Cited by 1,482Obstructive Sleep Apnea ResearchSleep and related disordersNeuroscience of respiration and sleep

The DOI matches its Crossref record; 112 of the 112 references it cites were found in a registry or an index.

Diagnosis and Management of Obstructive Sleep Apnea: A Review

Gottlieb, Daniel J., Punjabi, Naresh M.·2020·JAMA

DOI 10.1001/jama.2020.3514

Open this paper in CoChat — free account

Abstract

Importance: Obstructive sleep apnea (OSA) affects 17% of women and 34% of men in the US and has a similar prevalence in other countries. This review provides an update on the diagnosis and treatment of OSA. Observations: The most common presenting symptom of OSA is excessive sleepiness, although this symptom is reported by as few as 15% to 50% of people with OSA in the general population. OSA is associated with a 2- to 3-fold increased risk of cardiovascular and metabolic disease. In many patients, OSA can be diagnosed with home sleep apnea testing, which has a sensitivity of approximately 80%. Effective treatments include weight loss and exercise, positive airway pressure, oral appliances that hold the jaw forward during sleep, and surgical modification of the pharyngeal soft tissues or facial skeleton to enlarge the upper airway. Hypoglossal nerve stimulation is effective in select patients with a body mass index less than 32. There are currently no effective pharmacological therapies. Treatment with positive airway pressure lowers blood pressure, especially in patients with resistant hypertension; however, randomized clinical trials of OSA treatment have not demonstrated significant benefit on rates of cardiovascular or cerebrovascular events. Conclusions and Relevance: OSA is common and the prevalence is increasing with the increased prevalence of obesity. Daytime sleepiness is among the most common symptoms, but many patients with OSA are asymptomatic. Patients with OSA who are asymptomatic, or whose symptoms are minimally bothersome and pose no apparent risk to driving safety, can be treated with behavioral measures, such as weight loss and exercise. Interventions such as positive airway pressure are recommended for those with excessive sleepiness and resistant hypertension. Managing asymptomatic OSA to reduce cardiovascular and cerebrovascular events is not currently supported by high-quality evidence.

