[Upper respiratory tract surgical techniques for the treatment of patients with obstructive sleep apnea syndrome]
Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Alcaraz A, Lopez A, Bardach A, Ciapponi A, Romano M
Record ID 32014000288
Spanish
Authors' objectives:
To assess the available evidence on the efficacy, safety and coverage policy related aspect on the use of uvulopalatopharyngoplasty, uvulopatoplasty, laser-assisted uvulopalatopharyngoplasty and radiofrequency palate ablation for patients with OSAS.
Authors' recommendations:
The evidence found is of moderate quality. Based on 2 SR, which included a few number of randomized trials with few patients and the observational studies with heterogeneous interventions and results about the usefulness of the different surgical techniques (UPPP, UPP, LAUP and RFA), no benefit was observed on long-term mortality and other clinically relevant results. The benefits found are slight to moderate in interim results with a questionable clinical impact. It is also important to highlight that the adverse effects persist in more than half of the patients who underwent surgery. Therefore, there is not enough evidence to recommend these interventions as routine to improve day somnolence and quality of life in patients with OSAS. The CPGs and coverage policies consider UPPP use in patients with OSAS diagnosis and upper respiratory tract obstruction who can not tolerate or have poor compliance with CPAP.
Details
Project Status:
Completed
Year Published:
2012
URL for published report:
https://www.iecs.org.ar/home-ets/?cod_publicacion=1504&origen_publicacion=publicaciones
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Argentina
MeSH Terms
- Humans
- Sleep Apnea, Obstructive
- Otorhinolaryngologic Surgical Procedures
Contact
Organisation Name:
Institute for Clinical Effectiveness and Health Policy
Contact Address:
Dr. Emilio Ravignani 2024, Buenos Aires - Argentina, C1414 CABA
Contact Name:
info@iecs.org.ar
Contact Email:
info@iecs.org.ar
Copyright:
Institute for Clinical Effectiveness and Health Policy (IECS)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.