Evidence map›Paper›PMID 41246126›Full record

ReviewLaryngoscope investigative otolaryngology2025

Body Mass Index and Hypoglossal Nerve Stimulation Outcomes: A Systematic Review and Meta-Analysis.

Coleton Evans, Benjamin Winters, Sandeep Rao, Sean Kelso, Peter Wickwire

Abstract readReview
In one paragraph

Review in Laryngoscope investigative otolaryngology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Review
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

5 authors.

Coleton EvansTCU Burnett School of Medicine Fort Worth Texas USA.ORCID https://orcid.org/0009-0008-9021-0381
Benjamin WintersTCU Burnett School of Medicine Fort Worth Texas USA.
Sandeep RaoTCU Burnett School of Medicine Fort Worth Texas USA.
Sean KelsoTCU Burnett School of Medicine Fort Worth Texas USA.
Peter WickwireDepartment of Otolaryngology John Peter Smith Health Network Fort Worth Texas USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This systematic review and meta-analysis evaluated how body mass index (BMI) influences surgical outcomes of hypoglossal nerve stimulation (HGNS) for obstructive sleep apnea (OSA), specifically comparing patients with BMI ≥ 32 kg/m Data Sources: PubMed, Embase, and Scopus were searched from January 2014 to April 2025 for prospective and retrospective cohort studies or case-control studies reporting HGNS outcomes stratified by BMI. Review Methods: Following PRISMA guidelines, data were extracted on study design, demographics, baseline apnea-hypopnea index (AHI), and postoperative outcomes. Surgical success was defined using Sher or modified Sher criteria. Random-effects meta-analysis was performed using the DerSimonian and Laird method. Fixed-effect inverse-variance weights were first calculated, and between-study heterogeneity was quantified using Cochran's Q statistic and expressed as the Results: Seven studies ( Conclusion: Elevated BMI was associated with a nonsignificant trend toward lower HGNS surgical success, but outcomes were broadly consistent across studies. Many patients with BMI ≥ 32 kg/m

Indexed as

apnea–hypopnea indexbody mass indexhypoglossal nerve stimulationobstructive sleep apnea

Identifiers

PMID41246126
PMCPMC12612689

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.