Evidence map›Paper›PMID 33713177›Full record

ReviewLung2021

Evaluation and Management of Adults with Obstructive Sleep Apnea Syndrome.

Janet J Lee, Krishna M Sundar

3 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Lung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 129 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 12 pooled it
15.2field-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.

NCT04957134 nacompletednot on this map

The Efficacy and Safety of Electro-acupuncture for Abdominal Obesity: Original Study for a Multicenter, Randomized, Sham-controlled Trial

TypeinterventionalSponsorHubei Hospital of Traditional Chinese MedicineRan2021 to 2023Enrolled66ConditionsObesity, AbdominalArmsElectro-acupuncture, Sham electro-acupuncture
NCT06006520 nacompletednot on this mapstarted 2023, after this paper: background citation

Investigation of the Effects of Aerobic and Oropharyngeal Exercises on Sleep Quality in Patients With Obstructive Sleep Apnea Syndrome.

TypeinterventionalSponsorUskudar UniversityRan2023 to 2023Enrolled40ConditionsOsa SyndromeArmscontrol, oro-granary exercises., aerobic exercises
NCT06766760 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

A Pilot Study of Single-port Robot-assisted Surgery Using da Vinci SP Surgical System for the Surgical Treatment for Patients With Obstructive Sleep Apnea

TypeinterventionalSponsorChang Gung Memorial HospitalRan2025 to 2026Enrolled25ConditionsObstructive Sleep ApneaArmsDa Vinci SP Surgical System, Model SP1098
3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 12 syntheses or guidelines pooled it, 204 citations in OpenAlex.

  1. Pooled it
  2. Effectiveness of aerobic exercise training in patients with obstructive sleep apnea: a systematic review and meta-analysis.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
    Pooled it
  3. Association of edentulism and obstructive sleep apnea: A systematic review.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
    Pooled it
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  8. How to objectively measure snoring: a systematic review.Sleep & breathing = Schlaf & Atmung · 2024
    Pooled it
  9. Pooled it
  10. Effects of Exercise on Patients with Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2022
    Pooled it
  11. Pooled it
  12. Pooled it
  13. Trial
  14. Trial
  15. Positional Obstructive Sleep Apnea: A Model for Precision Sleep Medicine.Journal of otorhinolaryngology, hearing and balance medicine · 2026
    Article
  16. Article
  17. Article
  18. Epithelial NaJournal of sleep research · 2026
    Article
  19. Article
  20. Article

69 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.

Janet J LeeDivision of Pulmonary & Critical Care Medicine, University of Utah, 26 N 1900E, Salt Lake City, UT, 84112, USA.
Krishna M SundarDivision of Pulmonary & Critical Care Medicine, University of Utah, 26 N 1900E, Salt Lake City, UT, 84112, USA. krishna.sundar@hsc.utah.edu.ORCID 0000-0001-7220-5767
University of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea syndrome (OSAS) is a common and underdiagnosed medical condition characterized by recurrent sleep-dependent pauses and reductions in airflow. While a narrow, collapsible oropharynx plays a central role in the pathophysiology of OSAS, there are other equally important nonanatomic factors including sleep-stage dependent muscle tone, arousal threshold, and loop gain that drive obstructive apneas and hypopneas. Through mechanisms of intermittent hypoxemia, arousal-related sleep fragmentation, and intrathoracic pressure changes, OSAS impacts multiple organ systems. Risk factors for OSAS include obesity, male sex, age, specific craniofacial features, and ethnicity. The prevalence of OSAS is rising due to increasing obesity rates and improved sensitivity in the tools used for diagnosis. Validated questionnaires have an important but limited role in the identification of patients that would benefit from formal testing for OSA. While an in-laboratory polysomnography remains the gold standard for diagnosis, the widespread availability and accuracy of home sleep apnea testing modalities increase access and ease of OSAS diagnosis for many patients. In adults, the most common treatment involves the application of positive airway pressure (PAP), but compliance continues to be a challenge. Alternative treatments including mandibular advancement device, hypoglossal nerve stimulator, positional therapies, and surgical options coupled with weight loss and exercise offer possibilities of an individualized personal approach to OSAS. Treatment of symptomatic patients with OSAS has been found to be beneficial with regard to sleep-related quality of life, sleepiness, and motor vehicle accidents. The benefit of treating asymptomatic OSA patients, particularly with regard to cardiovascular outcomes, is controversial and more data are needed.

Indexed as

AdultContinuous Positive Airway PressureHumansOcclusal SplintsPolysomnographySleep Apnea, ObstructiveSymptom AssessmentObstructivePathophysiologySleep apneaSleep apnea syndromesState of the art review

Identifiers

PMID33713177
OpenAlexW3134500534

What OpenQuestion holds

Textmetadata
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.