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Title
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Management of persistent, post-adenotonsillectomy obstructive sleep apnea in children : an official American Thoracic Society clinical practice guideline
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Author
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Institution/Organisation
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American Thoracic Society Assembly on Sleep and Respiratory Neurobiology
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Abstract
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| Abstract Background: OSA is the most common sleep-related breathing disorder. While adenotonsillectomy (AT) is first-line management for pediatric OSA, up to 40% of children may have persistent OSA. This document provides an evidence-based clinical practice guideline on the management of children with persistent OSA. Target audience: Clinicians including physicians, dentists and allied health professionals caring for children with OSA Methods: A multidisciplinary international panel of experts was convened to determine key unanswered questions regarding the management of persistent pediatric OSA. We conducted a systematic review of the relevant literature. The Grading of Recommendations, Assessment, Development, and Evaluation approach was used to rate the quality of evidence and the strength of the clinical recommendations. The panel members considered the strength of each recommendation and evaluated the benefits and risks of applying the intervention. In formulating the recommendations, the panel considered patient and caregiver values, the cost of care, and feasibility. Results: Recommendations were developed for six management options for persistent OSA. Conclusions: The panel developed recommendations for the management of persistent pediatric OSA based on limited evidence and expert opinion. Important areas for future research were identified for each recommendation. |
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Language
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English
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Source (journal)
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American journal of respiratory and critical care medicine. - New York, 1994, currens
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Publication
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New York
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2023
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ISSN
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1073-449X
[print]
1535-4970
[online]
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DOI
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10.1164/RCCM.202310-1857ST
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Volume/pages
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203
:3
(2023)
, p. 248-261
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ISI
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001183678500009
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Pubmed ID
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37890009
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Full text (Publisher's DOI)
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Full text (open access)
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