{Reference Type}: Journal Article
{Title}: International Consensus Statement on Obstructive Sleep Apnea.
{Author}: Chang JL;Goldberg AN;Alt JA;Mohammed A;Ashbrook L;Auckley D;Ayappa I;Bakhtiar H;Barrera JE;Bartley BL;Billings ME;Boon MS;Bosschieter P;Braverman I;Brodie K;Cabrera-Muffly C;Caesar R;Cahali MB;Cai Y;Cao M;Capasso R;Caples SM;Chahine LM;Chang CP;Chang KW;Chaudhary N;Cheong CSJ;Chowdhuri S;Cistulli PA;Claman D;Collen J;Coughlin KC;Creamer J;Davis EM;Dupuy-McCauley KL;Durr ML;Dutt M;Ali ME;Elkassabany NM;Epstein LJ;Fiala JA;Freedman N;Gill K;Gillespie MB;Golisch L;Gooneratne N;Gottlieb DJ;Green KK;Gulati A;Gurubhagavatula I;Hayward N;Hoff PT;Hoffmann OMG;Holfinger SJ;Hsia J;Huntley C;Huoh KC;Huyett P;Inala S;Ishman SL;Jella TK;Jobanputra AM;Johnson AP;Junna MR;Kado JT;Kaffenberger TM;Kapur VK;Kezirian EJ;Khan M;Kirsch DB;Kominsky A;Kryger M;Krystal AD;Kushida CA;Kuzniar TJ;Lam DJ;Lettieri CJ;Lim DC;Lin HC;Liu SYC;MacKay SG;Magalang UJ;Malhotra A;Mansukhani MP;Maurer JT;May AM;Mitchell RB;Mokhlesi B;Mullins AE;Nada EM;Naik S;Nokes B;Olson MD;Pack AI;Pang EB;Pang KP;Patil SP;Van de Perck E;Piccirillo JF;Pien GW;Piper AJ;Plawecki A;Quigg M;Ravesloot MJL;Redline S;Rotenberg BW;Ryden A;Sarmiento KF;Sbeih F;Schell AE;Schmickl CN;Schotland HM;Schwab RJ;Seo J;Shah N;Shelgikar AV;Shochat I;Soose RJ;Steele TO;Stephens E;Stepnowsky C;Strohl KP;Sutherland K;Suurna MV;Thaler E;Thapa S;Vanderveken OM;de Vries N;Weaver EM;Weir ID;Wolfe LF;Woodson BT;Won CHJ;Xu J;Yalamanchi P;Yaremchuk K;Yeghiazarians Y;Yu JL;Zeidler M;Rosen IM;
{Journal}: Int Forum Allergy Rhinol
{Volume}: 13
{Issue}: 7
{Year}: 07 2023 6
{Factor}: 5.426
{DOI}: 10.1002/alr.23079
{Abstract}: 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.