Evidence map›Paper›PMID 26235158›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2016

Upper Airway Stimulation for Obstructive Sleep Apnea: Self-Reported Outcomes at 24 Months.

Ryan J Soose, B Tucker Woodson, M Boyd Gillespie, Joachim T Maurer, Nico de Vries, David L Steward, Kingman P Strohl, Jonathan Z Baskin, Tapan A Padhya, M Safwan Badr and 6 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Selective upper airway stimulation for obstructive sleep apnea: a single center clinical experience.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2017
    Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Use of Hypoglossal Nerve Stimulation for Treating OSA in Military Patient Populations.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2024
    Review
  10. Article
  11. International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023
    Review
  12. Article
  13. Article
  14. Endotypic Mechanisms of Successful Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea.American journal of respiratory and critical care medicine · 2021
    Article
  15. Article
  16. The Nonsurgical Sleep Medicine Physician Role in the Development of an Upper Airway Stimulation Program.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2020
    Article
  17. Article
  18. Article
  19. Review
  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

16 authors.

Ryan J SooseUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
B Tucker WoodsonMedical College of Wisconsin, Milwaukee, WI.
M Boyd GillespieMedical University of South Carolina, Charleston, SC.
Joachim T MaurerUniversity Hospital Mannheim, Mannheim, Germany.
Nico de VriesSaint Lucas Andreas Hospital, Amsterdam, Netherlands.
David L StewardUniversity of Cincinnati Medical Center, Cincinnati, OH.
Kingman P StrohlCase Western Reserve University, Cleveland, OH.
Jonathan Z BaskinCase Western Reserve University, Cleveland, OH.
Tapan A PadhyaUniversity of South Florida College of Medicine, Tampa, FL.
M Safwan BadrWayne State University, Detroit, MI.
Ho-sheng LinWayne State University, Detroit, MI.
Olivier M VandervekenFaculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium.
Sam MickelsonAdvanced ENT, Atlanta, GA.
Eileen ChasensUniversity of Pittsburgh School of Nursing, Pittsburgh, PA.
Patrick J StrolloUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
STAR Trial Investigators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the long-term (24-mo) effect of cranial nerve upper airway stimulation (UAS) therapy on patient-centered obstructive sleep apnea (OSA) outcome measures.

methodsProspective, multicenter, cohort study of 126 patients with moderate to severe OSA who had difficulty adhering to positive pressure therapy and received the surgically implanted UAS system. Outcomes were measured at baseline and postoperatively at 12 mo and 24 mo, and included self- and bedpartner-report of snoring intensity, Epworth Sleepiness Scale (ESS), and Functional Outcomes of Sleep Questionnaire (FOSQ). Additional analysis included FOSQ subscales, FOSQ-10, and treatment effect size.

resultsSignificant improvement in mean FOSQ score was observed from baseline (14.3) to 12 mo (17.3), and the effect was maintained at 24 mo (17.2). Similar improvements and maintenance of effect were seen with all FOSQ subscales and FOSQ-10. Subjective daytime sleepiness, as measured by mean ESS, improved significantly from baseline (11.6) to 12 mo (7.0) and 24 mo (7.1). Self-reported snoring severity showed increased percentage of "no" or "soft" snoring from 22% at baseline to 88% at 12 mo and 91% at 24 mo. UAS demonstrated large effect size (> 0.8) at 12 and 24 mo for overall ESS and FOSQ measures, and the effect size compared favorably to previously published effect size with other sleep apnea treatments.

conclusionsIn a selected group of patients with moderate to severe OSA and body mass index ≤ 32 kg/m2, hypoglossal cranial nerve stimulation therapy can provide significant improvement in important sleep related quality-of-life outcome measures and the effect is maintained across a 2-y follow-up period.

Indexed as

Self ReportAdultAgedAged, 80 and overElectric Stimulation TherapyFemaleFollow-Up StudiesHumansHypoglossal NerveMaleMiddle AgedProspective StudiesSleep Apnea, ObstructiveSurveys and QuestionnairesTreatment Outcomecranial nerve stimulationhypoglossal nerveneurostimulationsleep apneasurgery

Identifiers

PMID26235158
PMCPMC4702198

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.