Patient-Reported Outcomes of Maxillomandibular Surgery for Obstructive Sleep Apnea Treatment: A Scoping Review.
Inês FranciscoCatarina NunesAnabela Baptista PaulaFilipa MarquesMadalena Prata RibeiroMariana McEvoyMariana SantosCatarina OliveiraCarlos Miguel Miguel MartoGianrico SpagnuoloEunice CarrilhoRaquel TravassosFrancisco José Fernandes do ValePublished in: Journal of clinical medicine (2024)
(1) Background: The present scoping review aims to scrutinize all existing patient-reported outcomes and assess the perspectives of obstructive sleep apnea patients after maxillomandibular surgery. (2) Methods: The review was carried out according to the extensions for scoping reviews using the PRISMA-ScR guidelines. Several databases were used to carry out the initial search. This study included randomized controlled trials, cohort studies, cross-sectional and case-control studies. The included studies considered patients with obstructive sleep apnea who were submitted to orthognathic surgery as the main subjects, and the patient's perception of quality of life, satisfaction, treatment experience and side effects were assessed. (3) Results: From 1407 examined articles, a total of 16 were included. Most of the included studies used more than one questionnaire to assess quality of life, except for five articles. The most commonly referred instruments were the Epworth Sleepiness Scale, SF-36, the Functional Outcomes of Sleep and Ottawa Sleep Apnea. The most commonly assessed outcomes were sleep quality, daytime function, facial aesthetics, dental function and emotional health. (4) Conclusions: The number of variables that can be evaluated from a patient's perspective are endless, as are the tools available to assess them. Not all of these tools, which are generally questionnaires, assess all the various outcomes, and some do not compare the pre- and post-surgical situations. Most of them are generic and lack specificity for obstructive sleep apnea.
Keyphrases
- obstructive sleep apnea
- patient reported outcomes
- sleep apnea
- positive airway pressure
- case control
- sleep quality
- minimally invasive
- coronary artery bypass
- cross sectional
- randomized controlled trial
- end stage renal disease
- public health
- surgical site infection
- depressive symptoms
- chronic kidney disease
- machine learning
- newly diagnosed
- peritoneal dialysis
- acute coronary syndrome
- type diabetes
- skeletal muscle
- glycemic control
- adipose tissue
- human health
- oral health
- insulin resistance
- artificial intelligence
- deep learning