Evidence map›Paper›PMID 27599985›Full record

Trial reportObesity surgery2017

Pre-Operative Ability of Clinical Scores to Predict Obstructive Sleep Apnea (OSA) Severity in Susceptible Surgical Patients.

E Deflandre, S Degey, J-F Brichant, A-F Donneau, R Frognier, R Poirrier, V Bonhomme

Registry-linked trialOpen access · greenAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Obesity surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02051829 (Comparison of Preoperative Screening Score for OSA), which is not on this map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 20% 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.

NCT02051829 completednot on this map

Comparison of Preoperative Screening Score for OSA

TypeobservationalSponsorAstesRan2014 to 2016Enrolled1,584ConditionsSleep Apnea, ObstructiveArmsComparison of the four screening score
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Are the Epworth Sleepiness Scale and Stop-Bang model effective at predicting the severity of obstructive sleep apnoea (OSA); in particular OSA requiring treatment?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
    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

7 authors at 2 institutions in 1 country.

E DeflandreDepartment of Anesthesia, Clinique Saint-Luc of Bouge, Namur, Belgium. eric.deflandre@gmail.com.
S DegeyCabinet Medical ASTES, Jambes, Belgium.
J-F BrichantDepartment of Anesthesia, University Hospital of Liege, University of Liege, Liege, Belgium.
A-F DonneauDepartment of Health Science, University of Liege, Liege, Belgium.
R FrognierDepartment of Pneumology, Clinique Saint-Luc of Bouge, Namur, Belgium.
R PoirrierDepartment of Neurology, University of Liege, Liege, Belgium.
V BonhommeUniversity Department of Anesthesia and ICM, CHR Citadelle and CHU, Liege, Belgium.
University of Liège · BEClinique Saint-Joseph · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere obstructive sleep apnea (OSA) is an independent risk factor for perioperative complications. Clinical scores such as Snoring, Tiredness, Observed apnea, high blood Pressure, Body Mass Index (BMI) higher than 35 kg m

methodsFollowing informed consent and institutional review board (IRB) approval, 1584 consecutive adults were. Should the STOP-Bang be indicative of increased risk of severe OSA, the patient was referred to complementary polysomnography (PSG). Eventual already existing recent PSG data were also collected. The abilities of the four scores to predict OSA severity were compared using sensitivity, specificity, Cohen's kappa coefficient (CKC), and area under ROC curve (AUROC) analysis.

resultsPSG was performed in 150 patients. For detecting severe OSA, OSA50 had the highest sensitivity [value (95 % CI) 0.98 (0.90-1)]. STOP-Bang was significantly less sensitive than P-SAP and OSA50. In that respect, DES-OSA was significantly more specific than the three other ones [0.75 (0.65-0.83)]. The AUROC of DES-OSA was significantly the largest [0.9 (0.84-0.95)]. The highest CKC at detecting severe OSA was 0.62 (0.49-0.74) for DES-OSA. Similar results were obtained for moderate to severe OSA prediction.

conclusionsDES-OSA, which is the only exclusively morphological score available, appears to surpass the three other scores in their ability to predict moderate to severe and severe OSA, at least in our setting and in our screened population. CLINICAL

trial registrationClinicalTrial.gov NCT02051829.

Indexed as

AdolescentAdultAgedBody Mass IndexFatigueFemaleHumansHypertensionMaleMass ScreeningMiddle AgedObesityObesity, MorbidPolysomnographyPredictive Value of TestsPreoperative CareMass screeningObesityObstructivePerioperative periodPostoperative complicationsSleep apnea

Identifiers

PMID27599985
OpenAlexW2511693460

What OpenQuestion holds

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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.