Evidence map›Paper›PMID 32166426›Full record

ReviewLung2020

Evaluation and Management of Children with Obstructive Sleep Apnea Syndrome.

Anna C Bitners, Raanan Arens

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Lung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05181176 (Effect of Coffee and Tea Consumption on Adolescent Weight Control - a Randomized Clinical Trial), which is not on this map. Cited by 112 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 6 pooled it
12.6field-weighted citation impact, top 1% 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.

NCT05181176 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Effect of Coffee and Tea Consumption on Adolescent Weight Control - a Randomized Clinical Trial

TypeinterventionalSponsorTel-Aviv Sourasky Medical CenterRan2021 to 2023Enrolled63ConditionsBody WeightArmsCoffee, Green tea, Herbal tea (placebo)
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 6 syntheses or guidelines pooled it, 216 citations in OpenAlex.

  1. Pooled it
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  14. Quality and Readability of Websites on Tongue Base Procedures for Pediatric Obstructive Sleep Apnea.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  15. Article
  16. Disentangling baseline severity and residual disease from BMI effects after adenotonsillectomy.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 · 2026
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52 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

Anna C BitnersAlbert Einstein College of Medicine, Bronx, NY, USA.
Raanan ArensDivision of Respiratory and Sleep Medicine, Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, NY, 10467-2490, USA. raanan.arens@einsteinmed.org.ORCID 0000-0001-9472-7603
Albert Einstein College of Medicine · US

Funding

A Computational Biomechanical Airway Model for Obese Children at Risk for OSASR01HL130468 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI ARENS, RAANAN, UDUPA, JAYARAM K · 2016 to 2020
$4.2M
NHLBI NIH HHS R01 HL130468
6 · The paper itself

Abstract

Obstructive sleep apnea syndrome (OSAS) is a common pediatric disorder characterized by recurrent events of partial or complete upper airway obstruction during sleep which result in abnormal ventilation and sleep pattern. OSAS in children is associated with neurobehavioral deficits and cardiovascular morbidity which highlights the need for prompt recognition, diagnosis, and treatment. The purpose of this state-of-the-art review is to provide an update on the evaluation and management of children with OSAS with emphasis on children with complex medical comorbidities and those with residual OSAS following first-line treatment. Proposed treatment strategies reflecting recommendations from a variety of professional societies are presented. All children should be screened for OSAS and those with typical symptoms (e.g., snoring, restless sleep, and daytime hyperactivity) or risk factors (e.g., neurologic, genetic, and craniofacial disorders) should undergo further evaluation including referral to a sleep specialist or pediatric otolaryngologist and overnight polysomnography, which provides a definitive diagnosis. A cardiology and/or endocrinology evaluation should be considered in high-risk children. For the majority of children, first-line treatment is tonsillectomy with or without adenoidectomy; however, some children exhibit multiple levels of airway obstruction and may require additional evaluation and management. Anti-inflammatory medications, weight loss, and oral appliances may be appropriate in select cases, particularly for mild OSAS. Following initial treatment, all children should be monitored for residual symptoms and polysomnography may be repeated to identify persistent disease, which can be managed with positive airway pressure ventilation and additional surgical approaches if required.

Indexed as

Pulmonary VentilationSleepAdolescentAge FactorsChildChild, PreschoolFemaleHumansLungMalePredictive Value of TestsRisk AssessmentRisk FactorsSleep Apnea, ObstructiveTreatment OutcomeAdenotonsillectomy (AT)DiagnosisObstructive sleep apnea syndrome (OSAS)PediatricsPolysomnographySleep disordered breathing (SDB)

Identifiers

PMID32166426
PMCPMC7171982
OpenAlexW3012527389

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.