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212 patients with colorectal cancer will be investigated before surgery and 100 of them after surgery. 597 individuals from a previous population based study will serve as controls to the prevalence of sleep apnea in the general population.
Investigations will include polysomonographic sleep apnea recordings during one night, lung function measurements, blood gas samples and questionnaires.
Controls: Men and women from two population-based cohort studies
Inclusion: 212 patients with colorectal cancer will be investigated before surgery and 100 of them will also be investigated in the same manner after surgery. Due to drop-outs we calculate a need of inviting at least 250 patients.
Controls: 597 individuals from a previous population based study will serve as controls to the prevalence of sleep apnea in the general population.
Exclusion: Dementia, CPAP treated sleep apnea investigations: Patients are investigated with lung function, blood-gas samples, questionnaires, overnight polysomnographic sleep apnea recordings including oro-nasal airflow, thoraco-abdominal respiration belts, chin-EMG, EOG, EEG, ECG (V5) and body position.
Controls: Men and women from two population-based cohort studies the "Sleep and health in women" and the "Men in Uppsala: A Study of Sleep, Apnea and Cardiometabolic Health" and older men and women from a local senior organization.
Outcomes: Prevalence of sleep apnea and hypoxia, sleep quality, and lung function, blood gas, STOP-BANG, Epworth sleepiness scale, Mallampati score, symptoms of sleep apnea, surgical complications, mortality, cancer severity.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Before surgery | patients scheduled for surgery of colorectal cancer |
| |
| Control subjects | Controls from the population without colorectal cancer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgery for colorectal cancer | Procedure | Includes open and minimally invasive surgery for colon- and rectal cancer |
|
| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of sleep apnea | Apnea-hypopnea index | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Sleep quality | total sleep time, sleep efficiency, time in different sleep stages | 1 week |
| hypoxia, hypercapnia | blood-gas measurements |
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Inclusion Criteria:
Exclusion Criteria:
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Patients scheduled for surgery of colorectal cancer Healthy volunteers from population based studies will be included as controls
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| Name | Affiliation | Role |
|---|---|---|
| Kar A Franklin, Ass prof | Dept of Surgical and perioperative sciences, UmeƄ University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept of Surgery, Inst of Surgical and Perioperative sciences | UmeƄ | Umea | 901 85 | Sweden |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D012891 | Sleep Apnea Syndromes |
| D000860 | Hypoxia |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D013514 | Surgical Procedures, Operative |
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| No Interventions | Other | This is a control group from the population. They are not scheduled for surgery |
|
| 1 week |
| lung function | FVC, FEV1 | 1 week |
| subjective sleepiness | Eworth sleepiness scale | 1 week |
| Mortality | From the swedish death register | Until death |
| Side effects of surgery | From local register | 30 days |
| Severity of cancer | Morphologic analysis of cancer type | 30 days |
| nocturnal hypoxia | Pulsoximetry during polysomnography | 1 week |
| Mallampati score | Inspection of mouth | 1 day |
| STOP-Bang | Risk factor stratification | 1 week |
| Symptoms of sleep apnea | snoring, daytime sleepiness, witnessed sleep apneas | 1 month |
| Sex differences | Effect of sex on outcome | 1 month |
| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |