Evidence map›Paper›PMID 20079978›Full record

ArticleDrug and alcohol dependence2010

Obstructive sleep apnea is more common than central sleep apnea in methadone maintenance patients with subjective sleep complaints.

Katherine M Sharkey, Megan E Kurth, Bradley J Anderson, Richard P Corso, Richard P Millman, Michael D Stein

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

38 citing papers in PubMed, 109 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Central Sleep Apnea in Adults: Diagnosis and Treatment.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2023
    Article
  9. Article
  10. Opioids and obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Chronic Opioid Therapy and Sleep: An American Academy of Sleep Medicine Position Statement.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Article
  18. Article
  19. Chronic Opioid Use Following Surgery for Oral Cavity Cancer.JAMA otolaryngology-- head & neck surgery · 2017
    Article
  20. Opioids and Chronic Pain: Where Is the Balance?Current oncology reports · 2016
    Review
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

6 authors at 3 institutions in 1 country.

Katherine M SharkeyDepartment of Medicine, Alpert Medical School of Brown University, Providence, RI 02906, USA. ksharkey@lifespan.org
Megan E Kurth
Bradley J Anderson
Richard P Corso
Richard P Millman
Michael D Stein
Brown University · USButler Hospital · USProvidence College · US

Funding

INSOMNIA AND DRUG RELAPSE RISKR01DA020479 · NIDA · RHODE ISLAND HOSPITAL · PI STEIN, MICHAEL D · 2005 to 2009
$1.6M
MIDCAREER INVESTIGATOR AWARD IN SUBSTANCE ABUSE RESEARCHK24DA000512 · NIDA · RHODE ISLAND HOSPITAL (PROVIDENCE, RI) · PI STEIN, MICHAEL D · 2001 to 2010
$982k
NIDA NIH HHS K24 DA000512NIDA NIH HHS K24-DA00512NIDA NIH HHS R01 DA020479NIDA NIH HHS R01DA020479
6 · The paper itself

Abstract

objectivesOpioid-dependent patients treated with methadone have subjective sleep complaints and disrupted sleep on polysomnography (PSG). Previous studies of sleep-disordered breathing (SDB) in this population have focused on central sleep apnea (CSA). Our objectives were to: (1) characterize obstructive sleep apnea (OSA) and CSA in patients in methadone maintenance treatment (MMT) for opioid dependence; (2) examine factors associated with SDB in this population; and (3) investigate whether SDB was related to severity of subjective sleep complaints in MMT patients with subjective sleep disturbances.

methodsWe analyzed OSA and CSA from one night of home PSG in 71 patients who were in MMT for at least 3 months and had a Pittsburgh Sleep Quality Inventory (PSQI) score >5.

resultsOSA (defined as obstructive apnea-hypopnea index (OAHI) > or = 5) was observed in 35.2% of our sample. OSA was associated with higher body mass index, longer duration in MMT, and non-Caucasian race. CSA (defined as central apnea index (CAI) > or = 5) was observed in 14.1% of the sample. CSA was not associated with methadone dose or concomitant drug use. Subjective sleep disturbance measured with the PSQI was not related to OSA or CSA.

conclusionsSDB was common in this sample of MMT patients and OSA was more common than CSA. Given the lack of association between presence of SDB and severity of subjective sleep difficulties, factors other than sleep apnea must account for complaints of disturbed sleep in this population.

Indexed as

AdultBody Mass IndexFemaleHumansMaleMethadoneMiddle AgedNarcoticsOpioid-Related DisordersPolysomnographyPsychiatric Status Rating ScalesRespirationSleep Apnea, CentralSleep Apnea, ObstructiveSleep Wake DisordersSocioeconomic FactorsMethadoneNarcotics

Identifiers

PMID20079978
PMCPMC2859844
OpenAlexW2064193182

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.