International Consensus Statement on Obstructive Sleep Apnea.
Int Forum Allergy Rhinol
; 13(7): 1061-1482, 2023 07.
Article
in En
| MEDLINE
| ID: mdl-36068685
ABSTRACT
BACKGROUND:
Evaluation and interpretation of the literature on obstructive sleep apnea (OSA) allows for consolidation and determination of the key factors important for clinical management of the adult OSA patient. Toward this goal, an international collaborative of multidisciplinary experts in sleep apnea evaluation and treatment have produced the International Consensus statement on Obstructive Sleep Apnea (ICSOSA).METHODS:
Using previously defined methodology, focal topics in OSA were assigned as literature review (LR), evidence-based review (EBR), or evidence-based review with recommendations (EBR-R) formats. Each topic incorporated the available and relevant evidence which was summarized and graded on study quality. Each topic and section underwent iterative review and the ICSOSA was created and reviewed by all authors for consensus.RESULTS:
The ICSOSA addresses OSA syndrome definitions, pathophysiology, epidemiology, risk factors for disease, screening methods, diagnostic testing types, multiple treatment modalities, and effects of OSA treatment on multiple OSA-associated comorbidities. Specific focus on outcomes with positive airway pressure (PAP) and surgical treatments were evaluated.CONCLUSION:
This review of the literature consolidates the available knowledge and identifies the limitations of the current evidence on OSA. This effort aims to create a resource for OSA evidence-based practice and identify future research needs. Knowledge gaps and research opportunities include improving the metrics of OSA disease, determining the optimal OSA screening paradigms, developing strategies for PAP adherence and longitudinal care, enhancing selection of PAP alternatives and surgery, understanding health risk outcomes, and translating evidence into individualized approaches to therapy.Key words
PAP adherence; atrial fibrillation; cardiovascular event; cerebrovascular disease; consensus; dementia; evidence-based medicine; home sleep apnea testing; hypertension; hypoglossal nerve stimulation; mortality; motor vehicle accidents; neurocognitive function; obstructive sleep apnea; outcomes; perioperative management; polysomnography; positive airway pressure; screening; sleep; sleep disordered breathing; sleep surgery; sleepiness; surgical outcomes; systematic review; treatment outcomes; uvulopalatopharyngoplasty
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Sleep Apnea, Obstructive
Type of study:
Guideline
/
Prognostic_studies
/
Risk_factors_studies
/
Systematic_reviews
Limits:
Adult
/
Humans
Language:
En
Journal:
Int Forum Allergy Rhinol
Year:
2023
Type:
Article
Affiliation country:
United States