Evidence map›Paper›PMID 34853097›Full record

GuidelineEuropean respiratory review : an official journal of the European Respiratory Society2021

European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea.

Winfried Randerath, Johan Verbraecken, Christel A L de Raaff, Jan Hedner, Simon Herkenrath, Winfried Hohenhorst, Tina Jakob, Oreste Marrone, Marie Marklund, Walter T McNicholas and 10 more

3 registry-linked trialsOpen access · diamondAbstract readSystematic ReviewPractice Guideline
In one paragraph

Guideline in European respiratory review : an official journal of the European Respiratory Society, 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 112 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 5 pooled it
14.4field-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.

NCT05621577 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Socio-Demographic - Dental & Respiratory Changes of Obstructive Sleep Apnea (OSA) Patients Treated With Mandibular Advancement Device (MAD) of Samples in Erbil City

TypeinterventionalSponsorHawler Medical UniversityRan2023 to 2023Enrolled20ConditionsSleep Apnea, ObstructiveArmsMANDIBULAR ADVANCEMENT DEVICE
NCT07074288 narecruitingnot on this mapstarted 2025, after this paper: background citation

Obstructive Sleep Apnea Non-PAP Outcomes and Viable Alternatives (OSANOVA): Comparison of Mandibular Advancement Device and Hypoglossal Nerve Stimulation Outcomes

TypeinterventionalSponsorWashington University School of MedicineRan2025 to 2027Enrolled60ConditionsObstructive Sleep ApneaArmsMAD, HGNS
NCT07594288 completednot on this map

Retrospective Evaluation of the Baveno Classification in Comparison With Polysomnography Results in Patients With Obstructive Sleep Apnea

TypeobservationalSponsorHisar Intercontinental HospitalRan2016 to 2024Enrolled395ConditionsObstructive Sleep Apnea
3 · Its place in the literature

Who cites it

112 citing papers in PubMed, 5 syntheses or guidelines pooled it, 196 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Surgical failure guided by DISE 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 · 2024
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Association of tirzepatide with changes in OSA-related measures based on baseline characteristics - post hoc analyses of SURMOUNT-OSA.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Polysomnographic phenotypes: predictors of treatment response in Obstructive Sleep Apnea with Mandibular Advancement devices.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
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Article
  15. Article
  16. Review
  17. Review
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  19. Article
  20. Objective and subjective adherence to oral appliance therapy in adults with obstructive sleep apnea: pilot data from a one-year longitudinal study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article

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

20 authors at 16 institutions in 11 countries.

Winfried RanderathBethanien Hospital, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Institute of Pneumology at the University of Cologne, Solingen, Germany randerath@klinik-bethanien.de.ORCID https://orcid.org/0000-0002-5010-8461
Johan VerbraeckenAntwerp University Hospital and University of Antwerp, Edegem (Antwerp), Belgium.ORCID https://orcid.org/0000-0002-6087-678X
Christel A L de RaaffAmsterdam UMC, Dept of Surgery, Amsterdam, The Netherlands.
Jan HednerDept of Sleep Medicine, Respiratory Medicine and Allergology, Sahlgrenska University Hospital, Gothenburg, Sweden.
Simon HerkenrathBethanien Hospital, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Institute of Pneumology at the University of Cologne, Solingen, Germany.
Winfried HohenhorstAlfried Krupp Hospital, Dept of Otolaryngology, Essen, Germany.
Tina JakobEvidence-based Oncology, Dept I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Dusseldorf, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Oreste MarroneNational Research Council of Italy, Institute for Biomedical Research and Innovation, Palermo, Italy.
Marie MarklundDept of Odontology, Faculty of Medicine, Umeå University, Umeå, Sweden.
Walter T McNicholasSchool of Medicine, University College Dublin, Dublin, Ireland.ORCID https://orcid.org/0000-0001-5927-2738
Rebecca L MorganFaculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.ORCID https://orcid.org/0000-0002-1012-4897
Jean-Louis PepinEFCR Sleep and Respiration Unit CHU Grenoble, Grenoble, France.
Sofia SchizaSleep Disorders Unit, Dept of Respiratory Medicine, Medical School, University of Crete, Greece.
Nicole SkoetzEvidence-based Oncology, Dept I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Dusseldorf, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.
Dan SmythEuropean Lung Foundation, Sheffield, UK.
Jörg SteierLane Fox Unit and Sleep Disorders Centre at Guy's & St Thomas' NHS Foundation Trust, Centre for Human & Applied Physiological Sciences, King's College London, London, UK.ORCID https://orcid.org/0000-0002-1587-3109
Thomy ToniaInstitute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
Wojciech TrzepizurDept of Respiratory and Sleep Medicine, Angers University hospital, Angers, France.
Piet-Heijn van MechelenEuropean Lung Foundation, Sheffield, UK.
Peter WijkstraDept of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
University of Cologne · DEBritish Lung Foundation · GBAlfried Krupp Hospital · DEAmsterdam University Medical Centers · NLCentre Hospitalier Universitaire de Grenoble · FRInstitute for Biomedical Research and Innovation · ITKing's College London · GBMcMaster University · CASahlgrenska University Hospital · SEUmeå University · SEUniversité d'Angers · FRUniversity College Dublin · IEUniversity Medical Center Groningen · NLUniversity of Antwerp · BEUniversity of Bern · CHUniversity of Crete · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment of obstructive sleep apnoea (OSA) in adults is evolving, as new therapies have been explored and introduced in clinical practice, while other approaches have been refined or reconsidered. In this European Respiratory Society (ERS) guideline on non-continuous positive airway pressure (CPAP) therapies for OSA, we present recommendations determined by a systematic review of the literature. It is an update of the 2011 ERS statement on non-CPAP therapies, advanced into a clinical guideline. A multidisciplinary group of experts, including pulmonary, surgical, dentistry and ear-nose-throat specialists, methodologists and patient representatives considered the most relevant clinical questions (for both clinicians and patients) relating to the management of OSA. Eight key clinical questions were generated and a systematic review was conducted to identify published randomised clinical trials that answered these questions. We used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to assess the quality of the evidence and the strength of recommendations. The resulting guideline addresses gastric bypass surgery, custom-made dual-block mandibular advancement devices, hypoglossal nerve stimulation, myofunctional therapy, maxillo-mandibular osteotomy, carbonic anhydrase inhibitors and positional therapy. These recommendations can be used to benchmark quality of care for people with OSA across Europe and to improve outcomes.

Indexed as

Mandibular AdvancementSleep Apnea, ObstructiveAdultContinuous Positive Airway PressureHumansOcclusal SplintsRespiratory System

Identifiers

PMID34853097
PMCPMC9489103
OpenAlexW3196338324

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.