Evidence map›Paper›PMID 31768931›Full record

Observational studySleep & breathing = Schlaf & Atmung2020

Treatment outcome of oral appliance in patients with REM-related obstructive sleep apnea.

Yoshitomo Nishio, Tetsuro Hoshino, Kenta Murotani, Akifumi Furuhashi, Masayo Baku, Ryujiro Sasanabe, Yoshiaki Kazaoka, Toshiaki Shiomi

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Article
  3. REM sleep obstructive sleep apnoea.European respiratory review : an official journal of the European Respiratory Society · 2024
    Review
  4. Article
  5. Article
  6. 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

8 authors at 3 institutions in 1 country.

Yoshitomo NishioDepartment of Oral and Maxillofacial Surgery, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 4801195, Japan.
Tetsuro HoshinoDepartment of Sleep Medicine and Sleep Disorders Center, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 4801195, Japan. hoshino.tetsurou.299@mail.aichi-med-u.ac.jp.ORCID http://orcid.org/0000-0001-7134-4714
Kenta MurotaniBiostatistics Center, Graduate School of Medicine, Kurume University, 67 Asahimachi, Kurume, Fukuoka, 8300011, Japan.
Akifumi FuruhashiDepartment of Oral and Maxillofacial Surgery, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 4801195, Japan.
Masayo BakuDepartment of Sleep Medicine and Sleep Disorders Center, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 4801195, Japan.
Ryujiro SasanabeDepartment of Sleep Medicine and Sleep Disorders Center, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 4801195, Japan.
Yoshiaki KazaokaDepartment of Oral and Maxillofacial Surgery, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 4801195, Japan.
Toshiaki ShiomiDepartment of Sleep Medicine and Sleep Disorders Center, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 4801195, Japan.
Aichi Medical University Hospital · JPAichi Medical University · JPKurume University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOral appliances (OA) are used to treat patients with obstructive sleep apnea (OSA). The purpose of this study is to evaluate the efficacy of OA treatment in patients with rapid eye movement (REM)-related OSA.

methodsForty-six patients with REM-related OSA and 107 with non-stage-specific OSA were prescribed OA treatment after diagnosis by polysomnography (PSG) and a follow-up sleep test by PSG was conducted. Efficacy and treatment outcome predictors were evaluated according to the following criteria for treatment success: #1, reduction of the apnea-hypopnea index (AHI) to less than 5 and > 50% compared with baseline; #2, AHI reduction to less than 10 and > 50% compared with baseline; and #3, > 50% AHI reduction compared with baseline.

resultsSuccess rates according to criteria #1, #2, and #3 were 45.7%, 50.0%, and 50.0% in REM-related OSA and 36.4%, 52.3%, and 63.6% in non-stage-specific OSA, respectively. No significant differences in success rate were found between the two groups. In multivariate logistic regression analysis with each criterion as the response variable, only BMI was extracted as a significant predictor. The BMI cutoff values defined based on the maximum Youden index according to the three criteria were 26.2 kg/m

conclusionsNo significant differences in success rate of OA treatment were found between REM-related OSA and non-stage-specific OSA. BMI has greater impact on treatment outcome of OA in patients with REM-related OSA.

Indexed as

AgedFemaleHumansMaleMiddle AgedOrthodonticsPolysomnographyRetrospective StudiesSleep Apnea, ObstructiveSleep, REMTreatment OutcomeBody mass indexObstructive sleep apneaOral applianceREM-related obstructive sleep apnea

Identifiers

PMID31768931
PMCPMC7679325
OpenAlexW2990551974

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.