Talk:Obstructive sleep apnea

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Ideal sources for Wikipedia's health content are defined in the guideline Wikipedia:Identifying reliable sources (medicine) and are typically review articles. Here are links to possibly useful sources of information about Obstructive sleep apnea.

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The TRIP database provides clinical publications about evidence-based medicine.
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New sections under "Surgical intervention"

It seems like we could further categorize the Surgical intervention solutions into a nose, mouth, and throat solutions. What does everyone think? DrDillard (talk) 18:05, 17 July 2013 (UTC)[reply]

I agree it would be useful to categorize by anatomic level of obstruction. Prophylax (talk) 19:48, 14 April 2024 (UTC)[reply]

DHEA

A few years ago, I found that DHEA was effective for my OSA. I wrote a little piece on it, which is at http://george-eby-research.com/html/DHEA-cure-for-sleep-apnea.html Obviously it would be self-serving for me to place it on the OSA page, and I will not do it. However, there is a patent by others on the discovery shown on my page. Perhaps someone would like to put that patent and a discussion of it on the page. I will not do it for obvious reasons. — Preceding unsigned comment added by Georgeeby (talk • contribs) 18:59, 18 May 2014 (UTC)[reply]

New page!

The sleep apnea page was getting really long, so the OSA-specific information has been moved to this page. Please add OSA details to this article, not to the four-paragraph summary on the general sleep apnea page. WhatamIdoing (talk) 19:15, 23 January 2008 (UTC)[reply]

Nice source

doi:10.1093/bmb/ldh044 - free and jolly comprehensive. JFW | T@lk 00:15, 28 October 2008 (UTC)[reply]

Desperately need a comorbidity section

OSA is linked to many other serious diseases - cardiac, blood pressure for example. Equally the links between vehicular accidents and OSA should be made clear.

America-centric?

A good article, for sure...but there's mention of new APAP devices not being covered by insurance, while 'FDA-approved'. Well, this isn't very interesting if you don't live in America. How about Europe's biggest employer, the UK NHS (National Health Service)? For example. What's their policy on these devices, does anyone know?

92.24.50.203 (talk) 20:49, 16 April 2009 (UTC)[reply]

That would be great if someone could add information regarding OSA management from other countries. Prophylax (talk) 01:21, 20 May 2024 (UTC)[reply]

Diagnosis better structure

I intent to refine the section Diagnosis, to emphasis that the types of tests available range along a continuum, rather than within two discrete types only aka of PSG and Home-oxymetry. Let me know if you have any objeciton here, cheers--MarmotteiNoZ 20:50, 6 December 2010 (UTC)[reply]

Yes please do refine the Diagnosis section to describe other types of testing available. Prophylax (talk) 01:22, 20 May 2024 (UTC)[reply]

Risk Factors vs. Causes

There are a number of issues in this article - but one that I think could be tackled relatively easily would be the distinction between risk factors and causes. The article already calls attention to advanced age, low muscle tone, etc. in both sections - it would make sense to combine both sections into the risk factors one. Also, obesity isn't mentioned anywhere, even though it's certainly a risk factor for OSA (even though it's highly collinear with neck circumference, muscle tone, and lifestyle factors which are OSA-provocative). What do others think? — Preceding unsigned comment added by Cknoepke (talk • contribs) 14:00, 13 April 2011 (UTC)[reply]

I'm hesitant to take this on, as I don't feel sufficiently knowledgeable or objective, but it seems fairly clear to me that the classic confusion between "associated with" and "causes" is at work in this article, which means there is some WP:OR and WP:SYNTH going on. I am aware that there is work demonstrating an association between OSA and heart disease, heart failure, and heart attacks, but after reading quite a few articles as a layperson, I'm sensing that there is as much reason to believe that heart conditions cause OSA as there is reason to believe (as the article states) that OSA causes heart conditions. Steveozone (talk) 22:52, 7 April 2012 (UTC)[reply]

I agree that this section "Causes" needs to be edited. I suggest that the first part could be a new section called "Pathophysiology" and a second part called "Causes and risk factors ". — Preceding unsigned comment added by InsteadofSleep (talk • contribs) 20:04, 14 February 2021 (UTC)[reply]

Glad to see that this seems to have been consolidated. Prophylax (talk) 01:25, 20 May 2024 (UTC)[reply]

Neurostimulation

I think the information in this part is wonderful. Though, as the author says, this is currently research and not treatment, so perhaps it should be moved out of the Treatment section and into a new "Research" section. Yes? MarcoPolo419 (talk) 13:49, 3 January 2013 (UTC)[reply]

At this point, neurostimulation is widely used as treatment for OSA, so it is appropriately in the treatment section. Prophylax (talk) 01:25, 20 May 2024 (UTC)[reply]

All this talk of hypoxia caused by OSA but what about most obvious treatment - oxygen supplementation during sleep?