Integrity signals

Registry

Crossref · 10.1001/jama.2020.3514

Cites

112 of 112 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993) · New England Journal of Medicine · doi:10.1056/nejm199304293281704 · Cited by 10,183
Sleep–Related Breathing Disorders in Adults: Recommendations for Syndrome Definition and Measurement Techniques in Clinical Research
(1999) · Sleep · doi:10.1093/sleep/22.5.667 · Cited by 5,147
Increased Prevalence of Sleep-Disordered Breathing in Adults
Peppard, P. E., Young, T., Barnet, J. H., Palta, M., Hagen, E. W., & Hla, K. M. (2013) · American Journal of Epidemiology · doi:10.1093/aje/kws342 · Cited by 4,618
Epidemiology of Obstructive Sleep Apnea: A Population Health Perspective
Young, T., Peppard, P. E., & Gottlieb, D. J. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2109080 · Cited by 4,244
Self-citation
Sleep-related breathing disorders in adults: recommendations for syndrome definition and measurement techniques in clinical research. The Report of an American Academy of Sleep Medicine Task Force.
McNicholas, W. T., Strohl, K. P., White, D. P., Levy, P. A., Schmidt, W., Wheatley, J. R., Redline, S. S., Carley, D. W., Buysse, D. J., Young, T. B., et al. (1999) · PubMed · Cited by 3,665
Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline
Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6506 · Cited by 3,253
Using the Berlin Questionnaire To Identify Patients at Risk for the Sleep Apnea Syndrome
Netzer, N. C., Stoohs, R. A., Netzer, C. M., Clark, K., & Strohl, K. P. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-131-7-199910050-00002 · Cited by 2,973
Prevalence of sleep-disordered breathing in the general population: the HypnoLaus study
Heinzer, R., Vat, S., Marques-Vidal, P., Marti-Soler, H., Andries, D., Tobback, N., Mooser, V, Preisig, M., Malhotra, A., Waeber, G., et al. (2015) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(15)00043-0 · Cited by 2,481
The epidemiology of adult obstructive sleep apnea
Punjabi, N. M. (2008) · Proceedings of the American Thoracic Society · doi:10.1513/pats.200709-155mg · Cited by 2,361
Self-citation
STOP Questionnaire: A Tool to Screen Patients for Obstructive Sleep Apnea
Chung, F., Yegneswaran, B., Liao, P., Chung, S. A., Vairavanathan, S., Islam, S., Khajehdehi, A., & Shapiro, C. M. (2008) · Anesthesiology · doi:10.1097/aln.0b013e31816d83e4 · Cited by 2,355
Pathophysiology of Sleep Apnea
Dempsey, J. A., Veasey, S. C., Morgan, B. J., & O'Donnell, C. P. (2010) · Physiological Reviews · doi:10.1152/physrev.00043.2008 · Cited by 2,243
CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea
McEvoy, R. D., Antic, N. A., Heeley, E., Luo, Y., Ou, Q., Zhang, X., Mediano, O., Chen, R., Drager, L. F., Liu, Z., et al. (2016) · New England Journal of Medicine · doi:10.1056/nejmoa1606599 · Cited by 2,101
Recommended Amount of Sleep for a Healthy Adult: A Joint Consensus Statement of the American Academy of Sleep Medicine and Sleep Research Society
Watson, N. F., Badr, M. S., Belenky, G. L., Bliwise, D. L., Buxton, O. M., Buysse, D. J., Dinges, D. F., Gangwisch, J. E., Grandner, M. A., Kushida, C. A., et al. (2015) · SLEEP · doi:10.5665/sleep.4716 · Cited by 1,587
Sleep Apnea and Cardiovascular Disease
Somers, V. K., White, D. P., Amin, R. S., Abraham, W. T., Costa, F., Culebras, A., Daniels, S. R., Floras, J. S., Hunt, C. E., Olson, L. J., et al. (2008) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2008.05.002 · Cited by 1,530
Sleep-Disordered Breathing and Mortality: A Prospective Cohort Study
Punjabi, N. M., Caffo, B. S., Goodwin, J. L., Gottlieb, D. J., Newman, A. B., O'Connor, G. T., Rapoport, D. M., Redline, S., Resnick, H. E., Robbins, J. A., et al. (2009) · PLoS Medicine · doi:10.1371/journal.pmed.1000132 · Cited by 1,482
Self-citation
Sleep Apnea
Javaheri, S., Barbe, F., Campos-Rodriguez, F., Dempsey, J. A., Khayat, R., Javaheri, S., Malhotra, A., Martinez-Garcia, M. A., Mehra, R., Pack, A. I., et al. (2017) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2016.11.069 · Cited by 1,434
Predictors of Sleep-Disordered Breathing in Community-Dwelling Adults<subtitle>The Sleep Heart Health Study</subtitle>
Young, T. (2002) · Archives of Internal Medicine · doi:10.1001/archinte.162.8.893 · Cited by 1,304
Upper-Airway Stimulation for Obstructive Sleep Apnea
Strollo, P. J., Soose, R. J., Maurer, J. T., de Vries, N., Cornelius, J., Froymovich, O., Hanson, R. D., Padhya, T. A., Steward, D. L., Gillespie, M. B., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1308659 · Cited by 1,299
Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea
Gross, J. B., Bachenberg, K. L., Benumof, J. L., Caplan, R. A., Connis, R. T., Coté, C. J., Nickinovich, D. G., Prachand, V. N., Ward, D. S., Weaver, E. M., et al. (2006) · Anesthesiology · doi:10.1097/00000542-200605000-00026 · Cited by 1,182
Obstructive Sleep Apnea Syndrome in the Sao Paulo Epidemiologic Sleep Study
Tufik, S., Santos-Silva, R., Taddei, J. A., & Bittencourt, L. R. A. (2010) · Sleep Medicine · doi:10.1016/j.sleep.2009.10.005 · Cited by 1,069
Relationship Between Hours of CPAP Use and Achieving Normal Levels of Sleepiness and Daily Functioning
Weaver, T. E., Maislin, G., Dinges, D. F., Bloxham, T., George, C. F. P., Greenberg, H., Kader, G., Mahowald, M., Younger, J., & Pack, A. I. (2007) · Sleep · doi:10.1093/sleep/30.6.711 · Cited by 1,058
Identification of Upper Airway Anatomic Risk Factors for Obstructive Sleep Apnea with Volumetric Magnetic Resonance Imaging
Schwab, R. J., Pasirstein, M., Pierson, R., Mackley, A., Hachadoorian, R., Arens, R., Maislin, G., & Pack, A. I. (2003) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200208-866oc · Cited by 952
Racial/Ethnic Differences in Sleep Disturbances: The Multi-Ethnic Study of Atherosclerosis (MESA)
Chen, X., Wang, R., Zee, P., Lutsey, P. L., Javaheri, S., Alcántara, C., Jackson, C. L., Williams, M. A., & Redline, S. (2015) · SLEEP · doi:10.5665/sleep.4732 · Cited by 922
Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015: An American Academy of Sleep Medicine and American Academy of Dental Sleep Medicine Clinical Practice Guideline
Ramar, K., Dort, L. C., Katz, S. G., Lettieri, C. J., Harrod, C. G., Thomas, S. M., & Chervin, R. D. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.4858 · Cited by 915
Treatment of Adult Obstructive Sleep Apnea With Positive Airway Pressure: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment
Patil, S. P., Ayappa, I. A., Caples, S. M., Kimoff, R. J., Patel, S. R., & Harrod, C. G. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7638 · Cited by 721
Practice Guidelines for the Perioperative Management of Patients with Obstructive Sleep Apnea
(2013) · Anesthesiology · doi:10.1097/aln.0000000000000053 · Cited by 691
Effect of CPAP on Blood Pressure in Patients With Obstructive Sleep Apnea and Resistant Hypertension: The HIPARCO Randomized Clinical Trial
Martínez-García, M.-A., Capote, F., Campos-Rodríguez, F., Lloberes, P., Díaz de Atauri, M. J., Somoza, M., Masa, J. F., González, M., Sacristán, L., Barbé, F., et al. (2013) · JAMA · doi:10.1001/jama.2013.281250 · Cited by 685
Obstructive Sleep Apnea and Diabetes
Reutrakul, S., & Mokhlesi, B. (2017) · Chest · doi:10.1016/j.chest.2017.05.009 · Cited by 667
Diagnostic accuracy of the Berlin questionnaire, STOP-BANG, STOP, and Epworth sleepiness scale in detecting obstructive sleep apnea: A bivariate meta-analysis
Chiu, H.-Y., Chen, P.-Y., Chuang, L.-P., Chen, N.-H., Tu, Y.-K., Hsieh, Y.-J., Wang, Y.-C., & Guilleminault, C. (2017) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2016.10.004 · Cited by 650
Obstructive Sleep Apnea Among Obese Patients With Type 2 Diabetes
Foster, G. D., Sanders, M. H., Millman, R., Zammit, G., Borradaile, K. E., Newman, A. B., Wadden, T. A., Kelley, D., Wing, R. R., Pi Sunyer, F. X., et al. (2009) · Diabetes Care · doi:10.2337/dc08-1776 · Cited by 600
Effect of liraglutide 3.0 mg in individuals with obesity and moderate or severe obstructive sleep apnea: the SCALE Sleep Apnea randomized clinical trial
on behalf of the SCALE study group, Blackman, A., Foster, G. D., Zammit, G., Rosenberg, R., Aronne, L., Wadden, T., Claudius, B., Jensen, C. B., & Mignot, E. (2016) · International Journal of Obesity · doi:10.1038/ijo.2016.52 · Cited by 583
Sleepiness, fatigue, tiredness, and lack of energy in obstructive sleep apnea
Chervin, R. D. (2000) · Chest · doi:10.1378/chest.118.2.372 · Cited by 571
Surgical Modifications of the Upper Airway for Obstructive Sleep Apnea in Adults: A Systematic Review and Meta-Analysis
Caples, S. M., Rowley, J. A., Prinsell, J. R., Pallanch, J. F., Elamin, M. B., Katz, S. G., & Harwick, J. D. (2010) · Sleep · doi:10.1093/sleep/33.10.1396 · Cited by 541
A Randomized Study on the Effect of Weight Loss on Obstructive Sleep Apnea Among Obese Patients With Type 2 Diabetes<subtitle>The Sleep AHEAD Study</subtitle><alt-title>Effect of Weight Loss on Obstructive Sleep Apnea</alt-title>
Foster, G. D. (2009) · Archives of Internal Medicine · doi:10.1001/archinternmed.2009.266 · Cited by 538
Diagnosis of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians
Qaseem, A., Dallas, P., Owens, D. K., Starkey, M., Holty, J.-E. C., & Shekelle, P. (2014) · Annals of Internal Medicine · doi:10.7326/m12-3187 · Cited by 526
Effect of obstructive sleep apnoea and its treatment with continuous positive airway pressure on the prevalence of cardiovascular events in patients with acute coronary syndrome (ISAACC study): a randomised controlled trial
Sánchez-de-la-Torre, M., Sánchez-de-la-Torre, A., Bertran, S., Abad, J., Duran-Cantolla, J., Cabriada, V., Mediano, O., Masdeu, M. J., Alonso, M. L., Masa, J. F., et al. (2020) · The Lancet Respiratory Medicine · doi:10.1016/s2213-2600(19)30271-1 · Cited by 522
Symptom Subtypes of Obstructive Sleep Apnea Predict Incidence of Cardiovascular Outcomes
Mazzotti, D. R., Keenan, B. T., Lim, D. C., Gottlieb, D. J., Kim, J., & Pack, A. I. (2019) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201808-1509oc · Cited by 486
Self-citation
Neck circumference and other clinical features in the diagnosis of the obstructive sleep apnoea syndrome.
Davies, R. J. O., Ali, N. J., & Stradling, J. R. (1992) · Thorax · doi:10.1136/thx.47.2.101 · Cited by 480
