Chinese guideline for the diagnosis and treatment of childhood obstructive sleep apnea: a protocol_Chinese Journal of Evidence-Based Medicine

Authors：

 Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, China , Otolaryngology Head and Neck Surgery Branch of Chinese Medical Association , Pediatric Surgery Branch of Chinese Medical Association , Pediatric Branch of Chinese Medical Association , Editorial Board of

Corresponding author：

Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, China, Email: nixin@bch.com.cn

Keywords：

Obstructive sleep apnea; Children; Diagnosis; Treatment; Guideline; Protocol

DOI：

10.7507/1672-2531.201904057

Video：

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In order to promote the clinical diagnosis and treatment of obstructive sleep apnea (OSA) in Chinese children, it is urgent to construct evidence-based guidelines. The protocol and a formal version of the “Chinese guideline for Diagnosis and Treatment of Obstructive Sleep Apnea in Children” will be drawn up by referring to the “World Health Organization Guidelines Development Manual”. This protocol mainly introduces development methodology and process of guideline, including the significance, purpose, target population, users, members of the designated group, collection and determination of clinical problems and outcome indicators, evidence acquisition, evaluation and synthesis, the generation of recommendations and so on.

Citation： Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, China, Otolaryngology Head and Neck Surgery Branch of Chinese Medical Association, Pediatric Surgery Branch of Chinese Medical Association, Pediatric Branch of Chinese Medical Association, Editorial Board of. Chinese guideline for the diagnosis and treatment of childhood obstructive sleep apnea: a protocol. Chinese Journal of Evidence-Based Medicine, 2020, 20(1): 102-107. doi: 10.7507/1672-2531.201904057 Copy

1.	中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉科学分会. 儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐). 中华耳鼻咽喉头颈外科杂志, 2007, 42(2): 83-84.
2.	Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2012, 130(3): e714-e755.
3.	Li AM, So HK, Au CT, et al. Epidemiology of obstructive sleep apnoea syndrome in Chinese children: a two-phase community study. Thorax, 2010, 65(11): 991-997.
4.	Tan HL, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep, 2013, 5: 109-123.
5.	Tseng PH, Lee PL, Hsu WC, et al. A Higher proportion of metabolic syndrome in Chinese subjects with sleep-disordered breathing: a case-control study based on electrocardiogram-derived sleep analysis. PLoS One, 2017, 12(1): e0169394.
6.	陈良嗣, 梁璐, 罗小宁, 等. 支撑喉镜CO2激光烧灼治疗先天性梨状窝瘘的初步经验. 中华耳鼻咽喉头颈外科杂志, 2014, 49(7): 582-585.
7.	Farrell PC, Richards G. Recognition and treatment of sleep-disordered breathing: an important component of chronic disease management. J Transl Med, 2017, 15(1): 114.
8.	Shen Y, Xu Z, Shen K. Urinary leukotriene E4, obesity, and adenotonsillar hypertrophy in Chinese children with sleep disordered breathing. Sleep, 2011, 34(8): 1135-1141.
9.	Spruyt K, Gozal D. Pediatric sleep questionnaires as diagnostic or epidemiological tools: a review of currently available instruments. Sleep Med Rev, 2011, 15(1): 19-32.
10.	Sateia MJ. International classification of sleep disorders-third edition. Chest, 2014, 146(5): 1387-1394.
11.	Villa MP, Brunetti L, Bruni O, et al. Guidelines for the diagnosis of childhood obstructive sleep apnea syndrome. Minerva Pediatr, 2004, 56(3): 239-253.
12.	Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2002, 109(4): 704-712.
13.	Roland PS, Rosenfeld RM, Brooks LJ, et al. Clinical practice guideline: Polysomnography for sleep-disordered breathing prior to tonsillectomy in children. Otolaryngol Head Neck Surg, 2011, 145(1 Suppl): S1-S15.
14.	Villa Asensi JR, Martínez Carrasco C, Pérez Pérez G, et al. Guidelines for the diagnosis and management of sleep apnea-hypoapnea syndrome in children. An Pediatr (Barc), 2006, 65(4): 364-376.
15.	中华医学会儿科学分会呼吸学组睡眠协作组《中华实用儿科临床杂志》编辑委员会. 无创正压通气治疗儿童阻塞性睡眠呼吸暂停综合征专家共识(草案). 中华实用儿科临床杂志, 2016, 31(19): 1451-1455.
16.	Institute of Medicine. Clinical practice guidelines we can trust. Washington DC: The National Academies Press, 2011.
17.	World Health Organization. WHO handbook for guideline development (2nd ed). Geneva: WHO Press, 2014.
18.	Brouwers M, Kho ME, Browman GP, et al. AGREE Ⅱ: Advancing guideline development, reporting and evaluation in healthcare. J Clin Epidemol, 2010, 63(12): 1308-1311.
19.	Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
20.	陶欢, 杨乐天, 平安, 等. 随机或非随机防治性研究系统评价的质量评价工具AMSTAR 2解读. 中国循证医学杂志, 2018, 18(1): 101-108.
21.	Available at: http://www.gradeworkinggroup.org/.

