Evidence map›Paper›PMID 40370337›Full record

ReviewLaryngoscope investigative otolaryngology2025

The Obstructive Sleep Apnea Physical Exam: A Systematic Review and Meta-Analysis.

Nihal Punjabi, Roy W Qu, Alexandra Vacaru, Brianna Pandey, Shanalee Tamares, Jared C Inman

Abstract readReview
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Variability in Physical Exam Documentation for Obstructive Sleep Apnea.Laryngoscope investigative otolaryngology · 2026
    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.

Nihal PunjabiDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.ORCID https://orcid.org/0009-0006-2472-7126
Roy W QuDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.ORCID https://orcid.org/0000-0002-4689-819X
Alexandra VacaruLoma Linda University School of Medicine Loma Linda California USA.
Brianna PandeyDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.
Shanalee TamaresUniversity Libraries, Loma Linda University Loma Linda California USA.
Jared C InmanDepartment of Otolaryngology-Head and Neck Surgery Loma Linda University Health Loma Linda California USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This systematic review aimed to determine the clinical utility of various physical exam findings in the diagnosis of obstructive sleep apnea (OSA). Methods: A systematic review of English articles identified from PubMed, Embase, CENTRAL, and Web of Science databases. Search terms included "sleep apnea," "physical exam," "polysomnography," and all relevant synonyms. Two reviewers independently screened abstracts, reviewed full texts, and extracted data from all studies that presented associations between physical characteristics and apnea-hypopnea index (AHI). Results: A total of 35 studies representing 13,854 patients were included in this review. The mean difference between high AHI and low AHI groups was 4.09 kg/m Discussion: Several physical exams have strong evidence in the literature supporting their strength at differentiating patients with and without OSA. These should be used routinely among providers who treat OSA, regardless of specialty, to help guide decisions about recommending a sleep study and selecting appropriate treatment. Other physical characteristics may be better assessed through advanced exam techniques or require more research and standardization in the way they are assessed by practitioners.

Indexed as

apnea‐hypopnea indexmeta‐analysisobstructive sleep apneaphysical exampolysomnography

Identifiers

PMID40370337
PMCPMC12076602

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.