Upper-Airway Stimulation for Obstructive Sleep Apnea
Strollo, P. J., Soose, R. J., Maurer, J. T., de Vries, N., Cornelius, J. R., Froymovich, O., Hanson, R. D., Padhya, T. A., Steward, D. L., Gillespie, M. B., et al. (2014) · Survey of Anesthesiology · doi:10.1097/sa.0000000000000069 · Cited by 461
Associations of Obstructive Sleep Apnea With Atrial Fibrillation and Continuous Positive Airway Pressure Treatment: A Review
Linz, D., McEvoy, R. D., Cowie, M. R., Somers, V. K., Nattel, S., Lévy, P., Kalman, J. M., & Sanders, P. (2018) · JAMA Cardiology · doi:10.1001/jamacardio.2018.0095 · Cited by 411
Tongue Fat and its Relationship to Obstructive Sleep Apnea
Kim, A. M., Keenan, B. T., Jackson, N., Chan, E. L., Staley, B., Poptani, H., Torigian, D. A., Pack, A. I., & Schwab, R. J. (2014) · Sleep · doi:10.5665/sleep.4072 · Cited by 394
Educational, supportive and behavioural interventions to improve usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea
Wozniak, D. R., Lasserson, T. J., & Smith, I. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007736.pub2 · Cited by 388
Prevalence and association analysis of obstructive sleep apnea with gender and age differences – Results of SHIP‐Trend
Fietze, I., Laharnar, N., Obst, A., Ewert, R., Felix, S. B., García, C., Gläser, S., Glos, M., Schmidt, C. O., Stubbe, B., et al. (2018) · Journal of Sleep Research · doi:10.1111/jsr.12770 · Cited by 388
The Effect of Exercise Training on Obstructive Sleep Apnea and Sleep Quality: A Randomized Controlled Trial
Kline, C. E., Crowley, E., Ewing, G. B., Burch, J. B., Blair, S. N., Durstine, J. L., Davis, J. M., & Youngstedt, S. D. (2011) · SLEEP · doi:10.5665/sleep.1422 · Cited by 383
Association of Positive Airway Pressure With Cardiovascular Events and Death in Adults With Sleep Apnea: A Systematic Review and Meta-analysis
Yu, J., Zhou, Z., McEvoy, R. D., Anderson, C. S., Rodgers, A., Perkovic, V., & Neal, B. (2017) · JAMA · doi:10.1001/jama.2017.7967 · Cited by 371
Practice Parameters for the Surgical Modifications of the Upper Airway for Obstructive Sleep Apnea in Adults
Aurora, R. N., Casey, K. R., Kristo, D. A., Auerbach, S. H., Bista, S. R., Chowdhuri, S., Karippot, A., Lamm, C. I., Ramar, K., Zak, R., et al. (2010) · SLEEP · doi:10.1093/sleep/33.10.1408 · Cited by 369
A Multisite Randomized Trial of Portable Sleep Studies and Positive Airway Pressure Autotitration Versus Laboratory-Based Polysomnography for the Diagnosis and Treatment of Obstructive Sleep Apnea: The HomePAP Study
Rosen, C. L., Auckley, D., Benca, R., Foldvary-Schaefer, N., Iber, C., Kapur, V., Rueschman, M., Zee, P., & Redline, S. (2012) · Sleep · doi:10.5665/sleep.1870 · Cited by 367
CPAP versus Oxygen in Obstructive Sleep Apnea
Gottlieb, D. J., Punjabi, N. M., Mehra, R., Patel, S. R., Quan, S. F., Babineau, D. C., Tracy, R. P., Rueschman, M., Blumenthal, R. S., Lewis, E. F., et al. (2014) · New England Journal of Medicine · doi:10.1056/nejmoa1306766 · Cited by 366
Self-citation
Maxillomandibular Advancement for Treatment of Obstructive Sleep Apnea: A Meta-analysis
Zaghi, S., Holty, J.-E. C., Certal, V., Abdullatif, J., Guilleminault, C., Powell, N. B., Riley, R. W., & Camacho, M. (2016) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2015.2678 · Cited by 355
Upper Airway Stimulation for Obstructive Sleep Apnea: 5‐Year Outcomes
Woodson, B. T., Strohl, K. P., Soose, R. J., Gillespie, M. B., Maurer, J. T., de Vries, N., Padhya, T. A., Badr, M. S., Lin, H., Vanderveken, O. M., et al. (2018) · Otolaryngology–Head and Neck Surgery · doi:10.1177/0194599818762383 · Cited by 348
The impact of sleep disorders on glucose metabolism: endocrine and molecular mechanisms
Briançon‐Marjollet, A., Weiszenstein, M., Henri, M., Thomas, A., Godin‐Ribuot, D., & Polak, J. (2015) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-015-0018-3 · Cited by 338
Sleepiness in patients with moderate to severe sleep-disordered breathing
Kapur, V. K., Baldwin, C. M., Resnick, H. E., Gottlieb, D. J., & Nieto, F. J. (2005) · SLEEP · doi:10.1093/sleep/28.4.472 · Cited by 338
Management of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians
Qaseem, A., Holty, J.-E. C., Owens, D. K., Dallas, P., Starkey, M., & Shekelle, P. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-159-7-201310010-00704 · Cited by 335
Differences in Craniofacial Structures and Obesity in Caucasian and Chinese Patients with Obstructive Sleep Apnea
Lee, R. W. W., Vasudavan, S., Hui, D. S., Prvan, T., Petocz, P., Darendeliler, M. A., & Cistulli, P. A. (2010) · Sleep · doi:10.1093/sleep/33.8.1075 · Cited by 321
Surgical vs Conventional Therapy for Weight Loss Treatment of Obstructive Sleep Apnea: A Randomized Controlled Trial
Dixon, J. B., Schachter, L. M., O’Brien, P. E., Jones, K., Grima, M., Lambert, G., Brown, W., Bailey, M., & Naughton, M. T. (2012) · JAMA · doi:10.1001/2012.jama.11580 · Cited by 310
The Combination of Atomoxetine and Oxybutynin Greatly Reduces Obstructive Sleep Apnea Severity. A Randomized, Placebo-controlled, Double-Blind Crossover Trial
