Comment on: use of blood biomarkers to screen for obstructive sleep apnea

Burton Abrams Zeger-Abrams Inc., Elkins Park, PA, USAThe recently published paper in Nature and Science of Sleep1 describes a combination of blood biomarkers for obstructive sleep apnea (OSA) screening which is shown to have better sensitivity and selectivity than any one individually. The combinati...

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Autor principal: Abrams B
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Publicado: Dove Medical Press 2018
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Acceso en línea:https://doaj.org/article/8f0125e3e8134f5b89fd4f30c32987f2
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spelling oai:doaj.org-article:8f0125e3e8134f5b89fd4f30c32987f22021-12-02T07:57:05ZComment on: use of blood biomarkers to screen for obstructive sleep apnea1179-1608https://doaj.org/article/8f0125e3e8134f5b89fd4f30c32987f22018-10-01T00:00:00Zhttps://www.dovepress.com/comment-on-use-of-blood-biomarkers-to-screen-for-obstructive-sleep-apn-peer-reviewed-article-NSShttps://doaj.org/toc/1179-1608Burton Abrams Zeger-Abrams Inc., Elkins Park, PA, USAThe recently published paper in Nature and Science of Sleep1 describes a combination of blood biomarkers for obstructive sleep apnea (OSA) screening which is shown to have better sensitivity and selectivity than any one individually. The combination comprises elevated levels of glycated hemoglobin (HbA1c), C-reactive protein, and erythropoeitin. The combination algorithm alluded to in the paper requires a sufficiently elevated level above a threshold of the combination of the three constituents for further diagnostic testing to be recommended. Of course, OSA would have to have been present long enough for the elevated levels to occur in order for the proposed biomarker to indicate its likely presence. My comment on this paper questions not whether this screening tool is valid, but whether it is valid early enough in the development of OSA to initiate diagnosis and treatment before some irreversible life-threatening consequence of OSA develops.View original paper by Fleming and colleagues.Abrams BDove Medical Pressarticlebiomarkersleep apneaHbA1curatePsychiatryRC435-571Neurophysiology and neuropsychologyQP351-495ENNature and Science of Sleep, Vol Volume 10, Pp 313-315 (2018)
institution DOAJ
collection DOAJ
language EN
topic biomarker
sleep apnea
HbA1c
urate
Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
spellingShingle biomarker
sleep apnea
HbA1c
urate
Psychiatry
RC435-571
Neurophysiology and neuropsychology
QP351-495
Abrams B
Comment on: use of blood biomarkers to screen for obstructive sleep apnea
description Burton Abrams Zeger-Abrams Inc., Elkins Park, PA, USAThe recently published paper in Nature and Science of Sleep1 describes a combination of blood biomarkers for obstructive sleep apnea (OSA) screening which is shown to have better sensitivity and selectivity than any one individually. The combination comprises elevated levels of glycated hemoglobin (HbA1c), C-reactive protein, and erythropoeitin. The combination algorithm alluded to in the paper requires a sufficiently elevated level above a threshold of the combination of the three constituents for further diagnostic testing to be recommended. Of course, OSA would have to have been present long enough for the elevated levels to occur in order for the proposed biomarker to indicate its likely presence. My comment on this paper questions not whether this screening tool is valid, but whether it is valid early enough in the development of OSA to initiate diagnosis and treatment before some irreversible life-threatening consequence of OSA develops.View original paper by Fleming and colleagues.
format article
author Abrams B
author_facet Abrams B
author_sort Abrams B
title Comment on: use of blood biomarkers to screen for obstructive sleep apnea
title_short Comment on: use of blood biomarkers to screen for obstructive sleep apnea
title_full Comment on: use of blood biomarkers to screen for obstructive sleep apnea
title_fullStr Comment on: use of blood biomarkers to screen for obstructive sleep apnea
title_full_unstemmed Comment on: use of blood biomarkers to screen for obstructive sleep apnea
title_sort comment on: use of blood biomarkers to screen for obstructive sleep apnea
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/8f0125e3e8134f5b89fd4f30c32987f2
work_keys_str_mv AT abramsb commentonuseofbloodbiomarkerstoscreenforobstructivesleepapnea
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