Gouveia Christopher J, Zaghi Soroush, Awad Michael, Camacho Macario, Liu Stanley Y C, Capasso Robson, Kern Robert C
Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, California, U.S.A.
Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois, U.S.A.
Laryngoscope. 2018 Sep;128(9):2193-2199. doi: 10.1002/lary.27075. Epub 2018 Jan 4.
OBJECTIVES/HYPOTHESIS: Examine trends in clinical research and levels of evidence related to obstructive sleep apnea (OSA) in the medical literature. Describe the features and trends of OSA research within otolaryngology journals.
Retrospective analysis.
Review of OSA research articles from 2006, 2011, and 2016 in four leading medical sleep and otolaryngology journals. Level of evidence was graded, and study characteristics were measured.
Seven hundred eight total articles were reviewed. OSA articles significantly increased in both number and proportion of total articles in the medical sleep (P < .001) and otolaryngology (P = .004) journals. Surgically focused articles did not significantly increase in either literature. There was no significant difference between medical sleep and otolaryngology literature levels of evidence regarding OSA, and no trend toward higher levels of evidence over time. Medical sleep publications had significantly higher proportions of grant-funded (P < .001) and National Institutes of Health (NIH)-funded (P < .001) publications versus otolaryngology journals. Over time, otolaryngology journals had decreasing numbers of grant-funded and NIH-funded projects.
OSA research is increasingly present in medical sleep and otolaryngology literature. Levels of evidence are modest for the two specialties, and have shown no trend toward increasing over time. Concurrently, otolaryngologists are less likely to be grant funded than their medical colleagues, and sleep surgery has stagnated in the studied journals. This study encourages continued efforts to publish high-quality research on OSA. It may also help guide our specialty when setting priorities regarding research funding and support for sleep surgeons.
NA Laryngoscope, 128:2193-2199, 2018.
目的/假设：研究医学文献中与阻塞性睡眠呼吸暂停（OSA）相关的临床研究趋势及证据水平。描述耳鼻喉科期刊内OSA研究的特点和趋势。
回顾性分析。
查阅2006年、2011年和2016年四种主要医学睡眠及耳鼻喉科期刊上的OSA研究文章。对证据水平进行分级，并衡量研究特征。
共查阅了708篇文章。医学睡眠（P < 0.001）和耳鼻喉科（P = 0.004）期刊中，OSA文章的数量和在文章总数中的占比均显著增加。专注于手术治疗的文章在两类文献中均未显著增加。医学睡眠和耳鼻喉科文献中关于OSA的证据水平无显著差异，且未呈现随时间推移证据水平升高的趋势。与耳鼻喉科期刊相比，医学睡眠领域的出版物获得资助（P < 0.001）和美国国立卫生研究院（NIH）资助（P < 0.001）的比例显著更高。随着时间推移，耳鼻喉科期刊中获得资助和NIH资助的项目数量减少。
OSA研究在医学睡眠和耳鼻喉科文献中越来越多。这两个专业领域的证据水平一般，且未呈现随时间增加的趋势。同时，与医学领域的同行相比，耳鼻喉科医生获得资助的可能性较小，在所研究的期刊中睡眠手术研究停滞不前。本研究鼓励继续努力发表关于OSA的高质量研究。它也可能有助于在确定研究资金优先级和支持睡眠外科医生方面为我们的专业提供指导。
NA 喉镜，128:2193 - 2199，2018年。