Taranto-Montemurro, L., Messineo, L., Sands, S. A., Azarbarzin, A., Marques, M., Edwards, B. A., Eckert, D. J., White, D. P., & Wellman, A. (2019) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201808-1493oc · Cited by 297
Predictors of long-term compliance with continuous positive airway pressure
Kohler, M., Smith, D., Tippett, V., & Stradling, J. R. (2010) · Thorax · doi:10.1136/thx.2010.135848 · Cited by 275
Concomitant obstructive sleep apnea increases the recurrence of atrial fibrillation following radiofrequency catheter ablation of atrial fibrillation: Clinical impact of continuous positive airway pressure therapy
Naruse, Y., Tada, H., Satoh, M., Yanagihara, M., Tsuneoka, H., Hirata, Y., Ito, Y., Kuroki, K., Machino, T., Yamasaki, H., et al. (2013) · Heart Rhythm · doi:10.1016/j.hrthm.2012.11.015 · Cited by 267
Screening for Obstructive Sleep Apnea in Adults: Evidence Report and Systematic Review for the US Preventive Services Task Force
Jonas, D. E., Amick, H. R., Feltner, C., Weber, R. P., Arvanitis, M., Stine, A., Lux, L., & Harris, R. P. (2017) · JAMA · doi:10.1001/jama.2016.19635 · Cited by 267
The Role of Weight Management in the Treatment of Adult Obstructive Sleep Apnea. An Official American Thoracic Society Clinical Practice Guideline
Hudgel, D. W., Patel, S. R., Ahasic, A. M., Bartlett, S. J., Bessesen, D. H., Coaker, M. A., Fiander, P. M., Grunstein, R. R., Gurubhagavatula, I., Kapur, V. K., et al. (2018) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201807-1326st · Cited by 266
Does This Patient Have Obstructive Sleep Apnea?: The Rational Clinical Examination Systematic Review
Myers, K. A., Mrkobrada, M., & Simel, D. L. (2013) · JAMA · doi:10.1001/jama.2013.276185 · Cited by 264
Obstructive sleep apnoea in the general population: highly prevalent but minimal symptoms
Arnardóttir, E. S., Björnsdóttir, E., Olafsdottir, K. A., Benediktsdóttir, B., & Gíslason, Þ. (2015) · European Respiratory Journal · doi:10.1183/13993003.01148-2015 · Cited by 263
Diagnostic accuracy of level 3 portable sleep tests versus level 1 polysomnography for sleep-disordered breathing: a systematic review and meta-analysis
El Shayeb, M., Topfer, L.-A., Stafinski, T., Pawluk, L., & Menon, D. (2014) · Canadian Medical Association Journal · doi:10.1503/cmaj.130952 · Cited by 237
Upper-Airway Collapsibility and Loop Gain Predict the Response to Oral Appliance Therapy in Patients with Obstructive Sleep Apnea
Edwards, B. A., Andara, C., Landry, S. A., Sands, S. A., Joosten, S. A., Owens, R. L., White, D. P., Hamilton, G. S., & Wellman, A. (2016) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201601-0099oc · Cited by 236
Prevalence of sleep-disordered breathing after stroke and TIA: A meta-analysis
Seiler, A., Camilo, M., Korostovtseva, L., Haynes, A. G., Brill, A.-K., Horvath, T., Egger, M., & Bassetti, C. L. (2019) · Neurology · doi:10.1212/wnl.0000000000006904 · Cited by 234
Noninferiority of Functional Outcome in Ambulatory Management of Obstructive Sleep Apnea
Kuna, S. T., Gurubhagavatula, I., Maislin, G., Hin, S., Hartwig, K. C., McCloskey, S., Hachadoorian, R., Hurley, S., Gupta, R., Staley, B., et al. (2011) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201011-1770oc · Cited by 228
Does Obstructive Sleep Apnea Influence Perioperative Outcome? A Qualitative Systematic Review for the Society of Anesthesia and Sleep Medicine Task Force on Preoperative Preparation of Patients with Sleep-Disordered Breathing
Opperer, M., Cozowicz, C., Bugada, D., Mokhlesi, B., Kaw, R., Auckley, D., Chung, F., & Memtsoudis, S. G. (2016) · Anesthesia & Analgesia · doi:10.1213/ane.0000000000001178 · Cited by 219
Residual sleepiness in sleep apnea patients treated by continuous positive airway pressure
Gasa, M., Tamisier, R., Launois, S. H., Sapene, M., Martin, F., Stach, B., Grillet, Y., Levy, P., & Pepin, J. (2013) · Journal of Sleep Research · doi:10.1111/jsr.12039 · Cited by 209
Exercise and Sleep-Disordered Breathing: an Association Independent of Body Habitus
Peppard, P. E., & Young, T. B. (2004) · SLEEP · doi:10.1093/sleep/27.3.480 · Cited by 207
Bariatric Surgery or Non-Surgical Weight Loss for Obstructive Sleep Apnoea? A Systematic Review and Comparison of Meta-analyses
Ashrafian, H., Toma, T., Rowland, S. P., Harling, L., Tan, A., Efthimiou, E., Darzi, A. W., & Athanasiou, T. (2014) · Obesity Surgery · doi:10.1007/s11695-014-1533-2 · Cited by 196
Short-term CPAP adherence in obstructive sleep apnea: a big data analysis using real world data
Cistulli, P. A., Armitstead, J. P., Pépin, J., Woehrle, H., Nuñez, C. M., Benjafield, A., & Malhotra, A. (2019) · Sleep Medicine · doi:10.1016/j.sleep.2019.01.004 · Cited by 193
Sleep Disordered Breathing with Excessive Daytime Sleepiness is a Risk Factor for Mortality in Older Adults
Gooneratne, N. S., Richards, K. C., Joffe, M., Lam, R. W., Pack, F. M., Staley, B. A., Dinges, D. F., & Pack, A. I. (2011) · SLEEP · doi:10.1093/sleep/34.4.435 · Cited by 179
Sleep Apnea Related Risk of Motor Vehicle Accidents is Reduced by Continuous Positive Airway Pressure: Swedish Traffic Accident Registry Data
