Evidence map›Paper›PMID 40227117›Full record

ArticleThe Laryngoscope2025

Cost and Efficiency of Drug-Induced Sleep Endoscopy: Endoscopy Suite Versus Outpatient Surgery Center.

Elliott M Sina, Andrew Corr, Leonard E Estephan, Patrick Hunt, Maurits Boon, Colin Huntley

Abstract readComparative Study
In one paragraph

Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Elliott M SinaSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.ORCID 0009-0004-8473-8965
Andrew CorrDepartment of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.
Leonard E EstephanDepartment of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.ORCID 0000-0001-9599-1510
Patrick HuntDepartment of Anesthesiology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.
Maurits BoonDepartment of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.
Colin HuntleyDepartment of Otolaryngology - Head and Neck Surgery, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, USA.ORCID 0000-0003-4637-3630

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDrug-induced sleep endoscopy (DISE) is used to identify airway obstruction patterns in patients with obstructive sleep apnea (OSA). This procedure is typically performed in either the traditional operating room (OR) or an outpatient surgery center (SC). There is limited data regarding the cost and efficiency of DISE in the endoscopy suite (ES). This study compares the cost, efficiency, and safety of DISE performed in the ES compared to the SC.

methodsThis retrospective review included patients who underwent DISE between July 2023 and April 2024 at a single tertiary care center. Consecutive patients with CPAP-intolerant OSA undergoing DISE in the ES or SC were included. Patient demographics, sleep studies, procedure-related costs, procedure duration characteristics, and anesthesia documentation were analyzed.

resultsEighty-four patients (36 ES, 48 SC) were included. Patient sex, age, BMI, and preoperative AHI/REI were similar in both cohorts (p > 0.05). DISE in the ES significantly reduced total facility time (48 min, p < 0.0001), time in procedure room (6.6 min, p < 0.0001), DISE procedure time (1.7 min, p = 0.0034), total recovery time (30.4 min, p < 0.0001), and procedure room turnover time (7.1 min, p = 0.0012). Costs for ES procedures were 39.35% lower, specifically in costs associated with anesthesia, operating room, and recovery room (all comparisons, p < 0.001). No complications occurred in either group.

conclusionsPerforming DISE in the ES increases efficiency and reduces costs compared to the outpatient SC while maintaining safety for patients with CPAP-intolerant OSA. LEVEL OF EVIDENCE: 3:

Indexed as

Ambulatory Surgical ProceduresEndoscopySleep Apnea, ObstructiveAdultAgedCost-Benefit AnalysisFemaleHumansHypnotics and SedativesMaleMiddle AgedOperating RoomsRetrospective StudiesHypnotics and Sedativescost analysisdrug‐induced sleep endoscopyhypoglossal nerve stimulationobstructive sleep apneaprocedure efficiency

Identifiers

PMID40227117
PMCPMC12475558

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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.