Evidence map›Paper›PMID 34828787›Full record

ReviewChildren (Basel, Switzerland)2021

Treatment Considerations for Obstructive Sleep Apnea in Pediatric Down Syndrome.

Erica Gastelum, Marcus Cummins, Amitoj Singh, Michael Montoya, Gino Luis Urbano, Mary Anne Tablizo

Open access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Accuracy of parental perception of nighttime breathing in children with Down syndrome after adenotonsillectomy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  10. Article
  11. Current Concepts in Pediatric Obstructive Sleep Apnea.Children (Basel, Switzerland) · 2023
    Article
  12. Article
  13. 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

6 authors at 3 institutions in 2 countries.

Erica GastelumSchool of Medicine, University of California San Francisco, Fresno, CA 94143, USA.
Marcus CumminsSchool of Medicine, University of California San Francisco, Fresno, CA 94143, USA.ORCID 0000-0003-2269-9169
Amitoj SinghSchool of Medicine, University of California San Francisco, Fresno, CA 94143, USA.
Michael MontoyaDepartment of Pediatrics, Undergraduate Medical Education, University of California San Francisco, Fresno, CA 93721, USA.
Gino Luis UrbanoSchool of Medicine and Public Health, Ateneo de Manila University, Pasig 1604, Philippines.
Mary Anne TablizoDepartment of Pulmonology, Valley Children's Hospital, Madera, CA 93720, USA.
University of California, San Francisco · USAteneo de Manila University · PHLucile Packard Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Children with Down syndrome (DS) are at high risk for developing obstructive sleep apnea (OSA) compared to children without DS. The negative impact of OSA on health, behavior, and cognitive development in children with DS highlights the importance of timely and effective treatment. Due to the higher prevalence of craniofacial and airway abnormalities, obesity, and hypotonia in patients with DS, residual OSA can still occur after exhausting first-line options. While treatment commonly includes adenotonsillectomy (AT) and continuous positive airway pressure (CPAP) therapy, additional therapy such as medical management and/or adjuvant surgical procedures need to be considered in refractory OSA. Given the significant comorbidities secondary to untreated OSA in children with DS, such as cardiovascular and neurobehavioral consequences, more robust randomized trials in this patient population are needed to produce treatment guidelines separate from those for the general pediatric population of otherwise healthy children with OSA. Further studies are also needed to look at desensitization and optimization of CPAP use in patients with DS and OSA.

Indexed as

adenotonsillectomycontinuous positive airway pressureDown syndromeobstructive sleep apneapediatrictrisomy 21

Identifiers

PMID34828787
PMCPMC8619133
OpenAlexW3215134650

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.