[Surgical treatment of obstructive sleep apnea syndrome. An evidence-based agreement].
OBJECTIVE
To determine the current efficacy of type of surgery in the treatment of obstructive sleep apnoea.


METHODS
Electronic searches of the Cochrane Airways Group Sleep Apnoea RCT Register, MEDLINE, EMBASE and Cinahl. The references of relevant review articles were handsearched. Experts in the field were contacted to identify unpublished studies.


METHODS
The inclusion criteria were all randomised or quasi-randomised controlled comparisons of any surgical intervention for obstructive sleep apnoea versus other surgical or non-surgical intervention for obstructive sleep apnoea or no intervention.


METHODS
No completed RCTs were identified by the search.


RESULTS
A total of 666 articles were identified and assessed. No articles fulfilled the inclusion criteria.


CONCLUSIONS
A thorough search with broad inclusion criteria yielded no evidence from randomised controlled trials to support the use of surgery in the treatment of obstructive sleep apnoea. Patients should be made aware of the lack of good trial-based evidence for the operations. An urgent need for high quality RCTs in this area was identified.
Backer
V
V
Intern medicinsk klinik I, Bispebjerg Hospital, Kobenhavn.
Rasmussen
N
N
D018849:Controlled Clinical Trials as Topic; D019317:Evidence-Based Medicine; D006801:Humans; D012891:Sleep Apnea Syndromes / Q000601:surgery*
Kirurgisk behandling af obstruktiv søvnapnø-syndrom. En evidensbaseret opgørelse.