{"id":1275,"date":"2026-10-28T22:23:44","date_gmt":"2026-10-28T22:23:44","guid":{"rendered":"https:\/\/asantehealthy.com\/?page_id=1275"},"modified":"2026-10-29T03:20:39","modified_gmt":"2026-10-29T03:20:39","slug":"reduce-sleep-disturbances-to-improve-post-surgery-success","status":"publish","type":"page","link":"https:\/\/asantehealthy.com\/es\/reduce-sleep-disturbances-to-improve-post-surgery-success\/","title":{"rendered":"Reduce Sleep Disturbances to Improve Post-Surgery Success"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1275\" class=\"elementor elementor-1275\">\n\t\t\t\t<div class=\"elementor-element elementor-element-959e480 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"959e480\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div 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-1;\r\n    }\r\n\r\n    .asante-article__content {\r\n      max-width: none;\r\n    }\r\n  }\r\n\r\n  \/* MOBILE *\/\r\n  @media (max-width: 767px) {\r\n    .asante-article__hero {\r\n      padding: 34px 18px;\r\n    }\r\n\r\n    .asante-article h1 {\r\n      font-size: 42px;\r\n      line-height: 1.02;\r\n    }\r\n\r\n    .asante-article__dek {\r\n      font-size: 17px;\r\n    }\r\n\r\n    .asante-article__hero-image {\r\n      height: 280px;\r\n      border-radius: 14px;\r\n    }\r\n\r\n    .asante-article__meta {\r\n      gap: 13px;\r\n    }\r\n\r\n    .asante-article__meta-divider {\r\n      display: none;\r\n    }\r\n\r\n    .asante-article__meta-text {\r\n      width: 100%;\r\n      padding-left: 60px;\r\n      margin-top: -7px;\r\n    }\r\n\r\n    .asante-article__body {\r\n      padding: 30px 18px 48px;\r\n      gap: 32px;\r\n    }\r\n\r\n    .asante-article__toc {\r\n      display: block;\r\n    }\r\n\r\n    .asante-article__content h2 {\r\n      font-size: 28px;\r\n    }\r\n\r\n    .asante-article__content p {\r\n      font-size: 16px;\r\n      line-height: 1.68;\r\n    }\r\n\r\n    .asante-article__related {\r\n      padding: 0 18px 48px;\r\n    }\r\n\r\n    .asante-article__related-grid {\r\n      grid-template-columns: 1fr;\r\n    }\r\n\r\n    .asante-article__card img {\r\n      height: 220px;\r\n    }\r\n  }\r\n<\/style>\r\n\r\n<article class=\"asante-article\">\r\n\r\n  <section class=\"asante-article__hero\">\r\n    <div class=\"asante-article__hero-inner\">\r\n\r\n      <div>\r\n        <div class=\"asante-article__eyebrow\">\r\n          Surgery &amp; Recovery\r\n        <\/div>\r\n\r\n        <h1>\r\n          Reduce Sleep Disturbances to Improve Post-Surgery Success\r\n        <\/h1>\r\n\r\n        <p class=\"asante-article__dek\">\r\n          Sleep disturbances represent a significant and potentially modifiable risk factor for post surgical outcomes.\r\n        <\/p>\r\n\r\n        <div class=\"asante-article__meta\">\r\n\r\n          <div class=\"asante-article__author\">\r\n            <!-- <img decoding=\"async\"\r\n              src=\"https:\/\/asantehealthy.com\/wp-content\/uploads\/2026\/06\/Michael-Francis-PhD.-Headshot-1.jpg\"\r\n              alt=\"Michael Francis, PhD\"\r\n            >-->\r\n\r\n            <div>\r\n              <div class=\"asante-article__author-name\">\r\n                Multiple Authors, see citation.\r\n              <\/div>\r\n\r\n              <div class=\"asante-article__author-org\">\r\n                Asante Health\r\n              <\/div>\r\n            <\/div>\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__meta-divider\"><\/div>\r\n\r\n          <div class=\"asante-article__meta-text\">\r\n            October 1, 2026\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__meta-divider\"><\/div>\r\n\r\n          <div class=\"asante-article__meta-text\">\r\n            6 min read\r\n          <\/div>\r\n\r\n        <\/div>\r\n      <\/div>\r\n\r\n      <div>\r\n        <img decoding=\"async\"\r\n          class=\"asante-article__hero-image\"\r\n          src=\"https:\/\/asantehealthy.com\/wp-content\/uploads\/2026\/10\/pexels-shvets-production-8899461-scaled.jpg\"\r\n          alt=\"Older Male Person sleeping on bed\"\r\n        >\r\n      <\/div>\r\n\r\n    <\/div>\r\n  <\/section>\r\n\r\n\r\n  <div class=\"asante-article__body\">\r\n\r\n    <aside class=\"asante-article__toc\">\r\n      <div class=\"asante-article__toc-title\">\r\n        In this article\r\n      <\/div>\r\n\r\n      <a href=\"#sleep-disturbances\">Sleep disturbances<\/a>\r\n      <a href=\"#osa-risk-factor\">OSA risk factors<\/a>\r\n      <a href=\"#sleep-scores\">Sleep scores and outcomes<\/a>\r\n      <a href=\"#citations\">Citations<\/a>\r\n    <\/aside>\r\n\r\n\r\n    <div class=\"asante-article__content\">\r\n\r\n      <section id=\"sleep-disturbances\">\r\n        <h2>Sleep disturbances are modifiable risks<\/h2>\r\n\r\n        <p>\r\n          Sleep disturbances represent a significant and potentially modifiable risk factor for post-operative complications and\/or diminished clinical outcomes following elective total joint arthroplasty and spine surgery. The term \u201csleep disturbances\u201d refers to a broad spectrum of conditions ranging from obstructive sleep apnea (OSA), a clinical diagnosis characterized by recurrent episodes of partial or complete upper airway obstruction during sleep, to more general perturbations in sleep quality, continuity, and\/or duration.\r\n        <\/p>\r\n        \r\n      <section id=\"osa-risk-factor\">\r\n        <h2>OSA is the most common risk factor<\/h2>\r\n        \r\n        <p>\r\n          Among these conditions, OSA has the deepest and most consistent basis as a risk factor for medical and thromboembolic complications and hospital utilization, after elective orthopedic surgical procedures [1-6]. Even in the absence of documented OSA, poor preoperative sleep quality has been associated worse early postoperative pain, higher analgesic consumption, diminished functional capacity, and longer length of hospital stay [7].\r\n        <\/p>\r\n        \r\n        <section id=\"sleep-scores\">\r\n        <h2>Sleep issues can impede recovery<\/h2>\r\n        <p>\r\n          Moreover, compelling evidence suggests that underlying sleep disturbances may exacerbate patients\u2019 pain and magnify the effects of maladaptive psychological phenotypes in the early post-operative period. Screening for sleep disturbances using validated instruments, such as the Patient Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance score, can facilitate recognition of \u2018at risk\u2019 patients and prompt the modification of perioperative analgesic regimens to further optimize clinical outcomes [8,9].\r\n        <\/p>\r\n      <\/section>\r\n\r\n\r\n  <!--    <section id=\"before-surgery\">\r\n        <h2>Before surgery: establishing a baseline<\/h2>\r\n\r\n        <p>\r\n          In the weeks leading up to surgery, wearable data can help establish\r\n          a picture of your normal activity, heart rate and sleep patterns.\r\n          Understanding those typical patterns can make it easier to recognize\r\n          meaningful changes and identify areas that may support preparation\r\n          before a procedure.\r\n        <\/p>\r\n      <\/section>\r\n\r\n\r\n      <section id=\"hospital-stay\">\r\n        <h2>During your hospital stay<\/h2>\r\n\r\n        <p>\r\n          Depending on the procedure and care plan, information from wearable\r\n          technology may help provide additional context around activity,\r\n          rest and other daily trends. Your healthcare team can help determine\r\n          what information is relevant to your individual care.