ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2024
The impact of neck circumference on hypoglossal nerve stimulator therapy outcomes.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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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.
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Who cites it
1 citing paper in PubMed.
- Obstructive Sleep Apnea in Pregnancy and its Impact on Maternal-Fetal Health: A Hidden Threat - Narrative Review.The open respiratory medicine journal · 2025Review
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesHypoglossal nerve stimulation (HGNS) therapy has historically had strict eligibility requirements including a body mass index (BMI) < 32 kg/m
methodsA retrospective chart review was conducted at a tertiary care center on adults who underwent HGNS implantation by a single surgeon from March 2017 to October 2021. Baseline demographic data including NC, diagnostic sleep studies, and postimplantation HGNS titration studies were collected. Linear regression and Spearman's correlation coefficient analysis were used to compare NC, percentage of predicted NC, and BMI with the apnea-hypopnea index at effective voltage.
resultsThis study included 43 patients who were middle-aged (61.1 years), predominantly male (76.7%), with severe obstructive sleep apnea (median apnea-hypopnea index, 35 events/h) and mean NC of 15.3 inches. Using the NC and percentage of predicted NC, positive correlations with apnea-hypopnea index at effective voltage were observed (
conclusionsA larger NC was independently associated with worse HGNS outcomes. Further research is needed to support and confirm these findings, particularly across sexes. CITATION: Hutz MJ, Plata DM, LoSavio P, Herdegen J, Zhang Y, Mokhlesi B. The impact of neck circumference on hypoglossal nerve stimulator therapy outcomes.
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