Evidence map›Paper›PMID 27092695›Full record

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

Updated Adaptive Servo-Ventilation Recommendations for the 2012 AASM Guideline: "The Treatment of Central Sleep Apnea Syndromes in Adults: Practice Parameters with an Evidence-Based Literature Review and Meta-Analyses".

R Nisha Aurora, Sabin R Bista, Kenneth R Casey, Susmita Chowdhuri, David A Kristo, Jorge M Mallea, Kannan Ramar, James A Rowley, Rochelle S Zak, Jonathan L Heald

Open access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 2% 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.

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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Guideline
  3. Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Pooled it
  4. Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017
    Guideline
  5. Review
  6. Review
  7. Review
  8. Sleep-disordered breathing - clinical spectrum.Australian dental journal · 2024
    Review
  9. Discrepant home sleep apnea tests and discrepant CPAP downloads: a tale of two altitudes.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023
    Review
  14. Experience With Adaptive Servo-Ventilation Among Veterans in the Post-SERVE-HF Era.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  15. Article
  16. The Pathogenesis of Central and Complex Sleep Apnea.Current neurology and neuroscience reports · 2022
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 9 institutions in 1 country.

R Nisha AuroraJohns Hopkins University, School of Medicine, Baltimore, MD.
Sabin R BistaUniversity of Nebraska Medical Center, Omaha, NE.
Kenneth R CaseyWilliam S. Middleton Memorial Veterans Hospital, Madison, WI.
Susmita ChowdhuriJohn D. Dingell VA Medical Center and Wayne State University, Detroit, MI.
David A KristoUniversity of Pittsburgh, Pittsburgh, PA.
Jorge M MalleaMayo Clinic Florida, Transplant Center, Jacksonville, FL.
Kannan RamarMayo Clinic, Rochester, MN.
James A RowleyDepartment of Medicine, Wayne State University School of Medicine, Detroit, MI.
Rochelle S ZakSleep Disorders Center, University of California, San Francisco, San Francisco CA.
Jonathan L HealdAmerican Academy of Sleep Medicine, Darien, IL.
Wayne State University · USAmerican Academy of Sleep Medicine · USJohns Hopkins University · USMayo Clinic in Arizona · USMayo Clinic in Florida · USUniversity of California, San Francisco · USUniversity of Nebraska Medical Center · USUniversity of Pittsburgh · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractAn update of the 2012 systematic review and meta-analyses were performed and a modified-GRADE approach was used to update the recommendation for the use of adaptive servo-ventilation (ASV) for the treatment of central sleep apnea syndrome (CSAS) related to congestive heart failure (CHF). Meta-analyses demonstrated an improvement in LVEF and a normalization of AHI in all patients. Analyses also demonstrated an increased risk of cardiac mortality in patients with an LVEF of ≤ 45% and moderate or severe CSA predominant sleep-disordered breathing. These data support a Standard level recommendation against the use of ASV to treat CHF-associated CSAS in patients with an LVEF of ≤ 45% and moderate or severe CSAS, and an Option level recommendation for the use of ASV in the treatment CHF-associated CSAS in patients with an LVEF > 45% or mild CHF-related CSAS. The application of these recommendations is limited to the target patient populations; the ultimate judgment regarding propriety of any specific care must be made by the clinician.

Indexed as

Practice Guidelines as TopicAcademies and InstitutesAdultEvidence-Based MedicineHumansRespiration, ArtificialSleep Apnea, CentralUnited Statesadaptive servo-ventilationcentral sleep apneaclinical practice guideline

Identifiers

PMID27092695
PMCPMC4865563
OpenAlexW2388750049

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.