\r\n        <\/p>\r\n      <\/section>\r\n\r\n\r\n      <section id=\"recovery\">\r\n        <h2>Recovery insights<\/h2>\r\n\r\n        <p>\r\n          After surgery, wearable devices can help patients observe changes in\r\n          activity, sleep and other everyday patterns as recovery progresses.\r\n          Tracking trends over time can provide a clearer picture than focusing\r\n          on a single day's measurements.\r\n        <\/p>\r\n      <\/section>\r\n-->\r\n\r\n      <section id=\"citations\">\r\n        <h2>Citations & Sources<\/h2>\r\n\r\n        <p>\r\n  \r\n<ol>\r\n  <li>\r\n    Thomas TL, Rampam S, Nithagon P, Goh GS. Increased Risk of Postoperative Complications in Patients Who Have Obstructive Sleep Apnea Undergoing Total Joint Arthroplasty: A Systematic Review and Meta-Analysis. <em>J Arthroplasty<\/em>. Dec 2024;39(12):3119-3127.e1. doi:10.1016\/j.arth.2024.06.015\r\n  <\/li>\r\n\r\n  <li>\r\n    Naveen N, Sabacinski K, Booth M. Impact of Preoperative Obstructive Sleep Apnea on Complications, Healthcare Utilization, and Revision Rates Following Primary Total Knee and Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. <em>Cureus<\/em>. Jun 2026;18(6):e111137. doi:10.7759\/cureus.111137\r\n  <\/li>\r\n\r\n  <li>\r\n    Tang A, Aggarwal VK, Yoon RS, Liporace FA, Schwarzkopf R. The Effect of Obstructive Sleep Apnea on Venous Thromboembolism Risk in Patients Undergoing Total Joint Arthroplasty. <em>J Am Acad Orthop Surg Glob Res Rev<\/em>. Apr 1 2022;6(4). doi:10.5435\/JAAOSGlobal-D-21-00248\r\n  <\/li>\r\n\r\n  <li>\r\n    Sanghvi PA, Burkhart RJ, Adelstein JM, et al. Outcomes following total shoulder arthroplasty in patients with obstructive sleep apnea. <em>J Shoulder Elbow Surg<\/em>. Dec 2025;34(12):e1142-e1150. doi:10.1016\/j.jse.2025.03.003\r\n  <\/li>\r\n\r\n  <li>\r\n    Narayanan R, Tarawneh OH, Dalton J, et al. Impact of Obstructive Sleep Apnea on Outcomes After Anterior Cervical Discectomy and Fusion: A Propensity Matched Analysis. <em>Spine (Phila Pa 1976)<\/em>. Oct 1 2025;50(19):1313-1318. doi:10.1097\/brs.0000000000005212\r\n  <\/li>\r\n\r\n  <li>\r\n    Thiru SS, Rossettie S, Rani R, et al. Outcomes after total shoulder arthroplasty in obstructive sleep apnea patients: a retrospective cohort analysis of over 10,000 patients. <em>Eur J Orthop Surg Traumatol<\/em>. May 16 2026;36(1). doi:10.1007\/s00590-026-04781-3\r\n  <\/li>\r\n\r\n  <li>\r\n    Sun X, Yu J, Luo J, Xu S, Yang N, Wang Y. Meta-analysis of the association between obstructive sleep apnea and postoperative complications. <em>Sleep Med<\/em>. Mar 2022;91:1-11. doi:10.1016\/j.sleep.2021.11.019\r\n  <\/li>\r\n\r\n  <li>\r\n    Yu L, Buysse DJ, Germain A, et al. Development of short forms from the PROMIS\u2122 sleep disturbance and Sleep-Related Impairment item banks. <em>Behav Sleep Med<\/em>. Dec 28 2011;10(1):6-24. doi:10.1080\/15402002.2012.636266\r\n  <\/li>\r\n\r\n  <li>\r\n    Parikh R, Berezin L, Saripella A, et al. The clinical effectiveness of preoperative screening and post-screening interventions for obstructive sleep apnea: A systematic review and meta-analysis. <em>J Clin Anesth<\/em>. Feb 2026;109:112084. doi:10.1016\/j.jclinane.2025.112084\r\n  <\/li>\r\n<\/ol>\r\n        <\/p>\r\n      <\/section>\r\n\r\n    <\/div>\r\n  <\/div>\r\n\r\n\r\n<!