Karimi, M., Hedner, J. A., Häbel, H., Nerman, O., & Grote, L. (2015) · SLEEP · doi:10.5665/sleep.4486 · Cited by 176
Symptoms of Insomnia among Patients with Obstructive Sleep Apnea Before and After Two Years of Positive Airway Pressure Treatment
Björnsdóttir, E., Janson, C., Sigurdsson, J. F., Gehrman, P., Perlis, M., Juliusson, S., Arnardottir, E. S., Kuna, S. T., Pack, A. I., Gislason, T., et al. (2013) · Sleep · doi:10.5665/sleep.3226 · Cited by 174
Prevalence and Associated Factors of Obstructive Sleep Apnea in Patients with Resistant Hypertension
Muxfeldt, E. S., Margallo, V. S., Guimarães, G. M., & Salles, G. F. (2014) · American Journal of Hypertension · doi:10.1093/ajh/hpu023 · Cited by 169
Comparative efficacy of CPAP, MADs, exercise-training, and dietary weight loss for sleep apnea: a network meta-analysis
Iftikhar, I. H., Bittencourt, L., Youngstedt, S. D., Ayas, N., Cistulli, P. A., Schwab, R. J., Durkin, M. W., & Magalang, U. J. (2016) · Sleep Medicine · doi:10.1016/j.sleep.2016.06.001 · Cited by 164
Craniofacial abnormalities in obstructive sleep apnoea: Implications for treatment
CISTULLI, P. A. (1996) · Respirology · doi:10.1111/j.1440-1843.1996.tb00028.x · Cited by 153
Bilateral hypoglossal nerve stimulation for treatment of adult obstructive sleep apnoea
Eastwood, P. R., Barnes, M., MacKay, S. G., Wheatley, J. R., Hillman, D. R., Nguyên, X.-L., Lewis, R., Campbell, M. C., Pételle, B., Walsh, J. H., et al. (2019) · European Respiratory Journal · doi:10.1183/13993003.01320-2019 · Cited by 153
Pharyngeal motor control and the pathogenesis of obstructive sleep apnea
Jordan, A. S., & White, D. P. (2007) · Respiratory Physiology & Neurobiology · doi:10.1016/j.resp.2007.07.009 · Cited by 151
Identifying obstructive sleep apnoea patients responsive to supplemental oxygen therapy
Sands, S. A., Edwards, B. A., Terrill, P. I., Butler, J. P., Owens, R. L., Taranto‐Montemurro, L., Azarbarzin, A., Marques, M., Hess, L. B., Smales, E. T., et al. (2018) · European Respiratory Journal · doi:10.1183/13993003.00674-2018 · Cited by 149
Obstructive Sleep Apnea in Patients Undergoing Bariatric Surgery—A Tertiary Center Experience
Sareli, A. E., Cantor, C. R., Williams, N. N., Korus, G., Raper, S. E., Pien, G. W., Hurley, S., Maislin, G., & Schwab, R. J. (2009) · Obesity Surgery · doi:10.1007/s11695-009-9928-1 · Cited by 139
Effects of exercise training on sleep apnoea in patients with coronary artery disease: a randomised trial
Mendelson, M., Lyons, O. D., Yadollahi, A., Inami, T., OH, P. I., & Bradley, T. D. (2016) · European Respiratory Journal · doi:10.1183/13993003.01897-2015 · Cited by 136
Prevalence and correlates of obstructive sleep apnea among African Americans: the Jackson Heart Sleep Study
Johnson, D. A., Guo, N., Rueschman, M., Wang, R., Wilson, J. G., & Redline, S. (2018) · Sleep · doi:10.1093/sleep/zsy154 · Cited by 126
Obstructive Sleep Apnea and Oxygen Therapy: A Systematic Review of the Literature and Meta-Analysis
Mehta, V., Vasu, T. S., Phillips, B. A., & Chung, F. F. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.2500 · Cited by 122
SKUP 3 randomised controlled trial: polysomnographic results after uvulopalatopharyngoplasty in selected patients with obstructive sleep apnoea
Browaldh, N., Nerfeldt, P., Lysdahl, M., Bring, J., & Friberg, D. (2013) · Thorax · doi:10.1136/thoraxjnl-2012-202610 · Cited by 122
Determinants for adherence to continuous positive airway pressure therapy in obstructive sleep apnea
Jacobsen, A. R., Eriksen, F., Hansen, R. W., Erlandsen, M., Thorup, L., Damgård, M. B., Kirkegaard, M. G., & Hansen, K. W. (2017) · PLoS ONE · doi:10.1371/journal.pone.0189614 · Cited by 122
Nonadherence with Employer-Mandated Sleep Apnea Treatment and Increased Risk of Serious Truck Crashes
Burks, S. V., Anderson, J. E., Bombyk, M. M., Haider, R., Ganzhorn, D., Jiao, X., Lewis, C., Lexvold, A., Liu, H., Ning, J., et al. (2016) · SLEEP · doi:10.5665/sleep.5734 · Cited by 116
Pharmacotherapy of Apnea by Cannabimimetic Enhancement, the PACE Clinical Trial: Effects of Dronabinol in Obstructive Sleep Apnea
Carley, D., Prasad, B., Reid, K., Malkani, R., Attarian, H., Abbott, S. M., Vern, B., Xie, H., Yuan, C., & Zee, P. (2018) · Sleep · doi:10.1093/sleep/zsx184 · Cited by 116
Excessive Daytime Sleepiness Independently Predicts Increased Cardiovascular Risk After Myocardial Infarction
Xie, J., Kuniyoshi, F. H. S., Covassin, N., Singh, P., Gami, A. S., Chahal, C. A. A., & Somers, V. K. (2018) · Journal of the American Heart Association · doi:10.1161/jaha.117.007221 · Cited by 106
Positional therapy for obstructive sleep apnoea
Srijithesh, P. R., Aghoram, R., Goel, A., & Jayaraj, D. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010990.pub2 · Cited by 101
Comparing a Combination of Validated Questionnaires and Level III Portable Monitor with Polysomnography to Diagnose and Exclude Sleep Apnea
Pereira, E. J., Driver, H. S., Stewart, S., & Fitzpatrick, M. (2013) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.3264 · Cited by 90
Calibration Model for Apnea-Hypopnea Indices: Impact of Alternative Criteria for Hypopneas
