Evidence map›Paper›PMID 41978572›Full record

ArticleLaryngoscope investigative otolaryngology2026

The Effect of Adenotonsillectomy on Sleep Efficiency in Pediatric Patients.

Basir S Mansoor, Matthew Zhang, Asim Mohamed, Ahmed Abdi, Romaine F Johnson

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Basir S MansoorDepartment of Otolaryngology UT Southwestern Medical Center Dallas Texas USA.ORCID https://orcid.org/0009-0007-3581-3422
Matthew ZhangDepartment of Otolaryngology UT Southwestern Medical Center Dallas Texas USA.
Asim MohamedDepartment of Otolaryngology UT Southwestern Medical Center Dallas Texas USA.
Ahmed AbdiDepartment of Otolaryngology UT Southwestern Medical Center Dallas Texas USA.ORCID https://orcid.org/0009-0005-5216-639X
Romaine F JohnsonDepartment of Otolaryngology UT Southwestern Medical Center Dallas Texas USA.ORCID https://orcid.org/0000-0002-2322-5347

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: To evaluate the impact of adenotonsillectomy (T&A) on sleep efficiency (SE) characteristics, a marker of sleep quality with implications for behavior and cognition in children with obstructive sleep apnea (OSA). Methods: We analyzed 139 children who underwent full-night polysomnography (PSG) before and after T&A between January 2021 and September 2023. Patients were stratified into three SE severity groups: normal (greater than or equal to 85%), mild-moderate (70%-84%), and severe (less than 70%). Results: Our cohort (median age 5.15 years, IQR 7.62; 68% male; 55% Hispanic) showed notable changes post-T&A: normal SE increased from 42.4% to 48.9%, while severe SE increased from 9.4% to 18.0%. Median AHI significantly decreased from 17.3 (IQR 26) to 6 (IQR 8.8), confirming T&A's effectiveness in treating OSA. Sleep architecture patterns persisted postsurgery ( Conclusions: T&A improves SE and resolves OSA for many pediatric patients. However, a subset experiences worsening SE, particularly those with comorbidities like DS. These findings highlight the importance of individualized postoperative care and the need for further research into predictors of T&A outcomes in pediatric OSA. Level of Evidence: 4.

Indexed as

adenotonsillectomyobstructive sleep apneapediatricsleep efficiency

Identifiers

PMID41978572
PMCPMC13070351

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.