Evidence map›Paper›PMID 35133912›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2022

Patient-Defined Goals for Obstructive Sleep Apnea Treatment.

Yi Cai, Priyanka Tripuraneni, Arushi Gulati, Erika M Stephens, Dang-Khoa Nguyen, Megan L Durr, Jolie L Chang

Abstract read
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023
    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

7 authors.

Yi CaiDepartment of Otolaryngology-Head and Neck Surgery, School of Medicine, University of California-San Francisco, San Francisco, California, USA.
Priyanka TripuraneniDepartment of Otolaryngology-Head and Neck Surgery, School of Medicine, University of California-San Francisco, San Francisco, California, USA.
Arushi GulatiDepartment of Otolaryngology-Head and Neck Surgery, School of Medicine, University of California-San Francisco, San Francisco, California, USA.
Erika M StephensDepartment of Otolaryngology-Head and Neck Surgery, School of Medicine, University of California-San Francisco, San Francisco, California, USA.
Dang-Khoa NguyenDepartment of Head and Neck Surgery, Kaiser Permanente, Oakland, California, USA.
Megan L DurrDepartment of Head and Neck Surgery, Kaiser Permanente, Oakland, California, USA.
Jolie L ChangSurgery Service, Department of Veterans Affairs Medical Center, San Francisco, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo characterize the treatment goals and values of adult patients with obstructive sleep apnea (OSA). STUDY

designMixed methods design based on semistructured interviews followed by cross-sectional surveys.

settingAcademic medical center and integrated managed care consortium.

methodsPhase 1 involved qualitative analysis of focus groups and interviews to define treatment goal categories. Phase 2 included analysis of cross-sectional surveys on most important treatment goals from patients with OSA presenting to sleep surgery clinic. Positive airway pressure (PAP) use, Epworth Sleepiness Scale score, and apnea-hypopnea index were obtained to determine influences on goal choices.

resultsDuring focus groups and interviews, treatment goal themes identified included improving sleep quality, reducing daytime sleepiness, snoring sound reduction, and health risk reduction. In phase 2, 536 patients were surveyed, and they reported the primary treatment goals of health risk reduction (35%), sleep quality improvement (28%), daytime sleepiness improvement (21%), and snoring sound reduction (16%). The primary treatment goal was associated with age (

conclusionsAdult OSA treatment goal choices vary with age, symptoms, PAP history, and OSA severity. Understanding patient-specific goals is the essential first step in the shared decision-making process when choosing surgical or nonsurgical treatments. Ultimately, goal-focused discussions ensure alignment of priorities and definitions of success between the patient and the provider.

Indexed as

Disorders of Excessive SomnolenceSleep Apnea, ObstructiveAdultCross-Sectional StudiesGoalsHumansSleepinessSnoringageapnea hypopnea indexobstructive sleep apneapositive airway pressureshared decision makingsleep surgerytreatment goals

Identifiers

PMID35133912
PMCPMC9527355

What OpenQuestion holds

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LicenceCC BY-NC
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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.