Ho, V., Crainiceanu, C. M., Punjabi, N. M., Redline, S., & Gottlieb, D. J. (2015) · Sleep · doi:10.5665/sleep.5234 · Cited by 87
Self-citation
Headache in sleep apnea syndrome: Epidemiology and pathophysiology
Russell, M. B., Kristiansen, H. A., & Kværner, K. J. (2014) · Cephalalgia · doi:10.1177/0333102414538551 · Cited by 86
Sleep and Nocturnal Gastroesophageal Reflux
Lim, K. G., Morgenthaler, T. I., & Katzka, D. A. (2018) · CHEST Journal · doi:10.1016/j.chest.2018.05.030 · Cited by 84
Efficacy of pharmacotherapy for OSA in adults: A systematic review and network meta-analysis
Gaisl, T., Haile, S. R., Thiel, S., Osswald, M., & Kohler, M. (2019) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2019.04.009 · Cited by 84
Tonsillectomy with Uvulopalatopharyngoplasty in Obstructive Sleep Apnea
Sommer, U. J., Heiser, C., Gahleitner, C., Herr, R. M., Hörmann, K., Maurer, J. T., & Stuck, B. A. (2016) · Deutsches Ärzteblatt international · doi:10.3238/arztebl.2016.0001 · Cited by 83
The prevalence of obstructive sleep apnea in patients with atrial fibrillation
Abumuamar, A. M., Dorian, P., Newman, D., & Shapiro, C. M. (2018) · Clinical Cardiology · doi:10.1002/clc.22933 · Cited by 83
Prevalence of Obstructive Sleep Apnoea Among Patients Admitted for Bariatric Surgery. A Prospective Multicentre Trial
Peromaa-Haavisto, P., Tuomilehto, H., Kössi, J. A. O., Virtanen, J., Luostarinen, M. E., Pihlajamäki, J., Käkelä, P., & Victorzon, M. (2015) · Obesity Surgery · doi:10.1007/s11695-015-1953-7 · Cited by 74
Predictors of sleepiness in obstructive sleep apnoea at baseline and after 6 months of continuous positive airway pressure therapy
Budhiraja, R., Kushida, C. A., Nichols, D. A., Walsh, J. K., Simon, R., Gottlieb, D. J., & Quan, S. F. (2017) · European Respiratory Journal · doi:10.1183/13993003.00348-2017 · Cited by 73
Self-citation
A clinical investigation of obstructive sleep apnea syndrome (OSAS) and upper airway resistance syndrome (UARS) patients
Guilleminault, C., Black, J. E., Palombini, L., & Ohayon, M. M. (2000) · Sleep Medicine · doi:10.1016/s1389-9457(99)00011-8 · Cited by 65
Effect of Supplemental Oxygen on Blood Pressure in Obstructive Sleep Apnea (SOX): A Randomized Continuous Positive Airway Pressure Withdrawal Trial
Turnbull, C. D., Sen, D., Kohler, M., Petousi, N., & Stradling, J. R. (2018) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201802-0240oc · Cited by 63
Management of Sleep Apnea without High Pretest Probability or with Comorbidities by Three Nights of Portable Sleep Monitoring
Guerrero, A., Embid, C., Isetta, V., Farre, R., Duran-Cantolla, J., Parra, O., Barbé, F., Montserrat, J. M., & Masa, J. F. (2014) · Sleep · doi:10.5665/sleep.3932 · Cited by 62
Magnetic resonance imaging of the upper airway in obstructive sleep apnea before and after oral appliance therapy.
Gao, X., Zeng, X., Fu, M. K., & Huang, X. Z. (1999) · PubMed · Cited by 53
Blood pressure effects of CPAP in nonresistant and resistant hypertension associated with OSA: A systematic review of randomized clinical trials
Feldstein, C. A. (2016) · Clinical and Experimental Hypertension · doi:10.3109/10641963.2016.1148156 · Cited by 52
Portable Sleep Monitoring for Diagnosing Sleep Apnea in Hospitalized Patients With Heart Failure
Aurora, R. N., Patil, S. P., & Punjabi, N. M. (2018) · Chest · doi:10.1016/j.chest.2018.04.008 · Cited by 50
Self-citation
Positional therapy for obstructive sleep apnoea
Srijithesh, P. R., Aghoram, R., Goel, A., & Jayaraj, D. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd010990 · Cited by 45
Validation of the Nox-T3 Portable Monitor for Diagnosis of Obstructive Sleep Apnea in Patients With Chronic Obstructive Pulmonary Disease
Chang, Y., Xu, L., Han, F., Keenan, B. T., Kneeland-Szanto, E., Zhang, R., Zhang, W., Yu, Y., Zuo, Y., Pack, A. I., et al. (2019) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.7720 · Cited by 44
Commercial Motor Vehicle Driver Obstructive Sleep Apnea Screening and Treatment in the United States: An Update and Recommendation Overview
Colvin, L. J., & Collop, N. A. (2016) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.5408 · Cited by 37
Predictors of Obstructive Sleep Apnea on Polysomnography after a Technically Inadequate or Normal Home Sleep Test
Zeidler, M. R., Santiago, V., Dzierzewski, J. M., Mitchell, M. N., Santiago, S., & Martin, J. L. (2015) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.5194 · Cited by 35
Nocturia, Other Lower Urinary Tract Symptoms and Sleep Dysfunction in a Community-Dwelling Cohort of Men
Martin, S., Appleton, S., Adams, R., Taylor, A. W., CATCHESIDE, P. G., Vakulin, A., McEvoy, R. D., Antic, N. A., & Wittert, G. (2016) · Urology · doi:10.1016/j.urology.2016.06.022 · Cited by 33
Domiciliary use of transcutaneous electrical stimulation for patients with obstructive sleep apnoea: a conceptual framework for the TESLA home programme
on behalf of the TESLA-investigator group, He, B., Al-Sherif, M., Nido, M., Tas, R. N., Beach, M., Schwarz, E. I., Cheng, M. C. F., Ishak, A., Lee, K. N., et al. (2019) · Journal of Thoracic Disease · doi:10.21037/jtd.2019.05.04 · Cited by 21

