International Consensus Statement on Obstructive Sleep Apnea
More than 100 authors
2023-07
Citation
Chang, Jolie L.; Goldberg, Andrew N.; Alt, Jeremiah A.; Mohammed, Alzoubaidi; Ashbrook, Liza; Auckley, Dennis; Ayappa, Indu; Bakhtiar, Hira; Barrera, José E. ; Bartley, Bethany L.; Billings, Martha E.; Boon, Maurits S.; Bosschieter, Pien; Braverman, Itzhak; Brodie, Kara; Cabrera-Muffly, Cristina ; Caesar, Ray; Cahali, Michel B.; Cai, Yi; Cao, Michelle; Capasso, Robson; Caples, Sean M.; Chahine, Lana M.; Chang, Corissa P.; Chang, Katherine W.; Chaudhary, Nilika; Cheong, Crystal S. J.; Chowdhuri, Susmita; Cistulli, Peter A.; Claman, David; Collen, Jacob; Coughlin, Kevin C.; Creamer, Jennifer; Davis, Eric M.; Dupuy-Mccauley, Kara L. ; Durr, Megan L.; Dutt, Mohan; Ali, Mazen El; Elkassabany, Nabil M.; Epstein, Lawrence J.; Fiala, Justin A.; Freedman, Neil; Gill, Kirat; Gillespie, M. Boyd; Golisch, Lea; Gooneratne, Nalaka; Gottlieb, Daniel J.; Green, Katherine K.; Gulati, Arushi; Gurubhagavatula, Indira; Hayward, Nathan; Hoff, Paul T.; Hoffmann, Oliver M.G.; Holfinger, Steven J.; Hsia, Jennifer; Huntley, Colin; Huoh, Kevin C.; Huyett, Phillip; Inala, Sanjana; Ishman, Stacey L.; Jella, Tarun K.; Jobanputra, Aesha M.; Johnson, Andrew P.; Junna, Mithri R.; Kado, Jenna T.; Kaffenberger, Thomas M.; Kapur, Vishesh K.; Kezirian, Eric J.; Khan, Meena; Kirsch, Douglas B.; Kominsky, Alan; Kryger, Meir; Krystal, Andrew D.; Kushida, Clete A.; Kuzniar, Thomas J.; Lam, Derek J.; Lettieri, Christopher J.; Lim, Diane C.; Lin, Hsin-Ching ; Liu, Stanley Y.C.; MacKay, Stuart G.; Magalang, Ulysses J.; Malhotra, Atul; Mansukhani, Meghna P.; Maurer, Joachim T.; May, Anna M.; Mitchell, Ron B.; Mokhlesi, Babak; Mullins, Anna E.; Nada, Eman M.; Naik, Sreelatha; Nokes, Brandon; Olson, Michael D.; Pack, Allan I.; Pang, Edward B.; Pang, Kenny P.; Patil, Susheel P.; Van de Perck, Eli; Piccirillo, Jay F.; Pien, Grace W.; Piper, Amanda J.; Plawecki, Andrea; Quigg, Mark; Ravesloot, Madeline J.L.; Redline, Susan; Rotenberg, Brian W.; Ryden, Armand; Sarmiento, Kathleen F.; Sbeih, Firas; Schell, Amy E.; Schmickl, Christopher N.; Schotland, Helena M.; Schwab, Richard J.; Seo, Jiyeon; Shah, Neomi; Shelgikar, Anita Valanju; Shochat, Isaac; Soose, Ryan J.; Steele, Toby O.; Stephens, Erika; Stepnowsky, Carl; Strohl, Kingman P.; Sutherland, Kate; Suurna, Maria V.; Thaler, Erica; Thapa, Sritika; Vanderveken, Olivier M.; Vries, Nico; Weaver, Edward M.; Weir, Ian D.; Wolfe, Lisa F.; Woodson, B. Tucker; Won, Christine H.J.; Xu, Josie; Yalamanchi, Pratyusha; Yaremchuk, Kathleen; Yeghiazarians, Yerem; Yu, Jason L.; Zeidler, Michelle; Rosen, Ilene M. (2023). "International Consensus Statement on Obstructive Sleep Apnea." International Forum of Allergy & Rhinology 13(7): 1061-1482.
Abstract
BackgroundEvaluation 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).MethodsUsing 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.ResultsThe 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.ConclusionThis 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.Publisher
Wiley Periodicals, Inc. Oxford University Press
ISSN
2042-6976 2042-6984
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