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Técnicas quirúrgicas de la vía aérea superior para pacientes con apnea obstructiva del sueño [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 |
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Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Pichon Riviere A, Augustovski F, Garcia Marti S, Glujovsky D, Alcaraz A, Lopez A, Bardach A, Ciapponi A, Romano M. Técnicas quirúrgicas de la vía aérea superior para pacientes con apnea obstructiva del sueño. [Upper respiratory tract surgical techniques for the treatment of patients with obstructive sleep apnea syndrome] Buenos Aires: Institute for Clinical Effectiveness and Health Policy (IECS). Informe de Respuesta Rápida N° 280. 2012 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' conclusions 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. Indexing Status Subject indexing assigned by CRD MeSH Humans; Otorhinolaryngologic Surgical Procedures; Sleep Apnea, Obstructive Language Published Spanish Country of organisation Argentina English summary An English language summary is available. Address for correspondence Institute for Clinical Effectiveness and Health Policy, Viamonte 2146 - 3 Piso, C1056ABH Ciudad de Buenos Aires, Argentina Tel: +54 11 49 66 00 82 Fax:+54 11 49 53 40 58 Email: info@iecs.org.ar AccessionNumber 32014000288 Date abstract record published 31/01/2014 |
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