Evidence map›Paper›PMID 36757810›Full record

ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2023

Expert Consensus Statement: Management of Pediatric Persistent Obstructive Sleep Apnea After Adenotonsillectomy.

Stacey L Ishman, Stephen Maturo, Seth Schwartz, Margo McKenna, Cristina M Baldassari, Mathieu Bergeron, Boris Chernobilsky, Zarmina Ehsan, Lisa Gagnon, Yi-Chun Carol Liu and 4 more

Open access · bronzeAbstract readConsensus Statement
In one paragraph

Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
12.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Pooled it
  4. Trial
  5. Review
  6. Article
  7. Review
  8. Drug-Induced Sleep Endoscopy in Children Predicts OSA Severity.World journal of otorhinolaryngology - head and neck surgery · 2026
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. [The efficacy of drug combination with immunotherapy in pediatric obstructive sleep apnea and allergic rhinitis after surgery].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Article
  15. Article
  16. Review
  17. Review
  18. Article
  19. Review
  20. [Standardized treatment technology for pediatric tonsillectomy and adenoidectomy with low-temperature coblation].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 14 institutions in 2 countries.

Stacey L IshmanUniversity of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Stephen MaturoWalter Reed National Military Medical Center, Bethesda, Maryland, USA.
Seth SchwartzVirginia Mason Medical Center, Seattle, Washington, USA.
Margo McKennaUniversity of Rochester Medical Center/Golisano Children's Hospital, Rochester, New York, USA.
Cristina M BaldassariEastern Virginia Medical School/Children's Hospital of the King's Daughter, Norfolk, Virginia, USA.
Mathieu BergeronSainte-Justine Hospital, University of Montreal, Montreal, Quebec, Canada.
Boris ChernobilskyNYU Langone Health, New York, New York, USA.
Zarmina EhsanUniversity of Missouri-Kansas City, Kansas City, Missouri, USA.
Lisa GagnonYale University/Connecticut Pediatric Otolaryngology, New Haven, Connecticut, USA.
Yi-Chun Carol LiuBaylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA.
David F SmithCincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
Jeffrey StanleyUniversity of Michigan Health/Michigan Medicine, Ann Arbor, Michigan, USA.
Habib ZalzalChildren's National Health System, Washington, District of Columbia, USA.
Nui DhepyasuwanAmerican Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.
American Academy of Otolaryngology — Head and Neck Surgery · USBaylor College of Medicine · USCentre Hospitalier Universitaire Sainte-Justine · CAChildren's National · USCincinnati Children's Hospital Medical Center · USEastern Virginia Medical School · USMichigan Medicine · USNYU Langone Health · USUniversity of Cincinnati Medical Center · USUniversity of Missouri–Kansas City · USUniversity of Rochester Medical Center · USVirginia Mason Medical Center · USWalter Reed National Military Medical Center · USYale University · US

Funding

Circadian Clock Dysregulation in a Model of Obstructive Sleep ApneaK08HL148551 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI SMITH, DAVID F · 2019 to 2023
$818k
NHLBI NIH HHS K08 HL148551
6 · The paper itself

Abstract

objectiveTo develop an expert consensus statement regarding persistent pediatric obstructive sleep apnea (OSA) focused on quality improvement and clarification of controversies. Persistent OSA was defined as OSA after adenotonsillectomy or OSA after tonsillectomy when adenoids are not enlarged.

methodsAn expert panel of clinicians, nominated by stakeholder organizations, used the published consensus statement methodology from the American Academy of Otolaryngology-Head and Neck Surgery to develop statements for a target population of children aged 2-18 years. A medical librarian systematically searched the literature used as a basis for the clinical statements. A modified Delphi method was used to distill expert opinion and compose statements that met a standardized definition of consensus. Duplicate statements were combined prior to the final Delphi survey.

resultsAfter 3 iterative Delphi surveys, 34 statements met the criteria for consensus, while 18 statements did not. The clinical statements were grouped into 7 categories: general, patient assessment, management of patients with obesity, medical management, drug-induced sleep endoscopy, surgical management, and postoperative care.

conclusionThe panel reached a consensus for 34 statements related to the assessment, management and postoperative care of children with persistent OSA. These statements can be used to establish care algorithms, improve clinical care, and identify areas that would benefit from future research.

Indexed as

Sleep Apnea, ObstructiveTonsillectomyAdenoidectomyChildEndoscopyHumansPostoperative Careadolescentallergic rhinitischildrencine MRICPAPdental applianceDown's syndromeepiglottopexylingual tonsillectomymontelukastnasal steroidobstructive sleep apneaoximetryoxygenpediatricpolysomnographyshared decision-makingsleep apneasleep disordered breathingsleep endoscopysleep studysupraglottoplastytongue basetongue suspensiontracheostomyturbinate surgery

Identifiers

PMID36757810
PMCPMC10105630
OpenAlexW4319657081

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.