Evidence map›Paper›PMID 39307877›Full record

SynthesisSleep & breathing = Schlaf & Atmung2024

International expert consensus statement: surgical failure in obstructive sleep apnea.

Giannicola Iannella, Annalisa Pace, Giuseppe Magliulo, Claudio Vicini, Rodolfo Lugo, Olivier M Vanderveken, Nico de Vries, Kenny Pang, Eric Thuler, Ofer Jacobowitz and 36 more

Abstract readSystematic ReviewConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Tonsillectomy May Not Be the Answer in All OSA Cases.Journal of clinical medicine · 2024
    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

46 authors.

Giannicola IannellaDepartment of 'Organi Di Senso', University "Sapienza", Viale Università 33, 00185, Rome, Italy. giannicola.iannella@uniroma1.it.ORCID 0000-0003-1781-2809
Annalisa PaceDepartment of 'Organi Di Senso', University "Sapienza", Viale Università 33, 00185, Rome, Italy.
Giuseppe MagliuloDepartment of 'Organi Di Senso', University "Sapienza", Viale Università 33, 00185, Rome, Italy.
Claudio ViciniDepartment ENT & Audiology, University of Ferrara, Ferrara, Italy.
Rodolfo LugoDepartment of Otorhinolaryngology, Grupo Medico San Pedro, 64660, Monterrey, Mexico.
Olivier M VandervekenFaculty of Medicine and Health Sciences, Translational Neurosciences, University of Antwerp, Antwerp, Belgium.
Nico de VriesDepartment of Orofacial Pain and Dysfunction, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam, Amsterdam, The Netherlands.
Kenny PangAsia Sleep Centre, Singapore, Singapore.
Eric ThulerDivision of Sleep Surgery, Department of Otorhinolaryngology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Ofer JacobowitzSleep Department, ENT and Allergy Associates, New York, NY, USA.
Michel Burihan CahaliDepartamento de Otorrinolaringologia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HC-FMUSP), São Paulo, SP, Brazil.
Joachim T MaurerDivision of Sleep Medicine, Department of Otorhinolaryngology, University Hospital Mannheim, Mannheim, Germany.
Manuele CasaleIntegrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy.
Antonio MoffaIntegrated Therapies in Otolaryngology, Fondazione Policlinico Universitario Campus Bio-Medico, 00128, Rome, Italy.
Fabrizio SalamancaOtorhinolaryngology Unit, San Pio X Hospital, 20159, Milan, Italy.
Federico LeoneOtorhinolaryngology Unit, San Pio X Hospital, 20159, Milan, Italy.
Ewa OlszewskaDepartment of Otolaryngology, Sleep Apnea Surgery Center, Medical University of Bialystok, 15-276, Bialystok, Poland.
Carlos O'connor ReinaOtorhinolaryngology Department, Hospital Quironsalud Marbella, Marbella, Spain.
Edilson ZancanellaState University of Campinas, Campinas, São Paulo, Brazil.
Paul T HoffDepartment of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, MI, USA.
Peter BaptistaOtorhinolaryngology Department, Clínica Universitaria de Navarra, Pamplona, Spain.
Ahmed Yassin BahgatDepartment of Otorhinolaryngology-Head & Neck Surgery, Alexandria University, Alexandria, 5424041, Egypt.
Madeline J L RaveslootDepartment of Otorhinolaryngology-Head and Neck Surgery, OLVG, Amsterdam, The Netherlands.
Peter van MaanenDivision of Rhinology and Sinus Surgery, Department of Otolaryngology, Head and Neck Surgery, University of California, 2233 Post Street, Room 309, San Francisco, CA, 94115-1225, USA.
Andrew GoldbergDepartment of Otorhinolaryngology, Doctor Peset University Hospital, Valencia, Spain.
Marina CarrascoDepartment of Otorhinolaryngology, Doctor Peset University Hospital, Valencia, Spain.ORCID 0000-0003-0849-5901
Vikas K AgrawalSpeciality ENT Hospital, Thakur Complex, Kandivali (E), Mumbai, Maharashtra, 400101, India.
Jerome R LechienDivision of Laryngology and Broncho-Esophagology, Department of Otolaryngology-Head Neck Surgery, EpiCURA Hospital, UMONS Research Institute for Health Sciences and Technology, University of Mons (UMons), Mons, Belgium.
Andrea De VitoDepartment of Otolaryngology-Head and Neck Surgery, Forli Hospital, Forli, Italy.
Giovanni CammarotoDepartment of Otolaryngology-Head and Neck Surgery, Forli Hospital, Forli, Italy.
Armando De VirgilioDepartment of 'Organi Di Senso', University "Sapienza", Viale Università 33, 00185, Rome, Italy.
Antonio GrecoDepartment of 'Organi Di Senso', University "Sapienza", Viale Università 33, 00185, Rome, Italy.
Patrizia ManciniDepartment of 'Organi Di Senso', University "Sapienza", Viale Università 33, 00185, Rome, Italy.
Tiziano PerroneOtorhinolaryngology Unit, Civil Hospital of Alghero, Alghero, Italy.
Steve AmadoMaple Respiratory, Universidad del Rosario, Bogotá, Colombia.
Uri AlkanDepartment of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petah Tikva, Israel.
Ryan Chin Taw CheongRoyal National ENT and Eastman Dental Hospitals, University College London Hospitals NHS, London, UK.
Aurelio D'EcclesiaIRCCS 'Casa Sollievo Della Sofferenza', San Giovanni Rotondo, Italy.
Dorina GalantaiDepartment of Otorhinolaryngology, Head and Neck Surgery, Bajcsy-Zsilinszky Hospital, Budapest, Hungary.
Anand RajuAnandDepartment of ENT Surgery, PSG Hospitals, Coimbatore, India.
Christian Calvo-HenriquezRhinology and Sleep Apnea Unit, Otolaryngology Department, Hospital Complex of Santiago de Compostela, Santiago de Compostela, Spain.
Salvatore CocuzzaDeparment of Medical, Surgical Sciences and Advanced Technologies G.F. Ingrassia, University of Catania, 95123, Catania, Italy.
Michele AriglianiOtolaryngology Unit, Vito Fazzi Hospital, Lecce, Italy.
Alberto Maria SaibeneOtolaryngology Unit, Santi Paolo E Carlo Hospital, Department of Health Sciences, Università Degli Studi Di Milano, Milan, Italy.
Rosario Marchese AragonaOtolaryngology Clinic, Department of Neurosciences, University of Padova, Padua, Italy.
Antonino ManiaciDepartment of Otolaryngology, Enna Kore University, Enna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUpper airway (UA) surgery is commonly employed in the treatment of patients with obstructive sleep apnea (OSA). The intricate pathophysiology of OSA, variability in sites and patterns of UA collapse, and the interaction between anatomical and non-anatomical factors in individual patients may contribute to possible surgical failures. This clinical consensus statement aims to identify areas of agreement among a development group comprising international experts in OSA surgery, regarding the appropriate definition, predictive factors in patients, and management of surgical failure in OSA treatment.

