Sleep surgery tool: A medical checklist to review prior to operating.
OBJECTIVE
The objective of this study was to systematically review the international literature for studies providing a preoperative checklist for medical disorders to be evaluated or treated before performing sleep surgery. If no checklist exists, then studies providing recommendations would be used to develop a checklist de novo.


METHODS
Systematic review combined with expert opinion.


METHODS
Four databases, including PubMed/Medline were searched through August 10, 2016.


RESULTS
453 potentially relevant studies were screened, 32 were downloaded for full review. No study included a preoperative checklist. No study provided guidance for specific medical disorders to evaluate or screen for prior to sleep surgery. Therefore, we reviewed articles in adults that provided recommendations such as: (1) labs to review, (2) non-operative disorders to evaluate and treat, and (3) comorbidities to optimize prior to performing sleep surgery. These articles were utilized in conjunction with expert opinion to develop a preoperative checklist for surgical guidance.


CONCLUSIONS
There are several items to review prior to performing sleep surgery on obstructive sleep apnea patients. This systematic review and expert opinion-based checklist provides over twenty items for reviewing prior to performing sleep surgery to reduce the chance of operating prematurely.
Tripler Army Medical Center, Department of Surgery, Division of Otolaryngology, 1 Jarrett White Rd, Tripler AMC, HI 96859, USA; Department of Psychiatry and Behavioral Sciences, Sleep Medicine Division, Stanford Hospital and Clinics, 450 Broadway St. 2nd Floor, Redwood City, CA 94063, USA. Electronic address: drcamachoent@yahoo.com.
Macario
M
Camacho
Department of Otolaryngology-Head and Neck Surgery, Sleep Surgery Division, Stanford Hospital and Clinics, Redwood City, CA 94063, USA.
Robert W
RW
Riley
Department of Otolaryngology-Head and Neck Surgery, Sleep Surgery Division, Stanford Hospital and Clinics, Redwood City, CA 94063, USA.
Robson
R
Capasso
Department of Otolaryngology, Division of Sleep Surgery, San Antonio Military Medical Center, Fort Sam Houston, TX 78234, USA.
Peter
P
O'Connor
Tripler Army Medical Center, Department of Surgery, Division of Otolaryngology, 1 Jarrett White Rd, Tripler AMC, HI 96859, USA.
Edward T
ET
Chang
Tripler Army Medical Center, Department of Surgery, Division of Otolaryngology, 1 Jarrett White Rd, Tripler AMC, HI 96859, USA.
Lauren K
LK
Reckley
Department of Psychiatry and Behavioral Sciences, Sleep Medicine Division, Stanford Hospital and Clinics, 450 Broadway St. 2nd Floor, Redwood City, CA 94063, USA.
Christian
C
Guilleminault
D000328:Adult; D057189:Checklist; D015897:Comorbidity; D006801:Humans; D019647:Oral Surgical Procedures / Q000592:standards; D011300:Preoperative Care; D020181:Sleep Apnea, Obstructive / Q000601:surgery*
Checklist; Hypersomnia; Obstructive sleep apnea; Sleep medicine; Systematic review