International Consensus Statement on Obstructive Sleep Apnea.

Adult Humans Sleep Apnea, Obstructive / diagnosis Continuous Positive Airway Pressure / methods Polysomnography / methods Risk Factors
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

Journal

International forum of allergy & rhinology
ISSN: 2042-6984
Titre abrégé: Int Forum Allergy Rhinol
Pays: United States
ID NLM: 101550261

Informations de publication

Date de publication:
07 2023
Historique:
received: 12 08 2022
accepted: 18 08 2022
pmc-release: 01 01 2024
medline: 29 6 2023
pubmed: 8 9 2022
entrez: 7 9 2022
Statut: ppublish

Résumé

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 (ICS:OSA). 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 ICS:OSA was created and reviewed by all authors for consensus. The ICS:OSA 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. 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.

Sections du résumé

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 (ICS:OSA).
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 ICS:OSA was created and reviewed by all authors for consensus.
RESULTS
The ICS:OSA 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.

Identifiants

DOI: 10.1002/alr.23079 PMID: 36068685 PMC: PMC10359192
pubmed: 36068685
doi: 10.1002/alr.23079
pmc: PMC10359192
mid: NIHMS1836086
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1061-1482

Subventions

Organisme : NHLBI NIH HHS
ID : R01 HL157985
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL134632
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL166127
Pays : United States
Organisme : NHLBI NIH HHS
ID : K24 HL132105
Pays : United States
Organisme : CSRD VA
ID : IK2 CX001882
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG063925
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL154926
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL148436
Pays : United States

Informations de copyright

© 2022 ARS-AAOA, LLC.

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Auteurs

Jolie L Chang (JL)

University of California, San Francisco, California, USA.
ORCID: 0000-0002-0778-1044

Andrew N Goldberg (AN)

University of California, San Francisco, California, USA.
ORCID: 0000-0002-0301-2926

Jeremiah A Alt (JA)

University of Utah, Salt Lake City, Utah, USA.
ORCID: 0000-0003-0560-5028

Alzoubaidi Mohammed (A)

Northwestern University, Chicago, Illinois, USA.
ORCID: 0000-0002-3938-6671

Liza Ashbrook (L)

University of California, San Francisco, California, USA.
ORCID: 0000-0003-2437-8203

Dennis Auckley (D)

Case Western Reserve University, Cleveland, Ohio, USA.
ORCID: 0000-0001-9668-7430

Indu Ayappa (I)

Icahn School of Medicine at Mount Sinai, New York, New York, USA.
ORCID: 0000-0001-8027-9467

Hira Bakhtiar (H)

Norwalk Hospital, Norwalk, Connecticut, USA.

José E Barrera (JE)

Uniformed Services University, Washington D.C., USA.

Bethany L Bartley (BL)

Harvard Medical School, Boston, Massachusetts, USA.
ORCID: 0000-0002-9043-6697

Martha E Billings (ME)

University of Washington, Seattle, Washington, USA.

Maurits S Boon (MS)

Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Pien Bosschieter (P)

Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands.

Itzhak Braverman (I)

Hillel Yaffe Medical Center, Hadera Technion, Faculty of Medicine, Hadera, Israel.
ORCID: 0000-0002-1866-9488

Kara Brodie (K)

University of California, San Francisco, California, USA.

Cristina Cabrera-Muffly (C)

University of Colorado School of Medicine, Aurora, Colorado, USA.

Ray Caesar (R)

Stone Oak Orthodontics, San Antonio, Texas, USA.

Michel B Cahali (MB)

University of Sao Paulo, São Paulo, Brazil.
ORCID: 0000-0002-5704-160X

Yi Cai (Y)

University of California, San Francisco, California, USA.
ORCID: 0000-0002-0853-2779

Michelle Cao (M)

Stanford University, Palo Alto, California, USA.

Robson Capasso (R)

Stanford University, Palo Alto, California, USA.

Sean M Caples (SM)

Mayo Clinic, Rochester, Minnesota, USA.

Lana M Chahine (LM)

University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Corissa P Chang (CP)

University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Katherine W Chang (KW)

Washington University, St. Louis, Missouri, USA.

