Sex-specific sleep apnea screening questionnaires: closing the performance gap in women

Bauters, F; Loof, Sarah; Hertegonne, Katrien; Chirinos, Julio A.; Buyzere, Marc L. De; Rietzschel, Ernst

doi:10.1016/j.sleep.2019.10.023

Cited by 19 publications

(19 citation statements)

References 39 publications

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“…From the remaining 18 articles, we excluded 11 studies after full-text review for various reasons (Supplementary Table 1) [28][29][30][31][32][33][34][35][36][37][38]. Seven studies were included with a total of 8770 subjects: five in the general population (n = 8585) [39][40][41][42][43] and two in commercial drivers (n = 185) [44,45]. The included studies were performed in various countries: the USA [39], Switzerland [40], Singapore [41], Chile [42], Belgium [43], Turkey [44], and Serbia [45].…”

Section: Search Results and Selection Processmentioning

confidence: 99%

“…Seven studies were included with a total of 8770 subjects: five in the general population (n = 8585) [39][40][41][42][43] and two in commercial drivers (n = 185) [44,45]. The included studies were performed in various countries: the USA [39], Switzerland [40], Singapore [41], Chile [42], Belgium [43], Turkey [44], and Serbia [45]. From the general population, three studies (n = 3573) [40,42,43] were included for meta-analysis at AHI ≥ 5, five studies (n = 8586) [39][40][41][42][43] at AHI ≥ 15, and four studies (n = 8380) [39][40][41]43] at AHI ≥ 30.…”

Section: Search Results and Selection Processmentioning

confidence: 99%

“…The included studies were performed in various countries: the USA [39], Switzerland [40], Singapore [41], Chile [42], Belgium [43], Turkey [44], and Serbia [45]. From the general population, three studies (n = 3573) [40,42,43] were included for meta-analysis at AHI ≥ 5, five studies (n = 8586) [39][40][41][42][43] at AHI ≥ 15, and four studies (n = 8380) [39][40][41]43] at AHI ≥ 30. Among commercial drivers, one study (n = 100) [45] evaluated diagnostic accuracy at AHI ≥ 5, two (n = 185) [44,45] at AHI ≥ 15, and one (n = 100) [45] at AHI ≥ 30.…”

Section: Search Results and Selection Processmentioning

confidence: 99%

“…In contrast, the commercial drivers group had a mean BMI of 29 ± 5 kg/m 2 and all participants were male. There were variations in the cutoff criteria for OSA: five studies defined OSA using AHI ≥ 5 [40][41][42][43]45], and two as either AHI ≥ 15 [44] or RDI ≥ 15 [39]. The 2 × 2 contingency tables and predictive parameters for individual studies are shown in Supplementary Table 4.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

et al. 2021

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Purpose Obstructive sleep apnea (OSA) is a critical occupational health concern, but is often undiagnosed in the general population and commercial drivers. The STOP-Bang questionnaire is a simple, reliable tool to screen for OSA, which could improve public health in a cost-effective manner. The objective of this systematic review and meta-analysis is to assess the validity of the STOP-Bang questionnaire to detect OSA in these key populations. Methods We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, PsycINFO, Journals @ Ovid, Web of Science, Scopus, and CINAHL for relevant articles from 2008 to March 2020. The quality of studies was appraised using Cochrane Methods criteria. To calculate pooled predictive parameters, we created 2 × 2 contingency tables and performed random-effects meta-analyses. Results Of 3871 citations, five studies that evaluated STOP-Bang in the general population (n = 8585) and two in commercial drivers (n = 185) were included. In the general population, prevalence of all OSA (AHI ≥ 5), moderate-to-severe OSA (AHI ≥ 15), and severe OSA (AHI ≥ 30) was 57.6%, 21.3%, and 7.8% respectively. In commercial drivers, the prevalence of moderate-to-severe OSA was 37.3%. The trends of high sensitivity and negative predictive value of a STOP-Bang score ≥ 3 illustrates that the questionnaire helps detect and rule out clinically significant OSA in the general population and commercial drivers. Conclusion This meta-analysis demonstrates that the STOP-Bang questionnaire is a valid and effective screening tool for OSA in the general population and commercial drivers. Trial registration PROSPERO No. CRD42020200379; 08/22/2020

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Section: Search Results and Selection Processmentioning

confidence: 99%

Section: Search Results and Selection Processmentioning

confidence: 99%

Section: Search Results and Selection Processmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

et al. 2021

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“…Tailoring the scoring rubrics of sleep apnea screening tools using gender-specific cutoffs can improve diagnosis in women. 22 Additionally, auto-titrating continuous positive airway pressure (CPAP) algorithms accounting for gender differences allow for better control of sleep apnea at lower pressures for women compared to traditional algorithms. 23 Among older adults, sleep disorders, including sleep apnea and sleep-related movement disorders, appear to precede dementia more in women than men.…”

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confidence: 99%

Three Decades of Progress in Sleep Disorders and Sleep Health for Women

Marsella

Sharkey

2020

Gender and the Genome

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Over the past 3 decades, significant strides have been made in the field of sleep medicine for women. The impact of sex and gender on sleep health and sleep disorders received little attention in the early 1990s, but driven by policies ensuring inclusion of women in medical research, more recent studies have identified sex differences in sleep and investigated gender differences in sleep disorders. Nevertheless, disparities remain: diagnosis of sleep disorders, such as obstructive sleep apnea, narcolepsy, and rapid eye movement (REM) sleep behavior disorder are often delayed and underdiagnosed in women. Future research should continue to examine how biological sex and identity across the gender spectrum influence sleep health and sleep disorders, allowing for more personalized health care for all patients.

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Effects of age and sex on the performance of the NoSAS score as a screening tool for obstructive sleep apnea: a hospital-based retrospective study in China

et al. 2020

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Sex-specific sleep apnea screening questionnaires: closing the performance gap in women

Cited by 19 publications

References 39 publications

Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

Validation of the STOP-Bang questionnaire for screening of obstructive sleep apnea in the general population and commercial drivers: a systematic review and meta-analysis

Three Decades of Progress in Sleep Disorders and Sleep Health for Women

Effects of age and sex on the performance of the NoSAS score as a screening tool for obstructive sleep apnea: a hospital-based retrospective study in China

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