Evidence map›Paper›PMID 27000753›Full record

SynthesisHeart failure reviews2016

Effect of continuous positive airway pressure treatment on pulmonary artery pressure in patients with isolated obstructive sleep apnea: a meta-analysis.

Tasnim F Imran, Marya Ghazipura, Spencer Liu, Tanzib Hossain, Hormoz Ashtyani, Bernard Kim, J Michael Gaziano, Luc Djoussé

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Heart failure reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Review
  6. Pulmonary hypertension associated with lung diseases.The European respiratory journal · 2024
    Review
  7. Review
  8. International Consensus Statement on Obstructive Sleep Apnea.International forum of allergy & rhinology · 2023
    Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Observational
  14. Review
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Tasnim F ImranDepartment of Medicine, Brigham & Women's Hospital, VA Boston Healthcare System, Harvard Medical School, 1620 Tremont St, Boston, MA, 02120, USA. TFImran@partners.org.
Marya GhazipuraDepartment of Population Health, New York University Langone Medical Center, 650 First Avenue, New York, NY, 10001, USA.
Spencer LiuHeart Failure and Pulmonary Hypertension Program, Rutgers, New Jersey Medical School, 30 Prospect St, Hackensack, NJ, 07103, USA.
Tanzib HossainHeart Failure and Pulmonary Hypertension Program, Rutgers, New Jersey Medical School, 30 Prospect St, Hackensack, NJ, 07103, USA.
Hormoz AshtyaniHeart Failure and Pulmonary Hypertension Program, Rutgers, New Jersey Medical School, 30 Prospect St, Hackensack, NJ, 07103, USA.
Bernard KimHeart Failure and Pulmonary Hypertension Program, Rutgers, New Jersey Medical School, 30 Prospect St, Hackensack, NJ, 07103, USA.
J Michael GazianoDepartment of Medicine, Brigham & Women's Hospital, VA Boston Healthcare System, Harvard Medical School, 1620 Tremont St, Boston, MA, 02120, USA.
Luc DjousséDepartment of Medicine, Brigham & Women's Hospital, VA Boston Healthcare System, Harvard Medical School, 1620 Tremont St, Boston, MA, 02120, USA.
Brigham and Women's Hospital · USRutgers New Jersey Medical SchoolRutgers, The State University of New Jersey · USHarvard University · USNYU Langone Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary hypertension (PH) can occur in patients with obstructive sleep apnea (OSA) in the absence of cardiac or lung disease. Data on the development and severity of PH, and the effect of continuous positive airway pressure (CPAP) therapy on pulmonary artery (PA) pressures in these patients have been inconsistent in the literature. We sought to determine whether CPAP therapy affects PA pressures in patients with isolated OSA in this meta-analysis. We searched PubMed, Medline, EMBASE and other databases from January 1980 to August 2015. Studies of patients with OSA, defined as an apnea-hypopnea index >10 events/h, and PH, defined as PA pressure >25 mmHg were included. Two reviewers independently extracted data and assessed risk of bias. A total of 222 patients from seven studies (341.53 person-years) had reported PA pressures before and after treatment with CPAP therapy. 77 % of participants were men, with a mean age of 52.5 years, a mean apnea-hypopnea index of 58 events/h, and mean PA pressure of 39.3 ± 6.3 mmHg. CPAP treatment duration ranged from 3 to 70 months. Using fixed effects meta-analysis, CPAP therapy was associated with a decrease in PA pressure of 13.3 mmHg (95 % CI 12.7-14.0) in our study population. This meta-analysis found that CPAP therapy is associated with a significantly lower PA pressure in patients with isolated OSA and PH.

Indexed as

Continuous Positive Airway PressureHumansHypertension, PulmonaryPulmonary ArteryRandomized Controlled Trials as TopicRisk AssessmentSleep Apnea, ObstructiveContinuous positive airway pressureObstructive sleep apneaPulmonary artery pressurePulmonary hypertension

Identifiers

PMID27000753
OpenAlexW2302742775

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.