Nilika Chaudhary (N)

Brigham and Women's Hospital, Boston, MA, USA.

Crystal S J Cheong (CSJ)

National University Hospital, Singapore.
ORCID: 0000-0002-7238-327X

Susmita Chowdhuri (S)

Wayne State University and John D. Dingell VA Medical Center, Detroit, Michigan, USA.
ORCID: 0000-0002-5927-1169

Peter A Cistulli (PA)

Faculty of Medicine and Health, University of Sydney, Sydney, Australia.
ORCID: 0000-0002-7920-4924

David Claman (D)

University of California, San Francisco, California, USA.

Jacob Collen (J)

Uniformed Services University, Bethesda, Maryland, USA.

Kevin C Coughlin (KC)

University of Tennessee, Memphis, Tennessee, USA.

Jennifer Creamer (J)

Uniformed Services University, Bethesda, Maryland, USA.
ORCID: 0000-0001-6451-0913

Eric M Davis (EM)

University of Virginia, Charlottesville, Virginia, USA.

Kara L Dupuy-McCauley (KL)

Mayo Clinic, Rochester, Minnesota, USA.
ORCID: 0000-0003-1874-7818

Megan L Durr (ML)

Kaiser Permanente, Oakland, California, USA.
ORCID: 0000-0003-1084-8702

Mohan Dutt (M)

University of Michigan, Ann Arbor, Michigan, USA.

Mazen El Ali (ME)

University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Nabil M Elkassabany (NM)

University of Virginia, Charlottesville, Virginia, USA.
ORCID: 0000-0003-3503-4828

Lawrence J Epstein (LJ)

Harvard Medical School, Boston, Massachusetts, USA.

Justin A Fiala (JA)

Northwestern University, Chicago, Illinois, USA.
ORCID: 0000-0001-5196-7076

Neil Freedman (N)

University of Chicago, Chicago, Illinois, USA.

Kirat Gill (K)

Stanford University, Palo Alto, California, USA.

M Boyd Gillespie (MB)

University of Tennessee, Memphis, Tennessee, USA.

Lea Golisch (L)

University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.

Nalaka Gooneratne (N)

University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Daniel J Gottlieb (DJ)

Harvard Medical School, Boston, Massachusetts, USA.
ORCID: 0000-0001-8812-8751

Katherine K Green (KK)

University of Colorado, Aurora, Colorado, USA.

Arushi Gulati (A)

University of California, San Francisco, California, USA.
ORCID: 0000-0002-8060-2954

Indira Gurubhagavatula (I)

University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Nathan Hayward (N)

Monash Health, Victoria, Australia.

Paul T Hoff (PT)

University of Michigan, Ann Arbor, Michigan, USA.

Oliver M G Hoffmann (OMG)

University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.

Steven J Holfinger (SJ)

Ohio State University, Columbus, Ohio, USA.
ORCID: 0000-0002-2851-9504

Jennifer Hsia (J)

University of Minnesota, Minneapolis, Minnesota, USA.

Colin Huntley (C)

Sidney Kimmel Medical Center at Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
ORCID: 0000-0003-4637-3630

Kevin C Huoh (KC)

University of California, Irvine, California, USA.

Phillip Huyett (P)

Harvard Medical School, Boston, Massachusetts, USA.
ORCID: 0000-0002-1951-3266

Sanjana Inala (S)

Icahn School of Medicine at Mount Sinai, New York, New York, USA.
ORCID: 0000-0002-9733-516X

Stacey L Ishman (SL)

University of Cincinnati, Cincinnati, Ohio, USA.
ORCID: 0000-0003-0997-9692

Tarun K Jella (TK)

Case Western Reserve University, Cleveland, Ohio, USA.

Aesha M Jobanputra (AM)

Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
ORCID: 0000-0002-8293-5971

Andrew P Johnson (AP)

University of Colorado School of Medicine, Aurora, Colorado, USA.

Mithri R Junna (MR)

Mayo Clinic, Rochester, Minnesota, USA.