--  <section class=\"asante-article__related\" id=\"related-insights\">\r\n\r\n    <h2>Related insights<\/h2>\r\n\r\n    <div class=\"asante-article__related-grid\">\r\n\r\n      <a href=\"https:\/\/asantehealthy.com\/article-template\/\" class=\"asante-article__card\">\r\n        <img decoding=\"async\"\r\n          src=\"https:\/\/images.unsplash.com\/photo-1476480862126-209bfaa8edc8?auto=format&fit=crop&w=900&q=80\"\r\n          alt=\"\"\r\n        >\r\n\r\n        <div class=\"asante-article__card-body\">\r\n          <div class=\"asante-article__card-label\">\r\n            Wellness &amp; Prevention\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__card-title\">\r\n            5 Ways to Prepare Your Body for Surgery\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__card-meta\">\r\n            5 min read\r\n          <\/div>\r\n        <\/div>\r\n      <\/a>\r\n\r\n\r\n      <a href=\"https:\/\/asantehealthy.com\/article-template\/\" class=\"asante-article__card\">\r\n        <img decoding=\"async\"\r\n          src=\"https:\/\/images.unsplash.com\/photo-1541781774459-bb2af2f05b55?auto=format&fit=crop&w=900&q=80\"\r\n          alt=\"\"\r\n        >\r\n\r\n        <div class=\"asante-article__card-body\">\r\n          <div class=\"asante-article__card-label green\">\r\n            Recovery &amp; Healing\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__card-title\">\r\n            The Role of Sleep in a Stronger Recovery\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__card-meta\">\r\n            6 min read\r\n          <\/div>\r\n        <\/div>\r\n      <\/a>\r\n\r\n\r\n      <a href=\"https:\/\/asantehealthy.com\/article-template\/\" class=\"asante-article__card\">\r\n        <img decoding=\"async\"\r\n          src=\"https:\/\/images.unsplash.com\/photo-1546069901-ba9599a7e63c?auto=format&fit=crop&w=900&q=80\"\r\n          alt=\"\"\r\n        >\r\n\r\n        <div class=\"asante-article__card-body\">\r\n          <div class=\"asante-article__card-label\">\r\n            Nutrition &amp; Lifestyle\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__card-title\">\r\n            Nutrition Tips to Help You Heal After Surgery\r\n          <\/div>\r\n\r\n          <div class=\"asante-article__card-meta\">\r\n            5 min read\r\n          <\/div>\r\n        <\/div>\r\n      <\/a>\r\n\r\n    <\/div>\r\n\r\n  <\/section>\r\n\r\n<\/article>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Surgery &amp; Recovery Reduce Sleep Disturbances to Improve Post-Surgery Success Sleep disturbances represent a significant and potentially modifiable risk factor for post surgical outcomes. Multiple Authors, see citation. Asante Health October 1, 2026 6 min read In this article Sleep disturbances OSA risk factors Sleep scores and outcomes Citations Sleep disturbances are modifiable risks Sleep disturbances represent a significant and potentially modifiable risk factor for post-operative complications and\/or diminished clinical outcomes following elective total joint arthroplasty and spine surgery. The term \u201csleep disturbances\u201d refers to a broad spectrum of conditions ranging from obstructive sleep apnea (OSA), a clinical diagnosis characterized by recurrent episodes of partial or complete upper airway obstruction during sleep, to more general perturbations in sleep quality, continuity, and\/or duration. OSA is the most common risk factor Among these conditions, OSA has the deepest and most consistent basis as a risk factor for medical and thromboembolic complications and hospital utilization, after elective orthopedic surgical procedures [1-6]. Even in the absence of documented OSA, poor preoperative sleep quality has been associated worse early postoperative pain, higher analgesic consumption, diminished functional capacity, and longer length of hospital stay [7]. Sleep issues can impede recovery Moreover, compelling evidence suggests that underlying sleep disturbances may exacerbate patients\u2019 pain and magnify the effects of maladaptive psychological phenotypes in the early post-operative period. Screening for sleep disturbances using validated instruments, such as the