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Sleep disorders in children with brain tumors: a pilot study based on a sleep disorder questionnaire
Chiara Pilotto1,2, Eva Passone3, Elisa Coassin4
1Department of Clinical and Experimental Medical Sciences, DAME, University of Udine, Udine, Italy. pilotto.chiara@spes.uniud.it.
Insights
Children treated for brain tumors show a trend toward sleep disorders (SD). Specific SD subtypes, like parasomnias, were significantly more common in these children compared to healthy peers.
Area of Science:
- Pediatric Oncology
- Sleep Medicine
- Neuro-oncology
Background:
- Sleep disorders (SD) are common in pediatric populations.
- Children undergoing treatment for central nervous system tumors may experience unique sleep disturbances.
Purpose of the Study:
- To compare the prevalence and types of sleep disorders in children treated for brain tumors versus healthy children.
- To identify specific sleep issues prevalent in pediatric brain tumor survivors.
Main Methods:
- A case-control study involving 29 children treated for brain tumors and 87 healthy controls (ages 2-16).
- Sleep quality assessed using the Child's Sleep Habits Questionnaire (CSHQ).
- Logistic regression models used to estimate the odds ratio (OR) for sleep disorders.
Main Results:
- Prevalence of SD was 82.8% in cases and 64.4% in controls, a trend not reaching statistical significance (OR 2.65).
- Parasomnias and night awakenings showed a statistically significant increase in cases (OR 4.32).
Conclusions:
- A trend towards increased sleep disorders exists in children treated for brain tumors.
- Significant differences were observed in specific sleep disorder subtypes, particularly parasomnias and night awakenings.
- Further research is needed to fully understand the impact of brain tumor treatment on pediatric sleep health.
Purpose:
The aim of this study is to compare the prevalence of sleep disorders (SD) between children treated for brain tumors and healthy children, and to define the type of SD.
Methods:
A case-control study was performed from October 2014 to April 2015. Inclusion criteria were patients between 2 and 16 years with "cases" defined as children affected by central nervous system tumors at least 3 months after the end of treatment (surgery and/or radiotherapy and/or chemotherapy) at the time of evaluation and "controls" as healthy children. Children's sleep quality was assessed with a questionnaire administered to parents (Child's Sleep Habits Questionnaire, CSHQ). A total score greater than 41 is suggestive for the presence of disturbed sleep. The risk of SD was estimated by the odds ratio (OR) and their 95% confidence intervals (95% CI) through logistic regression models.
Results:
Twenty-nine cases and 87 controls (in a 1:3 model) were enrolled, for a total of 116 subjects. The prevalence of SD resulted of 82.8% among cases and 64.4% in controls. A statistically significant difference between the two groups (OR 2.65; 95% CI 0.92-7.65) was not reached. Analyzing singular disturbances, parasomnias and night awakenings showed a statistically significant difference between the two groups (OR 4.32; 95% CI 1.08-17.34).
Conclusions:
Our study revealed a trend toward SD in children with brain tumor when compared to healthy population. Hovewer, analyzing specific subtypes of SD some significant differences were obtained. A significant difference was obtained only for specific subtypes of SD. Further investigations could better define the real burden of SD.
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