Jenna T Kado (JT)

University of Toledo, Toledo, Ohio, USA.
ORCID: 0000-0002-5214-0115

Thomas M Kaffenberger (TM)

University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Vishesh K Kapur (VK)

University of Washington, Seattle, Washington, USA.

Eric J Kezirian (EJ)

University of Southern California, Los Angeles, California, USA.
ORCID: 0000-0003-3808-4521

Meena Khan (M)

Ohio State University, Columbus, Ohio, USA.

Douglas B Kirsch (DB)

University of North Carolina School of Medicine, Charlotte.
ORCID: 0000-0002-8462-8174

Alan Kominsky (A)

Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA.

Meir Kryger (M)

Yale School of Medicine, New Haven, Connecticut, USA.

Andrew D Krystal (AD)

University of California, San Francisco, California, USA.

Clete A Kushida (CA)

Stanford University, Palo Alto, California, USA.
ORCID: 0000-0002-9430-3752

Thomas J Kuzniar (TJ)

University of Chicago, Chicago, Illinois, USA.

Derek J Lam (DJ)

Oregon Health and Science University, Portland, Oregon, USA.
ORCID: 0000-0002-8979-3478

Christopher J Lettieri (CJ)

Uniformed Services University, Bethesda, Maryland, USA.
ORCID: 0000-0001-7950-2908

Diane C Lim (DC)

University of Miami, Miami, Florida, USA.

Hsin-Ching Lin (HC)

Chang Gung University, Kaohsiung, Taiwan.
ORCID: 0000-0002-8822-0619

Stanley Y C Liu (SYC)

Stanford University, Palo Alto, California, USA.

Stuart G MacKay (SG)

University of Wollongong, Wollongong, Australia.

Ulysses J Magalang (UJ)

Ohio State University, Columbus, Ohio, USA.
ORCID: 0000-0002-5052-2494

Atul Malhotra (A)

University of California, San Diego, California, USA.
ORCID: 0000-0002-9509-1827

Meghna P Mansukhani (MP)

Mayo Clinic, Rochester, Minnesota, USA.
ORCID: 0000-0003-2351-5640

Joachim T Maurer (JT)

University Hospital Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.
ORCID: 0000-0003-2308-7041

Anna M May (AM)

Case Western Reserve University, Cleveland, Ohio, USA.
ORCID: 0000-0002-0181-0086

Ron B Mitchell (RB)

University of Texas, Southwestern and Children's Medical Center Dallas, Texas, USA.
ORCID: 0000-0001-7890-0541

Babak Mokhlesi (B)

Rush University Medical Center, Chicago, IL, USA.

Anna E Mullins (AE)

University of Chicago, Chicago, Illinois, USA.
ORCID: 0000-0002-5143-6977

Eman M Nada (EM)

Stony Brook University, New York, New York, USA.
ORCID: 0000-0002-0117-9108

Sreelatha Naik (S)

Geisinger Health System, Danville, California, USA.
ORCID: 0000-0002-7183-3435

Brandon Nokes (B)

University of California, San Diego, California, USA.
ORCID: 0000-0003-3515-7545

Michael D Olson (MD)

Mayo Clinic, Rochester, Minnesota, USA.

Allan I Pack (AI)

University of Pennsylvania, Philadelphia, Pennsylvania, USA.
ORCID: 0000-0002-2879-0484

Edward B Pang (EB)

University of Glasgow, Glasgow, UK.

Kenny P Pang (KP)

Paragon Medical Centre, Singapore.

Susheel P Patil (SP)

Case Western Reserve University, Cleveland, Ohio, USA.

Eli Van de Perck (E)

University of Antwerp, Belgium.

Jay F Piccirillo (JF)

Washington University, St. Louis, Missouri, USA.

Grace W Pien (GW)

Johns Hopkins University, Baltimore, Maryland, USA.
ORCID: 0000-0003-3228-1612

Amanda J Piper (AJ)

University of Sydney, Sydney, Australia.
ORCID: 0000-0003-3824-6172

Andrea Plawecki (A)

Henry Ford Health, Detroit, Michigan, USA.

Mark Quigg (M)

University of Virginia, Charlottesville, Virginia, USA.

