SynthesisJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2022
Validation of the STOP questionnaire as a screening tool for OSA among different populations: a systematic review and meta-regression analysis.
Synthesis in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Sleep and Disorders of Gut-Brain Interaction.Gastroenterology & hepatology · 2026Article
- Optimizing Screening for Obstructive Sleep Apnea: Comparative Assessment of STOP and STOP-BANG Questionnaires in Croatia, Türkiye, and Greece.Medicina (Kaunas, Lithuania) · 2026Article
- Changes in Sleep Quality, Depressive Symptoms, and Sleep-Wake Preference Among University Students Participating in an Eight-Week Evening Aerobic Exercise Program: A Quasi-Experimental Study.Journal of clinical medicine · 2026Article
- Obstructive Sleep Apnea Risk and Mental Health Conditions Among Older Canadian Adults in the Canadian Longitudinal Study on Aging.JAMA network open · 2025Article
- The No-Apnea score for early obstructive sleep apnea detection in a sleep clinic: a study of diagnostic accuracy and comparative performance of three screening instruments.Scientific reports · 2025Article
- Genome-wide analysis in over 1.6 million participants uncovers 147 loci associated with obstructive sleep apnoea.medRxiv : the preprint server for health sciences · 2025Article
- Obstructive Sleep Apnea Screening in Patients Attending Medical Outpatient Department of Tertiary Care Hospital of Kathmandu: A Cross-sectional Study.JNMA; journal of the Nepal Medical Association · 2025Article
- The neutrophil-to-lymphocyte ratio is associated with increased risk of all-cause mortality in obstructive sleep apnea.Scientific reports · 2025Article
- Lifestyle and risk factor modification in atrial fibrillation: a European Heart Rhythm Association survey.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Article
- The prevalence and risk factors of respiratory symptoms in Finland: a comparative analysis.European clinical respiratory journal · 2025Article
- Improving OSA screening efficiency with subjective questionnaires: integrating STOP-Bang, ESS, and Berlin.Frontiers in medicine · 2025Article
- Association between adherence to life's simple 7 metrics and risk of obstructive sleep apnea among adults in the United States.BMC psychiatry · 2024Article
- Symptom content analysis of OSA questionnaires: time to identify and improve relevance of diversity of OSA symptoms?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Association of the combination of obstructive sleep apnea risk and sleep duration with ideal cardiovascular health metrics in patients undergoing hemodialysis.BMC nephrology · 2024Article
- Fractional exhaled nitric oxide-a possible biomarker for risk of obstructive sleep apnea in snorers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
- Causal associations between obstructive sleep apnea and COVID-19: A bidirectional Mendelian randomization study.Sleep medicine · 2023Article
- A Comparison of the Reliability of Five Sleep Questionnaires for the Detection of Obstructive Sleep Apnea.Life (Basel, Switzerland) · 2022Article
Corrections and comments
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Authors and funding
7 authors.
Funding
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Abstract
STUDY
objectivesObstructive sleep apnea (OSA) is a sleep breathing disorder associated with adverse health outcomes, but it remains largely underdiagnosed. The STOP questionnaire is a simple tool for screening OSA and is widely used in various populations. The objective of this study was to determine the predictive parameters of the STOP questionnaire to detect OSA in sleep clinics, medical population, surgical population, commercial drivers, and the general population.
methodsElectronic databases were searched from January 2008 to April 2021. Pooled predictive parameters were recalculated using 2 × 2 contingency tables and random-effects meta-analyses were performed. The combined test characteristics at different OSA severities (any OSA [apnea-hypopnea index ≥ 5 events/h], moderate-to-severe OSA [apnea-hypopnea index ≥ 15 events/h], severe OSA [apnea-hypopnea index ≥ 30 events/h]) were used to compare the accuracy of the STOP questionnaire with polysomnography. The quality of the studies was evaluated using Cochrane Methods criteria.
resultsTwenty-four studies met the inclusion criteria: 16 were in the sleep clinic population (n = 8,132), 4 in the medical population (n = 1,023), 2 in the surgical population (n = 258), and 1 study each on commercial drivers (n = 85) and the general population (n = 4,770). A STOP score ≥ 2 showed excellent sensitivity to the different OSA severities for the sleep clinic population (> 89%) and to severe OSA for the medical population (85.6%). In both populations, the STOP questionnaire also had excellent discriminative power to exclude severe OSA (negative predictive values > 84%). The pooled sensitivity and negative predictive values for the surgical population with moderate-to-severe OSA was 81% and 75%.
conclusionsThis meta-analysis suggests that the STOP questionnaire is a valid and effective screening tool for OSA among these populations. CITATION: Patel D, Tsang J, Saripella A, et al. Validation of the STOP questionnaire as a screening tool for OSA among different populations: a systematic review and meta-regression analysis.
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