I can certainly see why there might be certain therapies preferred over others, but its hard to believe that no one uses oxygen supplementation or an oxygen concentrator to treat OSA. Do they? QuintBy (talk) 00:16, 12 September 2014 (UTC)[reply]

Breathing does two things. Supply o2 and remove co2. You need both Doc James (talk · contribs · email) (if I write on your page reply on mine) 07:33, 12 September 2014 (UTC)[reply]

CPAP (continuous positive airway pressure) is widely regarded as the gold standard for treatment OSA. Oxygen supplementation does not treat the underlying issue causing OSA. Prophylax (talk) 01:27, 20 May 2024 (UTC)[reply]

Mood

... improves with treatment doi:10.1371/journal.pmed.1001762 JFW | T@lk 00:43, 27 November 2014 (UTC)[reply]

Please feel free to add to the article with appropriate citations. Prophylax (talk) 01:28, 20 May 2024 (UTC)[reply]

Enlarged Tonsils - Accompanying Photograph?

My son is due for a tonsilectomy tomorrow to treat his obstructive sleep apnoea. Don't ask me how, but I managed to get a pretty sharp photo of his enlarged tonsils - would this be of any interest as an illustrative aid to the relevant section of this article?Carnivoredaddy (talk) 15:08, 28 July 2015 (UTC)[reply]

Sure that would be great User:Carnivoredaddy. Doc James (talk · contribs · email) 01:03, 29 July 2015 (UTC)[reply]

I still don't see a photo of enlarged tonsils on this page, but perhaps it would be better reserved for an article on tonsils or tonsillectomy. Prophylax (talk) 01:29, 20 May 2024 (UTC)[reply]

Treatments

I would also add a section where the benefits of exercise are discussed. It was found in a peer review journal article that exercise can cause significant improvements in the overall number of sleep apneas and oxygen saturation of the lungs. This article also noted an increase in the ratings of the subjective sleep index. — Preceding unsigned comment added by Leearnoldml (talk • contribs) 02:38, 5 December 2015 (UTC) ^[1][reply]

Please feel free to add this to the article for lifestyle modifications. Prophylax (talk) 01:29, 20 May 2024 (UTC)[reply]

References

^ Kline, C., Crowley, E., Ewing, G., Burch, J., Blair, S., Durstine, J., . . . Youngstedt, S. (2011). The Effect of Exercise Training on Obstructive Sleep Apnea and Sleep Quality: A Randomized Controlled Trial. Sleep.

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Sleep apnea page haromization

This page could use more harmonization with the Sleep apnea page. I don't have time to do a full job of this now, but am noting it here in case others might want to pick up parts of the job. Thanks. -Dan Eisenberg (talk) 03:30, 15 August 2016 (UTC)[reply]

Agree. Have it on my list to get around to. Doc James (talk · contribs · email) 04:07, 15 August 2016 (UTC)[reply]

" Women are at greater risk for developing OSA during pregnancy."

This statement makes zero sense.

204.48.46.11 (talk) 21:36, 15 December 2017 (UTC)[reply]

It looks like the statement is based off of an article. Prophylax (talk) 01:30, 20 May 2024 (UTC)[reply]

Diagnosis - AHI thresholds

The AHI thresholds for the diagnosis section should be differentiated based on adult vs. pediatric population. Prophylax (talk) 20:34, 27 April 2024 (UTC)[reply]

I have gone ahead and added the distinction of AHI thresholds for the adult vs. pediatric populations. Prophylax (talk) 01:41, 20 May 2024 (UTC)[reply]

For some reason I cannot add a citation. Can someone please add this citation to sentence clarifying pediatric AHI thresholds?

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8947481/ Prophylax (talk) 01:42, 20 May 2024 (UTC)[reply]

Management

Should there be discussion of the latest technology advancements to treating OSA? Prophylax (talk) 20:35, 27 April 2024 (UTC)[reply]

[1] Kline, C., Crowley, E., Ewing, G., Burch, J., Blair, S., Durstine, J., . . . Youngstedt, S. (2011). The Effect of Exercise Training on Obstructive Sleep Apnea and Sleep Quality: A Randomized Controlled Trial. Sleep.

[1]