The DOI matches its Crossref record; 57 of the 57 references it cites were found in a registry or an index.
A Meta-analysis of Clinical Screening Tests for Obstructive Sleep Apnea
Open accessAbstract
The purpose of this meta-analysis is to compare clinical screening tests for obstructive sleep apnea and establish an evidence base for their preoperative use. Diagnostic odds ratios were used as summary measures of accuracy, and false-negative rates were used as measures of missed diagnosis with each screening test in this review. Metaregression revealed that clinical models, logarithmic equations, combined techniques, cephalometry, and morphometry are significant characteristics, whereas body mass index, history of hypertension, and nocturnal choking are significant test elements associated with higher diagnostic accuracy. Test accuracy in repeated validation studies of the same screening test is variable, suggesting an underlying heterogeneity in either the clinical presentation of obstructive sleep apnea or the measured clinical elements of these models. Based on the false-negative rates, it is likely that most of the clinical screening tests will miss a significant proportion of patients with obstructive sleep apnea.
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“Analysis of preoperative clinical screening tests for OSA revealed that cephalometry alone may miss a significant proportion of patients with OSA in low-risk populations.561”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [561]
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Cites
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
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Prospective Study of the Association between Sleep-Disordered Breathing and Hypertension
Peppard, P. E., Young, T., Palta, M., & Skatrud, J. (2000) · New England Journal of Medicine · doi:10.1056/nejm200005113421901 · Cited by 4,973
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
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
The diagnostic odds ratio: a single indicator of test performance
Glas, A. S., Lijmer, J. G., Prins, M. H., Bonsel, G. J., & Bossuyt, P. M. M. (2003) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(03)00177-x · Cited by 2,261
Young, T., Evans, L., Finn, L., & Palta, M. (1997) · Sleep · doi:10.1093/sleep/20.9.705 · Cited by 1,765
Systematic reviews of evaluations of diagnostic and screening tests
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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
Daytime Sleepiness, Snoring, and Obstructive Sleep Apnea
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Cited by
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Meschia, J. F., Bushnell, C., Boden-Albala, B., Braun, L. T., Bravata, D. M., Chaturvedi, S., Creager, M. A., Eckel, R. H., Elkind, M. S. V., Fornage, M., et al. (2014) · Stroke · doi:10.1161/str.0000000000000046 · Cited by 2,650
Chung, F., Abdullah, H. R., & Liao, P. (2016) · Chest · doi:10.1378/chest.15-0903 · Cited by 1,362
High STOP-Bang score indicates a high probability of obstructive sleep apnoea
Chung, F., Subramanyam, R., Liao, P., Sasaki, E., Shapiro, C., & Sun, Y. (2012) · British Journal of Anaesthesia · doi:10.1093/bja/aes022 · Cited by 988
Nagappa, M., Liao, P., Wong, J., Auckley, D., Ramachandran, S. K., Memtsoudis, S., Mokhlesi, B., & Chung, F. (2015) · PLOS ONE · doi:10.1371/journal.pone.0143697 · Cited by 684
Self-citationChiu, 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
Metadata
- Authors
- Ramachandran, S. K., & Josephs, L. A.
- Affiliations
- Michigan Medicine (US)
- Medical Student.
- Venue
- Anesthesiology
- Published
- 2009-04-01
- Volume
- 110
- Issue
- 4
- Pages
- 928-939
- ISSN
- 0003-3022 (ISSN-L)
- OpenAlex
- W2090495868
- Semantic Scholar
- 96975f4b61d63ccbe388c7ba3d8462ebdbdbfef0
- Cited by
- 297
- References
- 57
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 12 · 2023: 4 · 2022: 22 · 2021: 23 · 2020: 17 · 2019: 15 · 2018: 25 · 2017: 20 · 2016: 21 · 2015: 21 · 2014: 26 · 2013: 16 · 2012: 22
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Anesthesiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Airway Management and Intubation Techniques
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Keywords
- obstructive sleep apnea, preoperative screening, diagnostic accuracy, false negative rate, cephalometric analysis, morphometrics, body mass index, hypertension, diagnostic odds ratio, meta-regression
- MeSH terms
- Clinical Protocols, Humans, Predictive Value of Tests, Surveys and Questionnaires, Risk Factors, Body Mass Index, Evidence-Based Medicine, Sleep Apnea, Obstructive
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