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Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Task Force Recommendation Statement.
Bibbins-Domingo, Kirsten; Grossman, David C; Curry, Susan J; Davidson, Karina W; Epling, John W; García, Francisco A R; Herzstein, Jessica; Kemper, Alex R; Krist, Alex H; Kurth, Ann E; Landefeld, C Seth; Mangione, Carol M; Phillips, William R; Phipps, Maureen G; Pignone, Michael P; Silverstein, Michael; Tseng, Chien-Wen.
Afiliación
  • Bibbins-Domingo K; University of California, San Francisco.
  • Grossman DC; Group Health Research Institute, Seattle, Washington.
  • Curry SJ; University of Iowa, Iowa City.
  • Davidson KW; Columbia University, New York, New York.
  • Epling JW; State University of New York Upstate Medical University, Syracuse.
  • García FA; Pima County Department of Health, Tucson, Arizona.
  • Herzstein J; Independent consultant, Washington, DC.
  • Kemper AR; Duke University, Durham, North Carolina.
  • Krist AH; Fairfax Family Practice Residency, Fairfax, Virginia10Virginia Commonwealth University, Richmond.
  • Kurth AE; Yale University, New Haven, Connecticut.
  • Landefeld CS; University of Alabama at Birmingham.
  • Mangione CM; University of California, Los Angeles.
  • Phillips WR; University of Washington, Seattle.
  • Phipps MG; Brown University, Providence, Rhode Island.
  • Pignone MP; University of Texas at Austin.
  • Silverstein M; Boston University, Boston, Massachusetts.
  • Tseng CW; University of Hawaii, Manoa.
JAMA ; 317(4): 407-414, 2017 Jan 24.
Article en En | MEDLINE | ID: mdl-28118461
IMPORTANCE: Based on data from the 1990s, estimated prevalence of obstructive sleep apnea (OSA) in the United States is 10% for mild OSA and 3.8% to 6.5% for moderate to severe OSA; current prevalence may be higher, given the increasing prevalence of obesity. Severe OSA is associated with increased all-cause mortality, cardiovascular disease and cerebrovascular events, diabetes, cognitive impairment, decreased quality of life, and motor vehicle crashes. OBJECTIVE: To issue a new US Preventive Services Task Force (USPSTF) recommendation on screening for OSA in asymptomatic adults. EVIDENCE REVIEW: The USPSTF reviewed the evidence on the accuracy, benefits, and potential harms of screening for OSA in asymptomatic adults seen in primary care, including those with unrecognized symptoms. The USPSTF also evaluated the evidence on the benefits and harms of treatment of OSA on intermediate and final health outcomes. FINDINGS: The USPSTF found insufficient evidence on screening for or treatment of OSA in asymptomatic adults or adults with unrecognized symptoms. Therefore, the USPSTF was unable to determine the magnitude of the benefits or harms of screening for OSA or whether there is a net benefit or harm to screening. CONCLUSIONS AND RECOMMENDATION: The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for OSA in asymptomatic adults. (I statement).
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Guías de Práctica Clínica como Asunto / Apnea Obstructiva del Sueño / Comités Consultivos / Enfermedades Asintomáticas Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Patient_preference Límite: Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: JAMA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Guías de Práctica Clínica como Asunto / Apnea Obstructiva del Sueño / Comités Consultivos / Enfermedades Asintomáticas Tipo de estudio: Diagnostic_studies / Etiology_studies / Guideline / Prevalence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Patient_preference Límite: Adult / Humans País/Región como asunto: America do norte Idioma: En Revista: JAMA Año: 2017 Tipo del documento: Article Pais de publicación: Estados Unidos