Does the Lack of Gender-Specific Apnea-Hypopnea Index Cutoff for Obstructive Sleep Apnea Impact Surgical Selection?

Chang, Corissa P.; Dierks, Eric J.; Cheng, Amanda; Ma, Yifei; Liu, Stanley Yung‐Chuan

doi:10.1016/j.joms.2020.11.001

Cited by 5 publications

(2 citation statements)

References 29 publications

(29 reference statements)

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“…Liu et al demonstrated that women presented with 33% lower AHI than men when controlling for age, body mass index, and symptoms. 59 In addition, obstructive events in terms of length and desaturation can be more severe in men than women. 60 With these considerations, treatment recommendations based solely on AHI may preclude some women from effective or curative interventions, surgical or otherwise.…”

Section: Discussionmentioning

confidence: 99%

“…While the same AHI cutoff is currently utilized for men and women, these metrics have been shown to differ by sex and so represent an additional bias in the patient selection and outcomes assessment of the studies. Liu et al demonstrated that women presented with 33% lower AHI than men when controlling for age, body mass index, and symptoms 59 . In addition, obstructive events in terms of length and desaturation can be more severe in men than women 60 .…”

Section: Discussionmentioning

confidence: 99%

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Representation of Race and Sex in Sleep Surgery Studies

Debbaneh¹,

Ramirez

Block‐Wheeler³

et al. 2022

Otolaryngol.--head neck surg.

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Objective Obstructive sleep apnea (OSA) is a highly prevalent disorder with many treatment modalities, including surgical intervention. While OSA is known to be more prevalent in males and Black Americans, the representation of race and sex in sleep surgery studies is unknown. The aim of this systematic review is to assess the race and sex demographics represented in sleep surgery studies relative to known OSA demographics. Data Sources PubMed, MEDLINE, and OVID databases. Review Methods A systematic review was conducted to identify studies published between 2016 and 2020 that investigated sleep outcomes following nonnasal surgical intervention for OSA in adults. Pooled racial, ethnic, and sex data of the enrolled subjects in selected studies were analyzed. Results The 148 included studies comprised 13,078 patients. Of the 137 studies that reported sex, 84.0% of participants were male, exceeding the population prevalence of OSA in males, which is estimated at 66%. Only 13 studies reported racial/ethnic demographic data. Of these, 87.8% of patients were White. Out of 30 studies of primarily American patients, only 4 reported race demographic data, with an average of 82.8% White participants. Conclusion There is a racial/ethnic and sex inclusion bias among sleep surgery studies. Future studies should better document the demographics of enrolled participants as well as recruit participants who better represent the demographics of adults with OSA in the general population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%