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Patients using alternative therapies for OSA, such as oral appliances, body positioners, nasal resistive valves, oral negative pressure devices, and hypoglossal nerve stimulators, should be encouraged to continue use of their therapy in the perioperative setting.

Find articles by Adrian V. Reviewers of literature Does a diagnosis of obstructive sleep apnea change outcomes? Conflicts of interest: Peter Gay reports no conflicts of interest. Analyses that used data from population-based administrative databases were also included because these reported on large numbers of patients and are powered to investigate rare outcomes.

At present, we believe that there is insufficient evidence to support canceling or delaying surgery to perform sleep studies and to initiate PAP therapy in those patients identified as being at high risk of OSA preoperatively, unless there is evidence of significant or uncontrolled systemic disease.

Our search was restricted to studies in adults 18 years of age and older published in English language only. ST depression only on the initial lead ECG: early diagnosis of acute myocardial infarction.

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The number of the statements may be higher than the number of citations provided by EuropePMC if one paper cites another multiple times or lower if scite has not yet processed some of the citing articles. Find articles by Marina Englesakis.

Because screening instruments perform better in patients with greater OSA severity, screen-positive patients with greater threshold values should be assumed to have moderate-to-severe OSA in the absence of diagnostic polysomnography.

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