Evidence map›Paper›PMID 24733986›Full record

SynthesisJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2014

Prader Willi syndrome and obstructive sleep apnea: co-occurrence in the pediatric population.

Karim Sedky, David S Bennett, Andres Pumariega

Registry-linked trialOpen access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04118816 (Impact of Sleep-disordered Breathing on Autonomic Regulation in Patients With Prader-Willi Syndrome), which is not on this map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04118816 unknown statusnot on this mapstarted 2019, after this paper: background citation

Impact of Sleep-disordered Breathing on Autonomic Regulation in Patients With Prader-Willi Syndrome

Typeobservational_patient_registrySponsorTaipei Tzu Chi Hospital, Buddhist Tzu Chi Medical FoundationRan2019 to 2022Enrolled120ConditionsAutonomic DysfunctionArmsPolysomnography, Multiple sleep latency test, Continuous positive airway pressure
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 160 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Prevalence of sleep-disordered breathing in children and adolescents with large horizontal maxillary overjet due to mandibular retrognathia: a case-control study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Trial
  4. Article
  5. Article
  6. Cardiovascular autonomic dysfunction and sleep abnormalities in children with Prader-Willi syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Paediatric sleep diagnostics in the 21st century: the era of "sleep-omics"?European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  13. Article
  14. Review
  15. Sleep Consequences of Prader-Willi Syndrome.Current neurology and neuroscience reports · 2023
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Karim SedkyDepartment of Psychiatry, Cooper University Hospital, Camden, NJ.
David S BennettDepartment of Psychiatry, Drexel University College of Medicine, Philadelphia, PA.
Andres PumariegaDepartment of Psychiatry, Cooper University Hospital, Camden, NJ.
Cooper University Hospital · USDrexel University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA high prevalence of obstructive sleep apnea (OSA) occurs in children with Prader-Willi syndrome (PWS). Yet, due in part to the relatively small samples previously used, the prevalence of OSA has varied greatly across studies. It is also unclear if factors such as age, gender, body mass index (BMI), or type of genetic imprinting are associated with increased risk for OSA among children with PWS.

objectivesTo evaluate the (a) prevalence of OSA, as well as narcolepsy, in pediatric populations diagnosed with PWS; (b) effects of age, gender, body mass index, and genetic imprinting on OSA severity; and (c) efficacy of adenotonsillectomy (AT) for decreasing OSA severity in this population.

methodsAll studies assessing OSA among children with PWS through August 2013 were identified using the PubMed/Medline, Psych Info, Cochrane library, and Google Scholar data bases.

resultsFourteen studies of children diagnosed with PWS and who were assessed for OSA using polysomnography (PSG) met inclusion criteria (n = 224 children). The prevalence of OSA across studies was 79.91% (n = 179/224). Among youths with OSA, 53.07% had mild OSA, 22.35% moderate OSA, and 24.58% severe OSA. Narcolepsy was found to occur in 35.71% of children with PWS. Adenotonsillectomy was associated with improvement in OSA for most children with PWS. However, residual OSA was present in the majority of cases post-surgery.

conclusionThis study confirms the high prevalence of OSA and narcolepsy among children with PWS. Screening for OSA and narcolepsy among children with PWS is recommended. In addition, while adenotonsillectomy was effective in reducing OSA for some children, alternative treatments may need to be considered, given the only moderate response rate.

Indexed as

AdenoidectomyAdolescentAge FactorsBody Mass IndexChildChild, PreschoolComorbidityFemaleHumansInfantMaleNarcolepsyPrader-Willi SyndromePrevalenceSeverity of Illness IndexSex Factorsmeta-analysisnarcolepsyobstructive sleep apneaPrader-Willi syndromesleep disordered breathing

Identifiers

PMID24733986
PMCPMC3960383
OpenAlexW1981232711

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.