Patient Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance score, can facilitate recognition of \u2018at risk\u2019 patients and prompt the modification of perioperative analgesic regimens to further optimize clinical outcomes [8,9]. Citations &#038; Sources Thomas TL, Rampam S, Nithagon P, Goh GS. Increased Risk of Postoperative Complications in Patients Who Have Obstructive Sleep Apnea Undergoing Total Joint Arthroplasty: A Systematic Review and Meta-Analysis. J Arthroplasty. Dec 2024;39(12):3119-3127.e1. doi:10.1016\/j.arth.2024.06.015 Naveen N, Sabacinski K, Booth M. Impact of Preoperative Obstructive Sleep Apnea on Complications, Healthcare Utilization, and Revision Rates Following Primary Total Knee and Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. Cureus. Jun 2026;18(6):e111137. doi:10.7759\/cureus.111137 Tang A, Aggarwal VK, Yoon RS, Liporace FA, Schwarzkopf R. The Effect of Obstructive Sleep Apnea on Venous Thromboembolism Risk in Patients Undergoing Total Joint Arthroplasty. J Am Acad Orthop Surg Glob Res Rev. Apr 1 2022;6(4). doi:10.5435\/JAAOSGlobal-D-21-00248 Sanghvi PA, Burkhart RJ, Adelstein JM, et al. Outcomes following total shoulder arthroplasty in patients with obstructive sleep apnea. J Shoulder Elbow Surg. Dec 2025;34(12):e1142-e1150. doi:10.1016\/j.jse.2025.03.003 Narayanan R, Tarawneh OH, Dalton J, et al. Impact of Obstructive Sleep Apnea on Outcomes After Anterior Cervical Discectomy and Fusion: A Propensity Matched Analysis. Spine (Phila Pa 1976). Oct 1 2025;50(19):1313-1318. doi:10.1097\/brs.0000000000005212 Thiru SS, Rossettie S, Rani R, et al. Outcomes after total shoulder arthroplasty in obstructive sleep apnea patients: a retrospective cohort analysis of over 10,000 patients. Eur J Orthop Surg Traumatol. May 16 2026;36(1). doi:10.1007\/s00590-026-04781-3 Sun X, Yu J, Luo J, Xu S, Yang N, Wang Y. Meta-analysis of the association between obstructive sleep apnea and postoperative complications. Sleep Med. Mar 2022;91:1-11. doi:10.1016\/j.sleep.2021.11.019 Yu L, Buysse DJ, Germain A, et al. Development of short forms from the PROMIS\u2122 sleep disturbance and Sleep-Related Impairment item banks. Behav Sleep Med. Dec 28 2011;10(1):6-24. doi:10.1080\/15402002.2012.636266 Parikh R, Berezin L, Saripella A, et al. The clinical effectiveness of preoperative screening and post-screening interventions for obstructive sleep apnea: A systematic review and meta-analysis. J Clin Anesth. Feb 2026;109:112084. doi:10.1016\/j.jclinane.2025.112084<\/p>\n","protected":false},"author":1,"featured_media":21,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1275","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Reduce Sleep Disturbances to Improve Post-Surgery Success - Asante Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/asantehealthy.com\/es\/reduce-sleep-disturbances-to-improve-post-surgery-success\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reduce Sleep Disturbances to Improve Post-Surgery Success - Asante Health\" \/>\n<meta property=\"og:description\" content=\"Surgery &amp; Recovery Reduce Sleep Disturbances to Improve Post-Surgery Success Sleep disturbances represent a significant and potentially modifiable risk factor for post surgical outcomes. Multiple Authors, see citation. Asante Health October 1, 2026 6 min read In this article Sleep disturbances OSA risk factors Sleep scores and outcomes Citations Sleep disturbances are modifiable risks Sleep disturbances represent a significant and potentially modifiable risk factor for post-operative complications and\/or diminished clinical outcomes following elective total joint arthroplasty and spine surgery. The term \u201csleep disturbances\u201d refers to a broad spectrum of conditions ranging from obstructive sleep apnea (OSA), a clinical