Flagged first, then by citations

Sorted by citations

Benefits and Risks of Bariatric Surgery in Adults: A Review
Arterburn, D. E., Telem, D. A., Kushner, R. F., & Courcoulas, A. P. (2020) · JAMA · doi:10.1001/jama.2020.12567 · Cited by 1,251
Diretrizes Brasileiras de Hipertensão Arterial – 2020
Barroso, W. K. S., Rodrigues, C. I. S., Bortolotto, L. A., Gomes, M. A. M., Brandão, A. A., Feitosa, A. D. M., Machado, C. A., Poli‐de‐Figueiredo, C. E., Amodeo, C., Mion, D., et al. (2021) · Arquivos Brasileiros de Cardiologia · doi:10.36660/abc.20201238 · Cited by 1,389
Pathophysiological mechanisms and therapeutic approaches in obstructive sleep apnea syndrome
Lv, R., Liu, X., Zhang, Y., Dong, N., Wang, X., He, Y., Yue, H., & Yin, Q. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01496-3 · Cited by 555
Metrics of sleep apnea severity: beyond the apnea-hypopnea index
Malhotra, A., Ayappa, I., Ayas, N., Collop, N., Kirsch, D., Mcardle, N., Mehra, R., Pack, A. I., Punjabi, N., White, D. P., et al. (2021) · SLEEP · doi:10.1093/sleep/zsab030 · Cited by 489
“, assessment of the autonomic nervous system or EEG) and [3] individual response to therapy (e.”
BackgroundSelf-citation
International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350
Self-citation

See all 1,482

Authors: Gottlieb, D. J., & Punjabi, N. M.
Affiliations: Brigham and Women's Hospital (US)
Johns Hopkins University (US)
ORCID: Gottlieb, Daniel J.
Punjabi, Naresh M.
Venue: JAMA
Publisher: American Medical Association (AMA)
Published: 2020-04-14
Volume: 323
Issue: 14
Pages: 1389
ISSN: 0002-9955 (ISSN-L)
0098-7484
DOI: 10.1001/jama.2020.3514
OpenAlex: W3015537361
Semantic Scholar: 0172e9c7f7ea58bd5623bd24ef5636cfe5f6c7df
Cited by: 1,482
References: 112
Citations by year: 2026: 266 · 2025: 330 · 2024: 287 · 2023: 230 · 2022: 225 · 2021: 109 · 2020: 32
FWCI: 19.00
Type: journal article
Language: en
Open access: closed
Locations: JAMA (publishedVersion)
PubMed (publishedVersion)
Funders: National Heart, Lung, and Blood Institute (R01HL146709, R01HL137234)
National Institute of Nursing Research (R01NR018335)
National Institute of Diabetes and Digestive and Kidney Diseases (U34DK120051)
Topics: Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
Keywords: obstructive sleep apnea, sleep apnea diagnosis, home sleep apnea testing, positive airway pressure, oral appliances, hypoglossal nerve stimulation, weight loss, physical activity, obesity, daytime sleepiness, resistant hypertension, cardiovascular risk, cerebrovascular risk, pharyngeal surgery, pharmacotherapy
MeSH terms: Female, Humans, Male, Prognosis, Risk Factors, Weight Loss, Health Behavior, Exercise, Mandibular Advancement, Sleep Apnea, Obstructive, Continuous Positive Airway Pressure

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Diagnosis and Management of Obstructive Sleep Apnea: A Review

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks