SynthesisSleep2010
Continuous positive airway pressure reduces risk of motor vehicle crash among drivers with obstructive sleep apnea: systematic review and meta-analysis.
Synthesis in Sleep, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03345524 (Predictive Analytics and Peer-Driven Intervention for Guideline-based Care for Sleep Apnea), which is not on this map. Cited by 120 papers, 6 of them syntheses that pooled 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.
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.
Predictive Analytics and Peer-Driven Intervention for Guideline-based Care for Sleep Apnea
Who cites it
120 citing papers in PubMed, 6 syntheses or guidelines pooled it, 321 citations in OpenAlex.
- Patient-reported outcomes with hypoglossal nerve stimulation for treatment of obstructive sleep apnea: a systematic review and meta-analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023Pooled it
- The invisible costs of obstructive sleep apnea (OSA): Systematic review and cost-of-illness analysis.PloS one · 2022Pooled it
- European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea.European respiratory review : an official journal of the European Respiratory Society · 2021Guideline
- Management of Obstructive Sleep Apnea in Commercial Motor Vehicle Operators: Recommendations of the AASM Sleep and Transportation Safety Awareness Task Force.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017Guideline
- Pooled it
- An official American Thoracic Society statement: continuous positive airway pressure adherence tracking systems. The optimal monitoring strategies and outcome measures in adults.American journal of respiratory and critical care medicine · 2013Guideline
- Peer-Driven Intervention for Care Coordination and Adherence Promotion for Obstructive Sleep Apnea: A Randomized, Parallel-Group Clinical Trial.American journal of respiratory and critical care medicine · 2025Trial
- Hypoxic burden to guide CPAP treatment allocation in patients with obstructive sleep apnoea: aThe European respiratory journal · 2023Trial
- Prevalence of obstructive sleep apnea in suicidal patients with major depressive disorder.Journal of psychiatric research · 2019Trial
- A randomized controlled trial of an ambulatory approach versus the hospital-based approach in managing suspected obstructive sleep apnea syndrome.Scientific reports · 2017Trial
- Effects of armodafinil on simulated driving and self-report measures in obstructive sleep apnea patients prior to treatment with continuous positive airway pressure.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2013Trial
- Development of an Intelligent Clinical Decision Support System for Predicting One-Year CPAP Adherence in Patients with Obstructive Sleep Apnea: A Pilot Study.Journal of clinical medicine · 2026Article
- Obstructive Sleep Apneas and Cardiovascular Diseases.Clocks & sleep · 2026Review
- Impact of Philips device recall on adults with obstructive sleep apnea treated with PAP therapy: Results of a cross-national patient survey.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Article
- Optimising the caffeine nap for counteracting driver sleepiness in CPAP treated obstructive sleep apnoea patients.Scientific reports · 2026Article
- Prevalence of Obstructive Sleep Apnea and Adherence to CPAP for TAXI Drivers.Clocks & sleep · 2026Article
- Comparative Treatment Strategies for Obstructive Sleep Apnea and Their Relationships with Aberrant Driving Behaviors: Taxi Drivers in Taipei Metropolitan Area.Nature and science of sleep · 2026Article
- Obstructive sleep apnea underdiagnosis: Prevalence and correlates from the Sleep Health and Knowledge in US Hispanics study.Sleep advances : a journal of the Sleep Research Society · 2026Article
- Concussions and risk of a subsequent traffic crash: retrospective cohort analysis in Ontario, Canada.BMJ open · 2025Article
- Advancing Obstructive Sleep Apnea Management: Recent Trends from Conventional to Innovative Therapies.Journal of clinical medicine · 2025Review
60 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextObstructive sleep apnea (OSA) is associated with an increased risk of motor vehicle crash.
objectiveWe performed a systematic review of the literature concerning the impact of continuous positive airway pressure (CPAP) treatment on motor vehicle crash risk among drivers with OSA. The primary objective was to determine whether CPAP use could reduce the risk of motor vehicle crash among drivers with OSA. A secondary objective involved determining the time on treatment required for CPAP to improve driver safety. DATA SOURCES: We searched seven electronic databases (MEDLINE, PubMed (PreMEDLINE), EMBASE, PsycINFO, CINAHL, TRIS, and the Cochrane library) and the reference lists of all obtained articles. STUDY SELECTION: We included studies (before-after, case-control, or cohort) that addressed the stated objectives. We evaluated the quality of each study and the interplay between the quality, quantity, robustness, and consistency of the evidence. We also tested for publication bias. DATA EXTRACTION: Data were extracted by two independent analysts. When appropriate, data were combined in a fixed or random effects meta-analysis.
resultsA meta-analysis of 9 observational studies examining crash risk of drivers with OSA pre- vs. post-CPAP found a significant risk reduction following treatment (risk ratio = 0.278, 95% CI: 0.22 to 0.35; P < 0.001). Although crash data are not available to assess the time course of change, daytime sleepiness improves significantly following a single night of treatment, and simulated driving performance improves significantly within 2 to 7 days of CPAP treatment.
conclusionsObservational studies indicate that CPAP reduces motor vehicle crash risk among drivers with OSA.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.