methodsA clinical consensus statement (CCS) was developed using the Delphi method by a panel of 35 contributors from various countries. A systematic literature review adhering to PRISMA guidelines was conducted. A survey consisting of 60 statements was then formulated and presented to the experts.

resultsFollowing two rounds of the Delphi process, consensus or strong consensus was achieved on 36 items, while 24 items remained without consensus. Specifically, 5 out of 10 statements reached consensus regarding on the 'Definition of Surgical Success/Failure after OSA Surgery'. Regarding the 'Predictive Factors of Surgical Failure in OSA Surgery', consensus was reached on 10 out of 13 statements. In the context of the 'Diagnostic Workup in OSA Surgery', consensus was achieved on 9 out of 13 statements. Lastly, in 'Treatment in Surgical Failure Cases', consensus was reached on 12 out of 24 statements.

conclusionThe management of OSA after surgical failure presents a significant clinical challenge for sleep specialists. This CCS provides valuable guidance for defining, preventing, and addressing surgical failures in the treatment of OSA syndrome.

Indexed as

Delphi TechniqueSleep Apnea, ObstructiveHumansTreatment FailureClinical guidelinesDelphi methodExpert consensusObstructive sleep apneaSleep disorder management

Identifiers

PMID39307877
PMCPMC11567991

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.