the highest, 1.74 in those under 40 years, and gradually decreased with age, to 1.38 in those aged 40-65 years and 0.96 in those over 65. In particular, the incidence of lymphoid leukemia (2.06 [1.18-3.60]) was higher than that of myeloid (1.34 [1.00-1.81]) or unspecified leukemia (0.60 [0.20-1.58]).OSA is associated with an increased incidence of leukemia, particularly in patients younger than 40 years of age.
Databáze: OpenAIRE