ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2014
Prevalence and clinical significance of supine-dependent obstructive sleep apnea in patients using oral appliance therapy.
Article 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 NCT07132307 (Reducing Obstructive Sleep Apnea After Hypoglossal Nerve Stimulation Through), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.
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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.
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.
Reducing Obstructive Sleep Apnea After Hypoglossal Nerve Stimulation Through
Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Efficacy of the New Generation of Devices for Positional Therapy for Patients With Positional Obstructive Sleep Apnea: A Systematic Review of the Literature and Meta-Analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017Pooled it
- Effectiveness of oral pressure therapy in obstructive sleep apnea: a systematic analysis.Sleep & breathing = Schlaf & Atmung · 2016Pooled it
- Elastic Bands Improve Oral Appliance Treatment Effect on Obstructive Sleep Apnoea: A Randomised Crossover Trial.Journal of oral rehabilitation · 2025Trial
- A promising concept of combination therapy for positional obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2015Trial
- Influence of Sleep Stage on the Determination of Positional Dependency in Patients With Obstructive Sleep Apnea.Clinical and experimental otorhinolaryngology · 2024Article
- Response to Hypoglossal Nerve Stimulation Changes With Body Mass Index and Supine Sleep.JAMA otolaryngology-- head & neck surgery · 2024Article
- Optimizing Mandibular Advancement Maneuvers during Sleep Endoscopy with a Titratable Positioner: DISE-SAM Protocol.Journal of clinical medicine · 2022Article
- Standardized framework to report on the role of sleeping position in sleep apnea patients.Sleep & breathing = Schlaf & Atmung · 2021Review
- Surgical management of obstructive sleep apnoea: A position statement of the Australasian Sleep AssociationRespirology (Carlton, Vic.) · 2020Article
- Oral Appliances in Obstructive Sleep Apnea.Healthcare (Basel, Switzerland) · 2019Review
- Sex differences in mandibular repositioning device therapy effectiveness in patients with obstructive sleep apnea syndrome.Sleep & breathing = Schlaf & Atmung · 2019Article
- Comparison of upper airway collapse patterns and its clinical significance: drug-induced sleep endoscopy in patients without obstructive sleep apnea, positional and non-positional obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2018Article
- Update on Oral Appliance Therapy for OSA.Current sleep medicine reports · 2017Review
- Understanding Phenotypes of Obstructive Sleep Apnea: Applications in Anesthesia, Surgery, and Perioperative Medicine.Anesthesia and analgesia · 2017Review
- Positional OSA part 2: retrospective cohort analysis with a new classification system (APOC).Sleep & breathing = Schlaf & Atmung · 2016Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectiveThe prevalence of supine-dependent obstructive sleep apnea (sdOSA) in a general population ranges from 20% to 60%, depending on the criteria used. Currently, the prevalence and evolution of sdOSA once oral appliance therapy with a mandibular advancement device (OAm) has started is unknown. In addition, literature on the correlation between sdOSA and treatment success with OAm is not unequivocal. The first purpose of this study was to assess the prevalence of sdOSA before and under OAm therapy. Second, the conversion rate from non-sdOSA to sdOSA during OAm therapy was evaluated. The third and final goal was to analyze the correlation between sdOSA and treatment success with OAm therapy in the patient population.
methodsTwo hundred thirty-seven consecutive patients (age 48 ± 9 years; male/female ratio 173/64; AHI 20.1 ± 14.7 events/h; BMI 27.2 ± 4.3 kg/m(2)) starting OAm therapy were included.
resultsThe prevalence of sdOSA before the start of OAm therapy, ranged from 27.0% to 67.5%. The prevalence of residual sdOSA under OAm therapy in this study ranged from 17.5% to 33.9%. Second, the conversion rate from non-sdOSA to sdOSA ranged from 23.0% to 37.5%. Third, the presence of sdOSA at baseline was not a significant factor for treatment success with OAm therapy.
conclusionsThe results of this study indicate that the prevalence of sdOSA before and under OAm therapy is relatively high. One-third of patients shift from non-sdOSA to sdOSA. Finally, treatment success for OAm therapy was not significantly correlated with the presence of sdOSA at baseline.
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