Guidelines on the surgical management of sleep disorders: A systematic review

Objective To facilitate the development of U.K. guidelines for sleep surgery and to guide sleep surgeons to existing guidelines relevant to their practice, we provide a systematic review and quality assessment of all existing guidelines on the surgical management of sleep disorders. Methods Systemat...

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Bibliographic Details
Published in:The Laryngoscope Vol. 130; no. 4; pp. 1070 - 1084
Main Authors: Mandavia, Rishi, Mehta, Nishchay, Veer, Vik
Format: Journal Article
Language:English
Published: Hoboken, USA John Wiley & Sons, Inc 01.04.2020
Wiley Subscription Services, Inc
Subjects:
guidelines
obstructive sleep apnea
Sleep disorders
sleep‐disordered breathing
Surgeons
Surgery
Systematic review
United Kingdom > UK
obstructive sleep apnea
guidelines
sleep-disordered breathing
Surgery
ISSN:0023-852X, 1531-4995, 1531-4995
Online Access:Get full text
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Summary:Objective To facilitate the development of U.K. guidelines for sleep surgery and to guide sleep surgeons to existing guidelines relevant to their practice, we provide a systematic review and quality assessment of all existing guidelines on the surgical management of sleep disorders. Methods Systematic review using preferred reporting items for systematic reviews and meta‐analyses (PRISMA) recommendations. Medline and Embase databases were searched from inception to April 2018. Publications were included if they described a guideline for the surgical management of sleep disorders. Three assessors used the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument to evaluate included guidelines. Results The systematic search revealed 1,161 publications. Twenty‐two guidelines from eight countries were included. Fourteen focused on adults, five on children, and three on both. The guidelines discussed nasal, tonsillar, palatal, tongue, hyoid, maxillomandibular, tracheal, bariatric, and multilevel surgeries. The mean overall AGREE II quality score of included guidelines was 3.5 (range = 2 to 5.3; maximum possible score = 7). Conclusion This article provides a summary and quality assessment of all published guidelines on the surgical management of sleep disorders. No U.K. guidelines were identified, and existing guidelines have several shortcomings. This highlights the need for robust U.K. national guidelines on sleep surgery to promote clinical and cost‐effective care in this field. Our findings can be used by stakeholders as a foundation for the development of new guidelines and can be used by sleep surgeons to direct them to existing guidelines relevant to their practice, promoting evidence‐based clinical care. Laryngoscope, 130:1070–1084, 2020
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ISSN:0023-852X
1531-4995
1531-4995
DOI:10.1002/lary.28028