Evidence map›Paper›PMID 32804071›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020

Positional obstructive sleep apnea within a large multicenter French cohort: prevalence, characteristics, and treatment outcomes.

AbdelKebir Sabil, Margaux Blanchard, Wojciech Trzepizur, François Goupil, Nicole Meslier, Audrey Paris, Thierry Pigeanne, Pascaline Priou, Marc Le Vaillant, Frédéric Gagnadoux and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Prospective crossover trial of positional and CPAP therapy for the treatment of mild-to-moderate positional obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Trial
  4. Trial
  5. Positional Obstructive Sleep Apnea: A Model for Precision Sleep Medicine.Journal of otorhinolaryngology, hearing and balance medicine · 2026
    Article
  6. Article
  7. Clinical characteristics and outcomes of positional obstructive sleep apnea: the sleep heart health 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 · 2025
    Article
  8. Review
  9. Effects of Soft Cervical Collar on Apnea-Hypopnea Index in Patients with Obstructive Sleep Apnea.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  10. The differences between the subtypes of obstructive sleep apnea among different provinces in Turkey: a multicenter 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 · 2025
    Article
  11. Community prevalence of positional obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  12. Article
  13. Positional therapy: is it ready for prime time?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Exploring the Impact of Positional Sleep Apnea in a Turkish Population: Unveiling the Untold Story.Medical science monitor : international medical journal of experimental and clinical research · 2023
    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

11 authors.

AbdelKebir SabilPhilips, Paris, France.
Margaux BlanchardEcole Supérieure d'Electronique de l'Ouest, Angers, France.
Wojciech TrzepizurDepartment of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France.
François GoupilDepartment of Respiratory Diseases, Le Mans General Hospital, Le Mans, France.
Nicole MeslierDepartment of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France.
Audrey ParisDepartment of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France.
Thierry PigeanneRespiratory Unit, Pôle santé des Olonnes, Olonne sur Mer, France.
Pascaline PriouDepartment of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France.
Marc Le VaillantPays de la Loire Respiratory Health Research Institute, Beaucouzé, France.
Frédéric GagnadouxDepartment of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France.
Pays de la Loire Sleep Cohort Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo assess, in a large cohort of patients with obstructive sleep apnea, the factors that are independently associated with positional obstructive sleep apnea (POSA) and exclusive POSA (e-POSA) and determine their prevalence. The secondary objective was to evaluate the outcome of positive airway pressure (PAP) therapy for patients with POSA and e-POSA.

methodsThis retrospective study included 6,437 patients with typical mild-to-severe OSA from the Pays de la Loire sleep cohort. Patients with POSA and e-POSA were compared to those with non-POSA for clinical and polysomnographic characteristics. In a subgroup of patients (n = 3,000) included in a PAP follow-up analysis, we determined whether POSA and e-POSA phenotypes were associated with treatment outcomes at 6 months.

resultsPOSA and e-POSA had a prevalence of 53.5% and 20.1%, respectively, and were independently associated with time in supine position, male sex, younger age, lower apnea-hypopnea index and lower body mass index. After adjustment for confounding factors, patients with POSA and e-POSA had a significantly lower likelihood of treatment adherence (PAP daily use ≥ 4 h) at 6 months and were at higher risk of PAP treatment withdrawal compared to those with non-POSA.

conclusionsThe prevalence and independent predictors of POSA and e-POSA were determined in this large clinical population. Patients with POSA and e-POSA have lower PAP therapy adherence, and this choice of treatment may not be optimal. Thus, there is a need to offer these patients an alternative therapy.

Indexed as

Sleep Apnea, ObstructiveHumansMalePolysomnographyPrevalenceRetrospective StudiesSupine PositionTreatment Outcomecontinuous positive airway pressurepositional sleep apneaprevalencetreatment adherence

Identifiers

PMID32804071
PMCPMC7848932

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.