Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy

Objective: To determine the level of agreement among experienced operators of candidacy for upper airway stimulation (UAS) based on evaluation of drug-induced sleep endoscopy (DISE). Methods: The trial was designed as a single-blinded cross-sectional study. Four otolaryngologists with extensive DISE...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Adrian A. Ong, Christopher M. Ayers, Eric J. Kezirian, B. Tucker Woodson, Nico de Vries, Shaun A. Nguyen, M. Boyd Gillespie
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2017
Materias:	Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3d0ac013b52d451e9928f1cf405c6360
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:3d0ac013b52d451e9928f1cf405c6360
record_format	dspace
spelling	oai:doaj.org-article:3d0ac013b52d451e9928f1cf405c63602021-12-02T11:49:48ZApplication of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy2095-881110.1016/j.wjorl.2017.05.014https://doaj.org/article/3d0ac013b52d451e9928f1cf405c63602017-06-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881117300616https://doaj.org/toc/2095-8811Objective: To determine the level of agreement among experienced operators of candidacy for upper airway stimulation (UAS) based on evaluation of drug-induced sleep endoscopy (DISE). Methods: The trial was designed as a single-blinded cross-sectional study. Four otolaryngologists with extensive DISE experience were given 63 video clips from the STAR trial video library. These videos were graded using the VOTE classification. Percentage agreement and Cohenâs Îº (for inter-rater reliability) were calculated between pairs of reviewers, assessing palatal complete concentric collapse (CCC) and determining UAS eligibility. Subjects were also grouped based on collapse severity for each reviewer. Results: The reviewers had excellent (approximately 90%) agreement on findings at the level of the soft palate and tongue base. The inter-rater reliability for palatal CCC ranged from moderate to substantial. The agreement on determining the criteria for UAS implantation ranged from poor to moderate. All 4 upper airway structures as classified by the criteria of the VOTE were graded by all the reviewers as contributing to obstruction in a majority of subjects who were performed via application of DISE. Conclusion: Application of DISE remains a subjective examination, even among those experienced operators, therefore more studies need to be performed for evaluation of improvement in inter-rater reliability after implantation of training videos. Keywords: Drug-induced sleep endoscopy, Drug-induced sedation endoscopy, Upper airway stimulation, Sleep-disordered breathing, Obstructive sleep apnea, Inter-rater reliabilityAdrian A. OngChristopher M. AyersEric J. KezirianB. Tucker WoodsonNico de VriesShaun A. NguyenM. Boyd GillespieKeAi Communications Co., Ltd.articleOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 3, Iss 2, Pp 92-96 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Otorhinolaryngology RF1-547 Surgery RD1-811 Adrian A. Ong Christopher M. Ayers Eric J. Kezirian B. Tucker Woodson Nico de Vries Shaun A. Nguyen M. Boyd Gillespie Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy
description	Objective: To determine the level of agreement among experienced operators of candidacy for upper airway stimulation (UAS) based on evaluation of drug-induced sleep endoscopy (DISE). Methods: The trial was designed as a single-blinded cross-sectional study. Four otolaryngologists with extensive DISE experience were given 63 video clips from the STAR trial video library. These videos were graded using the VOTE classification. Percentage agreement and Cohenâs Îº (for inter-rater reliability) were calculated between pairs of reviewers, assessing palatal complete concentric collapse (CCC) and determining UAS eligibility. Subjects were also grouped based on collapse severity for each reviewer. Results: The reviewers had excellent (approximately 90%) agreement on findings at the level of the soft palate and tongue base. The inter-rater reliability for palatal CCC ranged from moderate to substantial. The agreement on determining the criteria for UAS implantation ranged from poor to moderate. All 4 upper airway structures as classified by the criteria of the VOTE were graded by all the reviewers as contributing to obstruction in a majority of subjects who were performed via application of DISE. Conclusion: Application of DISE remains a subjective examination, even among those experienced operators, therefore more studies need to be performed for evaluation of improvement in inter-rater reliability after implantation of training videos. Keywords: Drug-induced sleep endoscopy, Drug-induced sedation endoscopy, Upper airway stimulation, Sleep-disordered breathing, Obstructive sleep apnea, Inter-rater reliability
format	article
author	Adrian A. Ong Christopher M. Ayers Eric J. Kezirian B. Tucker Woodson Nico de Vries Shaun A. Nguyen M. Boyd Gillespie
author_facet	Adrian A. Ong Christopher M. Ayers Eric J. Kezirian B. Tucker Woodson Nico de Vries Shaun A. Nguyen M. Boyd Gillespie
author_sort	Adrian A. Ong
title	Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy
title_short	Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy
title_full	Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy
title_fullStr	Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy
title_full_unstemmed	Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy
title_sort	application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy
publisher	KeAi Communications Co., Ltd.
publishDate	2017
url	https://doaj.org/article/3d0ac013b52d451e9928f1cf405c6360
work_keys_str_mv	AT adrianaong applicationofdruginducedsleependoscopyinpatientstreatedwithupperairwaystimulationtherapy AT christophermayers applicationofdruginducedsleependoscopyinpatientstreatedwithupperairwaystimulationtherapy AT ericjkezirian applicationofdruginducedsleependoscopyinpatientstreatedwithupperairwaystimulationtherapy AT btuckerwoodson applicationofdruginducedsleependoscopyinpatientstreatedwithupperairwaystimulationtherapy AT nicodevries applicationofdruginducedsleependoscopyinpatientstreatedwithupperairwaystimulationtherapy AT shaunanguyen applicationofdruginducedsleependoscopyinpatientstreatedwithupperairwaystimulationtherapy AT mboydgillespie applicationofdruginducedsleependoscopyinpatientstreatedwithupperairwaystimulationtherapy
_version_	1718395158299410432

Application of drug-induced sleep endoscopy in patients treated with upper airway stimulation therapy

Ejemplares similares