Impact of obstructive sleep apnea on cancer risk: a systematic review and meta-analysis.

PURPOSE: We aimed to study the effect of obstructive sleep apnea (OSA) on cancer risk. METHODS: We searched PubMed, Embase, and Cochrane databases for relevant studies. The qualities of included studies were assessed using Newcastle-Ottawa Scale (NOS). Unadjusted and adjusted analyses were performed. We also conducted subgroup analyses stratified by gender, severity of OSA, study design, and cancer type. RESULTS: After literatures search, 18 studies were included in the present study. In the unadjusted analysis, we discovered an increased cancer risk in patients with OSA with a pooled relative risk (RR) in the OSA group of 1.49 (95% confidence interval (CI): 1.32-1.69, I2 = 32%, P = 0.15). In adjusted analysis, OSA correlated with cancer risk (RR: 1.36, 95% CI: 1.18-1.56, I2 = 54%, P < 0.01). In subgroup stratified by gender and OSA severity, OSA statistically with cancer risk in females (RR: 1.27, 95% CI: 1.06-1.51) and moderate to severe OSA groups (RR: 2.62, 95% CI: 1.64; 4.19). In subgroup stratified by study design, a trend toward statistically significant differences was observed in prospective studies (RR: 1.21, 95% CI: 0.99-1.48) and cross-sectional studies (RR: 1.81, 95% CI: 0.96-3.41). Patients with OSA in the retrospective study group had a statistically higher chance of developing cancer (RR: 1.41, 95% CI: 1.11-1.79). When stratified by cancer group, statistically significant differences was observed in many types of cancer (breast cancer: RR: 1.32, 95% CI: 1.03-1.70; central nervous system cancer: RR: 1.71, 95% CI: 1.06-2.75; kidney cancer: RR: 1.81, 95% CI: 1.20-2.74; liver cancer: RR: 1.19, 95% CI: 1.10-1.29; and pancreatic cancer: RR: 1.23, 95% CI: 1.14-1.33). CONCLUSIONS: This systematic review and meta-analysis suggests that obstructive sleep apnea may increase risk of cancer.

Hydroxyapatite Nanowire-Reinforced Poly(ethylene oxide)-Based Polymer Solid Electrolyte for Application in High-Temperature Lithium Batteries.

Hybrid polymer electrolytes with excellent performance at high temperatures are very promising for developing solid-state lithium batteries for high-temperature applications. Herein, we use a self-supporting hydroxyapatite (HAP) nanowire membrane as a filler to improve the performance of a poly(ethylene oxide) (PEO)-based solid-state electrolyte. The HAP membrane could comprehensively improve the properties of the hybrid polymer electrolyte, including the higher room-temperature ionic conductivity of 1.05 × 10-5 S cm-1, broad electrochemical windows of up to 5.9 V at 60 °C and 4.9 V at 160 °C, and a high lithium-ion migration of 0.69. In addition, the LiFePO4//Li full battery with a solid electrolyte possesses good rate capability, cycling, and Coulomb efficiency at extreme high temperatures, that is, after 300 continuous charge and discharge cycles at 4 C rate, the discharge capacity retention rate is 77% and the Coulomb efficiency is 99%. The use of the flexible self-supporting HAP nanowire membrane to improve the PEO-based solid composite electrolyte provides new strategies and opportunities for developing rechargeable lithium batteries in extreme high-temperature applications.