diagnosis characterized by recurrent episodes of partial or complete upper airway obstruction during sleep, to more general perturbations in sleep quality, continuity, and\/or duration. OSA is the most common risk factor Among these conditions, OSA has the deepest and most consistent basis as a risk factor for medical and thromboembolic complications and hospital utilization, after elective orthopedic surgical procedures [1-6]. Even in the absence of documented OSA, poor preoperative sleep quality has been associated worse early postoperative pain, higher analgesic consumption, diminished functional capacity, and longer length of hospital stay [7]. Sleep issues can impede recovery Moreover, compelling evidence suggests that underlying sleep disturbances may exacerbate patients\u2019 pain and magnify the effects of maladaptive psychological phenotypes in the early post-operative period. Screening for sleep disturbances using validated instruments, such as the Patient Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance score, can facilitate recognition of \u2018at risk\u2019 patients and prompt the modification of perioperative analgesic regimens to further optimize clinical outcomes [8,9]. Citations &#038; Sources Thomas TL, Rampam S, Nithagon P, Goh GS. Increased Risk of Postoperative Complications in Patients Who Have Obstructive Sleep Apnea Undergoing Total Joint Arthroplasty: A Systematic Review and Meta-Analysis. J Arthroplasty. Dec 2024;39(12):3119-3127.e1. doi:10.1016\/j.arth.2024.06.015 Naveen N, Sabacinski K, Booth M. Impact of Preoperative Obstructive Sleep Apnea on Complications, Healthcare Utilization, and Revision Rates Following Primary Total Knee and Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. Cureus. Jun 2026;18(6):e111137. doi:10.7759\/cureus.111137 Tang A, Aggarwal VK, Yoon RS, Liporace FA, Schwarzkopf R. The Effect of Obstructive Sleep Apnea on Venous Thromboembolism Risk in Patients Undergoing Total Joint Arthroplasty. J Am Acad Orthop Surg Glob Res Rev. Apr 1 2022;6(4). doi:10.5435\/JAAOSGlobal-D-21-00248 Sanghvi PA, Burkhart RJ, Adelstein JM, et al. Outcomes following total shoulder arthroplasty in patients with obstructive sleep apnea. J Shoulder Elbow Surg. Dec 2025;34(12):e1142-e1150. doi:10.1016\/j.jse.2025.03.003 Narayanan R, Tarawneh OH, Dalton J, et al. Impact of Obstructive Sleep Apnea on Outcomes After Anterior Cervical Discectomy and Fusion: A Propensity Matched Analysis. Spine (Phila Pa 1976). Oct 1 2025;50(19):1313-1318. doi:10.1097\/brs.0000000000005212 Thiru SS, Rossettie S, Rani R, et al. Outcomes after total shoulder arthroplasty in obstructive sleep apnea patients: a retrospective cohort analysis of over 10,000 patients. Eur J Orthop Surg Traumatol. May 16 2026;36(1). doi:10.1007\/s00590-026-04781-3 Sun X, Yu J, Luo J, Xu S, Yang N, Wang Y. Meta-analysis of the association between obstructive sleep apnea and postoperative complications. Sleep Med. Mar 2022;91:1-11. doi:10.1016\/j.sleep.2021.11.019 Yu L, Buysse DJ, Germain A, et al. Development of short forms from the PROMIS\u2122 sleep disturbance and Sleep-Related Impairment item banks. Behav Sleep Med. Dec 28 2011;10(1):6-24. doi:10.1080\/15402002.2012.636266 Parikh R, Berezin L, Saripella A, et al. The clinical effectiveness of preoperative screening and post-screening interventions for obstructive sleep apnea: A systematic review and meta-analysis. J Clin Anesth. 