Evidence map›Paper›PMID 31786746›Full record

Trial reportSleep & breathing = Schlaf & Atmung2020

Effectiveness of barbed repositioning pharyngoplasty for the treatment of obstructive sleep apnea (OSA): a prospective randomized trial.

Claudio Vicini, Giuseppe Meccariello, Filippo Montevecchi, Andrea De Vito, Sabrina Frassineti, Riccardo Gobbi, Stefano Pelucchi, Giannicola Iannella, Giuseppe Magliulo, Giovanni Cammaroto

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 pooled it
–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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Barbed palatal surgery: single stage or multilevel setting-a systematic review by the Young Otolaryngologists of the Italian Society of Otolaryngology.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 · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023
    Review
  12. Review
  13. Article
  14. Anxiety, depression and sleepiness in OSA patients treated with barbed reposition pharyngoplasty: a prospective study.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 · 2022
    Observational
  15. Obstructive Sleep Apnea Syndrome: From Symptoms to Treatment.International journal of environmental research and public health · 2022
    Article
  16. Long-term stability of results following surgery for obstructive sleep apnea (OSA).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 · 2022
    Article
  17. Sleep medicine in otolaryngology units: an international survey.Sleep & breathing = Schlaf & Atmung · 2021
    Article
  18. Article
  19. OSA Upper Airways Surgery: A Targeted Approach.Medicina (Kaunas, Lithuania) · 2021
    Review
  20. Obstructive sleep apnoea/hypopnoea syndrome: relationship with obesity and management in obese patients.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2021
    Review
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

10 authors.

Claudio ViciniUnit of Otolaryngology, Hospital Morgagni Pierantoni, Forlì, Italy.
Giuseppe MeccarielloUnit of Otolaryngology, Hospital Morgagni Pierantoni, Forlì, Italy.
Filippo MontevecchiUnit of Otolaryngology, Hospital Morgagni Pierantoni, Forlì, Italy.
Andrea De VitoUnit of Otolaryngology, Hospital Morgagni Pierantoni, Forlì, Italy.
Sabrina FrassinetiUnit of Otolaryngology, Hospital Morgagni Pierantoni, Forlì, Italy.
Riccardo GobbiUnit of Otolaryngology, Hospital Morgagni Pierantoni, Forlì, Italy.
Stefano PelucchiUnit of Otolaryngology, University of Ferrara, Ferrara, Italy.
Giannicola IannellaUnit of Otolaryngology, La Sapienza University, Rome, Italy.
Giuseppe MagliuloUnit of Otolaryngology, La Sapienza University, Rome, Italy.
Giovanni CammarotoUnit of Otolaryngology, Hospital Morgagni Pierantoni, Forlì, Italy. giovanni.cammaroto@hotmail.com.ORCID http://orcid.org/0000-0002-1618-0048

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of our randomized clinical trial is to produce stronger evidence supporting barbed repositioning pharyngoplasty (BRP) as a therapeutic option for the treatment of obstructive sleep apnea (OSA).

methodsThe trial was a single-center prospective controlled trial with two parallel arms (group A: BRP; group B: observation) and randomization. Baseline and 6-month polygraphy evaluating the apnea hypopnea index (AHI), oxygen desaturation index (ODI), and lowest oxygen saturation (LOS) were performed. To test the differences among groups of Student's t test, the role of each factor (univariate analysis) and their independent effect (multivariate analysis) was explored using logistic regression model as appropriate. Linear regression was also conducted.

resultsA significant reduction of AHI, ODI, LOS, and Epworth Sleepiness Scale (ESS) values was recorded in the BRP group. BRP showed to be more effective than observation. Logistic regression showed that preoperative AHI is related significantly to postoperative AHI within the BRP group. A linear regression showed that higher baseline AHI predicts more significant postoperative absolute AHI reduction.

conclusionsBRP appears to be a promising technique and might be included within the surgical armamentarium of a sleep surgeon. Patients affected by severe OSA may benefit from this surgery with more significant reduction of AHI values.

Indexed as

Hypnotics and SedativesHumansObserver VariationOropharynxPharyngostomyPharynxProspective StudiesSleep Apnea, ObstructiveTreatment OutcomeHypnotics and SedativesBarbed repositioning pharyngoplastyOSAOSASOutcomeSleep surgery

Identifiers

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.