Madeline J L Ravesloot (MJL)

OLVG, Amsterdam, The Netherlands.
ORCID: 0000-0001-5645-5811

Susan Redline (S)

Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
ORCID: 0000-0002-6585-1610

Brian W Rotenberg (BW)

Western University, Ontario, Canada.
ORCID: 0000-0003-0258-3142

Armand Ryden (A)

Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles, California, USA.

Kathleen F Sarmiento (KF)

University of California, San Francisco, California, USA.
ORCID: 0000-0002-5162-9808

Firas Sbeih (F)

Cleveland Clinic Head and Neck Institute, Cleveland, Ohio, USA.

Amy E Schell (AE)

University of Colorado, Aurora, Colorado, USA.

Christopher N Schmickl (CN)

University of California, San Diego, California, USA.
ORCID: 0000-0001-5417-9980

Helena M Schotland (HM)

Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Richard J Schwab (RJ)

University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Jiyeon Seo (J)

University of California, Los Angeles, California, USA.

Neomi Shah (N)

Icahn School of Medicine at Mount Sinai, New York, New York, USA.

Anita Valanju Shelgikar (AV)

University of Michigan, Ann Arbor, Michigan, USA.
ORCID: 0000-0002-3629-0084

Isaac Shochat (I)

Hillel Yaffe Medical Center, Hadera, Israel.
ORCID: 0000-0003-0153-8956

Ryan J Soose (RJ)

University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
ORCID: 0000-0001-5200-1505

Toby O Steele (TO)

University of California, Davis, California, USA.
ORCID: 0000-0003-4664-6774

Erika Stephens (E)

University of California, San Francisco, California, USA.
ORCID: 0000-0002-1272-9208

Carl Stepnowsky (C)

University of California, San Diego, California, USA.

Kingman P Strohl (KP)

Case Western Reserve University, Cleveland, Ohio, USA.
ORCID: 0000-0001-7740-9013

Kate Sutherland (K)

University of Sydney, Sydney, Australia.

Maria V Suurna (MV)

Weill Cornell Medicine, New York, New York, USA.
ORCID: 0000-0002-7032-0902

Erica Thaler (E)

University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Sritika Thapa (S)

Yale School of Medicine, New Haven, Connecticut, USA.

Olivier M Vanderveken (OM)

University of Antwerp, Belgium.
ORCID: 0000-0002-4088-4213

Nico de Vries (N)

Academic Centre for Dentistry Amsterdam, Amsterdam, The Netherlands.

Edward M Weaver (EM)

University of Washington, Seattle, Washington, USA.

Ian D Weir (ID)

Yale School of Medicine, New Haven, Connecticut, USA.

Lisa F Wolfe (LF)

Northwestern University, Chicago, Illinois, USA.

B Tucker Woodson (BT)

Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Christine H J Won (CHJ)

Yale School of Medicine, New Haven, Connecticut, USA.

Josie Xu (J)

University of Toronto, Ontario, Canada.

Pratyusha Yalamanchi (P)

University of Michigan, Ann Arbor, Michigan, USA.

Kathleen Yaremchuk (K)

Henry Ford Health, Detroit, Michigan, USA.

Yerem Yeghiazarians (Y)

University of California, San Francisco, California, USA.

Jason L Yu (JL)

Emory University, Georgia, USA.
ORCID: 0000-0001-8009-5000

Michelle Zeidler (M)

University of California, Los Angeles, California, USA.

Ilene M Rosen (IM)

University of Pennsylvania, Philadelphia, Pennsylvania, USA.
ORCID: 0000-0002-8263-8600

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › International Consensus Statement on...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › International Consensus Statement on...
questionsmedicales.fr › Maladies du système nerveux › Syndromes d'apnées du sommeil › Syndrome d'apnées obstructives du sommeil › International Consensus Statement on...
questionsmedicales.fr › Thérapeutique › Thérapie respiratoire › Ventilation artificielle › Ventilation à pression positive › Ventilation en pression positive continue › International Consensus Statement on...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Monitorage physiologique › Polysomnographie › International Consensus Statement on...
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Statistiques comme sujet › Probabilité › Risque › Facteurs de risque › International Consensus Statement on...