An analysis of the evidence-practice continuum: is surgery for obstructive sleep apnoea contraindicated?
Adam G Elshaug, John R Moss, Anne Marie Southcott, Janet E Hiller
Journal of Evaluation in Clinical Practice | BLACKWELL PUBLISHING | Published : 2007
RATIONALE, AIMS AND OBJECTIVES: Currently there are multiple surgical interventions utilized in the treatment of adult obstructive sleep apnoea (OSA). The role of these operations remains controversial, with perspectives on treatment efficacy varying considerably. Despite this, their use is proliferating. OBJECTIVES: In this paper, we present the degree of variability that occurs in the application of these procedures, and examine the effectiveness of surgical intervention as a treatment for OSA. METHOD: A multi-centre retrospective clinical audit of consecutive, unselected surgical cases presenting at the sleep disorder clinics of two teaching hospitals in a major Australian city. Patients ..View full abstract