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Multiple Authors, see citation. Asante Health October 1, 2026 6 min read In this article Sleep disturbances OSA risk factors Sleep scores and outcomes Citations Sleep disturbances are modifiable risks Sleep disturbances represent a significant and potentially modifiable risk factor for post-operative complications and\/or diminished clinical outcomes following elective total joint arthroplasty and spine surgery. The term \u201csleep disturbances\u201d refers to a broad spectrum of conditions ranging from obstructive sleep apnea (OSA), a clinical diagnosis characterized by recurrent episodes of partial or complete upper airway obstruction during sleep, to more general perturbations in sleep quality, continuity, and\/or duration. OSA is the most common risk factor Among these conditions, OSA has the deepest and most consistent basis as a risk factor for medical and thromboembolic complications and hospital utilization, after elective orthopedic surgical procedures [1-6]. Even in the absence of documented OSA, poor preoperative sleep quality has been associated worse early postoperative pain, higher analgesic consumption, diminished functional capacity, and longer length of hospital stay [7]. Sleep issues can impede recovery Moreover, compelling evidence suggests that underlying sleep disturbances may exacerbate patients\u2019 pain and magnify the effects of maladaptive psychological phenotypes in the early post-operative period. Screening for sleep disturbances using validated instruments, such as the Patient Reported Outcomes Measurement Information System (PROMIS) Sleep Disturbance score, can facilitate recognition of \u2018at risk\u2019 patients and prompt the modification of perioperative analgesic regimens to further optimize clinical outcomes [8,9]. Citations &#038; Sources Thomas TL, Rampam S, Nithagon P, Goh GS. Increased Risk of Postoperative Complications in Patients Who Have Obstructive Sleep Apnea Undergoing Total Joint Arthroplasty: A Systematic Review and Meta-Analysis. J Arthroplasty. Dec 2024;39(12):3119-3127.e1. doi:10.1016\/j.arth.2024.06.015 Naveen N, Sabacinski K, Booth M. Impact of Preoperative Obstructive Sleep Apnea on Complications, Healthcare Utilization, and Revision Rates Following Primary Total Knee and Total Hip Arthroplasty: A Systematic Review and Meta-Analysis. Cureus. Jun 2026;18(6):e111137. doi:10.7759\/cureus.111137 Tang A, Aggarwal VK, Yoon RS, Liporace FA, Schwarzkopf R. The Effect of Obstructive Sleep Apnea on Venous Thromboembolism Risk in Patients Undergoing Total Joint Arthroplasty. J Am Acad Orthop Surg Glob Res Rev. Apr 1 2022;6(4). doi:10.5435\/JAAOSGlobal-D-21-00248 Sanghvi PA, Burkhart RJ, Adelstein JM, et al. Outcomes following total shoulder arthroplasty in patients with obstructive sleep apnea. J Shoulder Elbow Surg. Dec 2025;34(12):e1142-e1150. doi:10.1016\/j.jse.2025.03.003 Narayanan R, Tarawneh OH, Dalton J, et al. Impact of Obstructive Sleep Apnea on Outcomes After Anterior Cervical Discectomy and Fusion: A Propensity Matched Analysis. Spine (Phila Pa 1976). Oct 1 2025;50(19):1313-1318. doi:10.1097\/brs.0000000000005212 Thiru SS, Rossettie S, Rani R, et al. Outcomes after total shoulder arthroplasty in obstructive sleep apnea patients: a retrospective cohort analysis of over 10,000 patients. Eur J Orthop Surg Traumatol. May 16 2026;36(1). doi:10.1007\/s00590-026-04781-3 Sun X, Yu J, Luo J, Xu S, Yang N, Wang Y. Meta-analysis of the association between obstructive sleep apnea and postoperative complications. Sleep Med. Mar 2022;91:1-11. doi:10.1016\/j.sleep.2021.11.019 Yu L, Buysse DJ, Germain A, et al. Development of short forms from the PROMIS\u2122 sleep disturbance and Sleep-Related Impairment item banks. Behav Sleep Med. Dec 28 2011;10(1):6-24. doi:10.1080\/15402002.2012.636266 Parikh R, Berezin L, Saripella A, et al. The clinical effectiveness of preoperative screening and post-screening interventions for obstructive sleep apnea: A systematic review and meta-analysis. J Clin Anesth. 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