Evidence map›Paper›PMID 40143955›Full record

ArticleOTO open

Predictors of Decision to Pursue Sleep Surgery.

Tiffany Husman, Amrita Bhat, Megan L Durr, Jolie L Chang

Abstract read
In one paragraph

Article in OTO open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Tiffany HusmanDepartment of Otolaryngology-Head and Neck Surgery University of California San Francisco San Francisco California USA.ORCID 0000-0003-0230-0878
Amrita BhatDepartment of Otolaryngology-Head and Neck Surgery University of California San Francisco San Francisco California USA.ORCID 0000-0003-3039-8112
Megan L DurrDepartment of Otolaryngology-Head and Neck Surgery University of California San Francisco San Francisco California USA.ORCID 0000-0003-1084-8702
Jolie L ChangDepartment of Otolaryngology-Head and Neck Surgery University of California San Francisco San Francisco California USA.ORCID 0000-0002-0778-1044

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify predictors of patient decision to pursue sleep apnea surgery following initial consultation with a sleep surgeon. Study Design: Retrospective cohort analysis. Setting: Outpatient tertiary care academic center. Methods: A retrospective review of patients with obstructive sleep apnea (OSA) diagnosis, BMI < 35 kg/m², and prior positive airway pressure (PAP) trial who were evaluated at a sleep surgery clinic. Patients who completed drug-induced sleep endoscopy (DISE) and/or surgery were compared to those who did not within at least 4 months of consultation. Surveys on OSA-related symptoms and decisional conflict were completed prior to the consultation for PAP alternatives. Results: Among 437 patients, 321 did not undergo DISE/surgery, whereas 116 completed DISE/surgery within an average of 16.8 months of consultation. Patients who underwent DISE/surgery had a significantly higher Epworth sleepiness scale score (10.1 ± 4.9 vs 8.5 ± 5.1, Conclusion: Decisional conflict prior to consultation is significantly associated with completion of DISE/surgery. Those with higher decisional conflict are less likely to proceed with DISE/surgery after consultation on PAP alternatives. Effective interventions that improve patient understanding of OSA and enhance support in decision-making are needed.

Indexed as

decisional conflictobstructive sleep apneapredictorssleep surgery

Identifiers

PMID40143955
PMCPMC11938291

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.