ArticleSleep & breathing = Schlaf & Atmung2016
Positional OSA part 2: retrospective cohort analysis with a new classification system (APOC).
Article in Sleep & breathing = Schlaf & Atmung, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 3 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- The influence of position-dependency on surgical success in sleep apnea surgery - a systematic review.Sleep & breathing = Schlaf & Atmung · 2020Pooled 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
- Positional Obstructive Sleep Apnea: A Model for Precision Sleep Medicine.Journal of otorhinolaryngology, hearing and balance medicine · 2026Article
- A gradual and sustainable approach to diagnosing sleep and circadian disturbances in dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- The Effect of Different Sleep Positions on the Severity of Obstructive Sleep Apnea: A Retrospective Study.Nature and science of sleep · 2026Article
- Prevalence and characterization of positional obstructive sleep apnea with peripheral arterial tonometry in a real-world Colombian cohort.Sleep & breathing = Schlaf & Atmung · 2025Article
- Positional Therapy: A Real Opportunity in the Treatment of Obstructive Sleep Apnea? An Update from the Literature.Life (Basel, Switzerland) · 2025Review
- The Effects of Barbed Repositioning Pharyngoplasty in Positional and Non-Positional OSA Patients: A Retrospective Analysis.Journal of clinical medicine · 2022Article
- Head-Of-Bed Elevation (HOBE) for Improving Positional Obstructive Sleep Apnea (POSA): An Experimental Study.Journal of clinical medicine · 2022Article
- Prevalence, characteristics, and respiratory arousal threshold of positional obstructive sleep apnea in China: a large scale study from Shanghai Sleep Health Study cohort.Respiratory research · 2022Article
- Body position during laboratory and home polysomnography compared to habitual sleeping position at home.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Sleep-related breathing disorders in diaphragmatic pathologies.Sleep & breathing = Schlaf & Atmung · 2022Article
- Preliminary study on clinical characteristics of Chinese patients with positional obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2022Article
- Standardized framework to report on the role of sleeping position in sleep apnea patients.Sleep & breathing = Schlaf & Atmung · 2021Review
- Improving outcomes of hypoglossal nerve stimulation therapy: current practice, future directions, and research gaps. Proceedings of the 2019 International Sleep Surgery Society Research Forum.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
- OSA Upper Airways Surgery: A Targeted Approach.Medicina (Kaunas, Lithuania) · 2021Review
- Assessment of Nocturnal Autonomic Cardiac Imbalance in Positional Obstructive Sleep Apnea. A Multiscale Nonlinear Approach.Entropy (Basel, Switzerland) · 2020Article
- Efficacy and long-term follow-up of positional therapy by vibrotactile neck-based device in the management of positional OSA.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020Article
- Prevalence and characteristics of positional obstructive sleep apnea (POSA) in patients with severe OSA.Sleep & breathing = Schlaf & Atmung · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Part 1 of this two-part article, the Amsterdam Positional Obstructive Sleep Apnoea Classification (APOC) was recently introduced, a classification system aimed at facilitating the identification of suitable candidates for positional therapy (PT): patients who will benefit from a clinically significant improvement of their obstructive sleep apnoea (OSA) with PT. APOC was developed with new generation PT devices in mind rather than conventional PT (tennis ball technique). New generation PT can be defined as a well-tolerated device which prevents a patient from adopting the worst sleeping position (WSP) without negatively influencing sleep efficiency, as objectified by a full night polysomnography (PSG). PT is rapidly gaining momentum in the scope of OSA treatment. The objective of this manuscript is to measure the prevalence of position-dependent obstructive sleep apnoea (POSA) according to the APOC, in a consecutive series of patients referred for PSG as well as an investigation of associations between POSA and certain patient characteristics.
methodsWe performed a retrospective, single-centre cohort study including a consecutive series of patients who underwent a PSG during the period of April 2010 until October 2010.
resultsWithin this OSA-cohort (n = 253), a prevalence of POSA of 69 % when applying APOC is measured, compared to 64 % when applying Cartwright's classification. An inverse relation between POSA and BMI was observed, likewise between POSA and apnoea hypopnoea index (AHI).
conclusionWe are of opinion that APOC is a suitable tool to identify patients who will or will not benefit from PT, thus resulting in more cost-efficient treatment.
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