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.
Study Type
OBSERVATIONAL
Enrollment
212
Includes open and minimally invasive surgery for colon- and rectal cancer
This is a control group from the population. They are not scheduled for surgery
Dept of Surgery, Inst of Surgical and Perioperative sciences
Umeå, Umea, Sweden
Prevalence of sleep apnea
Apnea-hypopnea index
Time frame: 1 week
Sleep quality
total sleep time, sleep efficiency, time in different sleep stages
Time frame: 1 week
hypoxia, hypercapnia
blood-gas measurements
Time frame: 1 week
lung function
FVC, FEV1
Time frame: 1 week
subjective sleepiness
Eworth sleepiness scale
Time frame: 1 week
Mortality
From the swedish death register
Time frame: Until death
Side effects of surgery
From local register
Time frame: 30 days
Severity of cancer
Morphologic analysis of cancer type
Time frame: 30 days
nocturnal hypoxia
Pulsoximetry during polysomnography
Time frame: 1 week
Mallampati score
Inspection of mouth
Time frame: 1 day
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STOP-Bang
Risk factor stratification
Time frame: 1 week
Symptoms of sleep apnea
snoring, daytime sleepiness, witnessed sleep apneas
Time frame: 1 month
Sex differences
Effect of sex on outcome
Time frame: 1 month