Performance of screening questionnaires for obstructive sleep apnea during pregnancy: A systematic review and meta-analysis Visasiri Tantrakul, Pawin.

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Performance of screening questionnaires for obstructive sleep apnea during pregnancy: A systematic review and meta-analysis Visasiri Tantrakul, Pawin Numthavaj, Christian Guilleminault, Mark McEvoy, Panyu Panburana, Win Khaing, John Attia, Ammarin Thakkinstian Sleep Medicine Reviews Volume 36, Pages 96-106 (December 2017) DOI: 10.1016/j.smrv.2016.11.003 Copyright © 2016 The Authors Terms and Conditions

Fig. 1 PRISMA34 flow chart of selection of studies. Abbreviations: OSA = obstructive sleep apnea; PRISMA = preferred reporting items for systematic reviews and meta-analysis. Sleep Medicine Reviews 2017 36, 96-106DOI: (10.1016/j.smrv.2016.11.003) Copyright © 2016 The Authors Terms and Conditions

Fig. 2 Quality assessment for diagnostic test of the included studies according to the QUADAS-2 tool: proportion of studies with low, high, or unclear RISK of BIAS. Sleep Medicine Reviews 2017 36, 96-106DOI: (10.1016/j.smrv.2016.11.003) Copyright © 2016 The Authors Terms and Conditions

Fig. 3 Quality assessment for diagnostic test of the included studies according to the QUADAS-2 tool: proportion of studies with low, high, or unclear concerns regarding applicability. Sleep Medicine Reviews 2017 36, 96-106DOI: (10.1016/j.smrv.2016.11.003) Copyright © 2016 The Authors Terms and Conditions

Fig. 4 Forest plot for Berlin questionnaire in screening OSA during pregnancy. Abbreviations: CI = confidence interval; df = degree of freedom; OSA = obstructive sleep apnea. Sleep Medicine Reviews 2017 36, 96-106DOI: (10.1016/j.smrv.2016.11.003) Copyright © 2016 The Authors Terms and Conditions

Fig. 5 Summary receiver operator curve (SROC) of Berlin questionnaire for diagnosis of OSA during pregnancy. Abbreviations: AUC = area under the curve; SENS = sensitivity; SPEC = specificity; SROC = summary receiver operator curve. Sleep Medicine Reviews 2017 36, 96-106DOI: (10.1016/j.smrv.2016.11.003) Copyright © 2016 The Authors Terms and Conditions

Fig. 6 Fagan plot of Berlin questionnaire for diagnosis of OSA during pregnancy. Abbreviations: LR_negative = likelihood ratio negative; LR_positive = likelihood ratio positive; OSA = obstructive sleep apnea; Post_Prob_neg = posterior probability negative; Post_Prob_Pos = posterior probability positive; Prior Prob = prior probability. Sleep Medicine Reviews 2017 36, 96-106DOI: (10.1016/j.smrv.2016.11.003) Copyright © 2016 The Authors Terms and Conditions