1. 中华耳鼻咽喉头颈外科杂志编委会, 中华医学会耳鼻咽喉科学分会. 儿童阻塞性睡眠呼吸暂停低通气综合征诊疗指南草案(乌鲁木齐). 中华耳鼻咽喉头颈外科杂志, 2007, 42(2): 83-84.
2. Marcus CL, Brooks LJ, Draper KA, et al. Diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2012, 130(3): e714-e755.
3. Li AM, So HK, Au CT, et al. Epidemiology of obstructive sleep apnoea syndrome in Chinese children: a two-phase community study. Thorax, 2010, 65(11): 991-997.
4. Tan HL, Gozal D, Kheirandish-Gozal L. Obstructive sleep apnea in children: a critical update. Nat Sci Sleep, 2013, 5: 109-123.
5. Tseng PH, Lee PL, Hsu WC, et al. A Higher proportion of metabolic syndrome in Chinese subjects with sleep-disordered breathing: a case-control study based on electrocardiogram-derived sleep analysis. PLoS One, 2017, 12(1): e0169394.
6. 陈良嗣, 梁璐, 罗小宁, 等. 支撑喉镜CO2激光烧灼治疗先天性梨状窝瘘的初步经验. 中华耳鼻咽喉头颈外科杂志, 2014, 49(7): 582-585.
7. Farrell PC, Richards G. Recognition and treatment of sleep-disordered breathing: an important component of chronic disease management. J Transl Med, 2017, 15(1): 114.
8. Shen Y, Xu Z, Shen K. Urinary leukotriene E4, obesity, and adenotonsillar hypertrophy in Chinese children with sleep disordered breathing. Sleep, 2011, 34(8): 1135-1141.
9. Spruyt K, Gozal D. Pediatric sleep questionnaires as diagnostic or epidemiological tools: a review of currently available instruments. Sleep Med Rev, 2011, 15(1): 19-32.
10. Sateia MJ. International classification of sleep disorders-third edition. Chest, 2014, 146(5): 1387-1394.
11. Villa MP, Brunetti L, Bruni O, et al. Guidelines for the diagnosis of childhood obstructive sleep apnea syndrome. Minerva Pediatr, 2004, 56(3): 239-253.
12. Section on Pediatric Pulmonology, Subcommittee on Obstructive Sleep Apnea Syndrome. American Academy of Pediatrics. Clinical practice guideline: diagnosis and management of childhood obstructive sleep apnea syndrome. Pediatrics, 2002, 109(4): 704-712.
13. Roland PS, Rosenfeld RM, Brooks LJ, et al. Clinical practice guideline: Polysomnography for sleep-disordered breathing prior to tonsillectomy in children. Otolaryngol Head Neck Surg, 2011, 145(1 Suppl): S1-S15.
14. Villa Asensi JR, Martínez Carrasco C, Pérez Pérez G, et al. Guidelines for the diagnosis and management of sleep apnea-hypoapnea syndrome in children. An Pediatr (Barc), 2006, 65(4): 364-376.
15. 中华医学会儿科学分会呼吸学组睡眠协作组《中华实用儿科临床杂志》编辑委员会. 无创正压通气治疗儿童阻塞性睡眠呼吸暂停综合征专家共识(草案). 中华实用儿科临床杂志, 2016, 31(19): 1451-1455.
16. Institute of Medicine. Clinical practice guidelines we can trust. Washington DC: The National Academies Press, 2011.
17. World Health Organization. WHO handbook for guideline development (2nd ed). Geneva: WHO Press, 2014.
18. Brouwers M, Kho ME, Browman GP, et al. AGREE Ⅱ: Advancing guideline development, reporting and evaluation in healthcare. J Clin Epidemol, 2010, 63(12): 1308-1311.
19. Chen Y, Yang K, Marušic A, et al. A reporting tool for practice guidelines in health care: the RIGHT statement. Ann Intern Med, 2017, 166(2): 128-132.
20. 陶欢, 杨乐天, 平安, 等. 随机或非随机防治性研究系统评价的质量评价工具AMSTAR 2解读. 中国循证医学杂志, 2018, 18(1): 101-108.
21. Available at: http://www.gradeworkinggroup.org/.

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