Evidence map›Paper›PMID 38708074›Full record

ArticleFujita medical journal2024

Relationship between size of pharyngeal and palatine tonsils and apnea-hypopnea index in pediatric obstructive sleep apnea.

Masamichi Kaneko, Masatoshi Hirata, Ayami Kimura, Hiroya Inada, Kazuki Shikano, Satoshi Ito, Takayuki Okano, Hiroshi Yatsuya, Seiichi Nakata

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Fujita medical journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Association of adenoid hypertrophy and clinical parameters with preoperative polygraphy in pediatric patients undergoing adenoidectomy.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
    Article
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

9 authors.

Masamichi KanekoDepartment of Otolaryngology and Sleep Medicine, Fujita Health University, School of Medicine, Nagoya, Aichi, Japan.
Masatoshi HirataDepartment of Clinical Laboratory, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Ayami KimuraDepartment of Otolaryngology and Sleep Medicine, Fujita Health University, School of Medicine, Nagoya, Aichi, Japan.
Hiroya InadaDepartment of Otolaryngology and Sleep Medicine, Fujita Health University, School of Medicine, Nagoya, Aichi, Japan.
Kazuki ShikanoDepartment of Otolaryngology and Sleep Medicine, Fujita Health University, School of Medicine, Nagoya, Aichi, Japan.
Satoshi ItoDepartment of Otolaryngology and Sleep Medicine, Fujita Health University, School of Medicine, Nagoya, Aichi, Japan.
Takayuki OkanoDepartment of Clinical Laboratory, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.
Hiroshi YatsuyaDepartment of Public Health and Health Systems, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Seiichi NakataDepartment of Clinical Laboratory, Fujita Health University Bantane Hospital, Nagoya, Aichi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine whether the combination of the pharyngeal tonsil grade and palatine tonsil grade results in differences in the apnea-hypopnea index (AHI) and to determine whether each parameter separately (pharyngeal tonsil grade and palatine tonsil grade) results in differences in severe obstructive sleep apnea (OSA). Methods: This cross-sectional study involved 107 children (mean age, 7.2 years; range, 4-12 years) suspected of having OSA because of snoring or sleep-related complaints. The patients underwent polysomnography, and their palatine and pharyngeal tonsils were graded. Results: In examining whether the palatine tonsils and pharyngeal tonsils could be risk factors for severe OSA, the adjusted odds ratios were 4.42 for palatine tonsil grade 4 versus 1-3 and 10.40 for pharyngeal tonsil grade 4 versus 1-3; both were highly statistically significant. We also found that the AHI when both the pharyngeal and palatine tonsils were grade 4 was higher than the AHI expected for the pharyngeal and palatine tonsils alone. Conclusions: The combination of grade 4 pharyngeal tonsils and grade 4 palatine tonsils resulted in an AHI much higher than the AHI of other combinations (pharyngeal tonsils grades 1-3 and 4, palatine tonsils grades 1-3 and 4). We believe that grade 4 pharyngeal tonsils and grade 4 palatine tonsils have a great influence on severe OSA and that grade 4 pharyngeal tonsils increase the AHI.

Indexed as

Apnea–hypopnea indexCombinationObstructive sleep apneaPharyngeal and palatine tonsilsRisk factors for severe OSA

Identifiers

PMID38708074
PMCPMC11063576

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.