Evidence map›Paper›PMID 27957696›Full record

ArticleSleep & breathing = Schlaf & Atmung2017

The association between continuous positive airway pressure therapy and liver disease development in obstructive sleep apnea/hypopnea syndrome patients: a nationwide population-based cohort study in Taiwan.

Liang-Wen Hang, Chi-Fung Chen, Chang-Bi Wang, Trong-Neng Wu, Wen-Miin Liang, Tzu-Chieh Chou

Abstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. NAFLD and Extra-Hepatic Comorbidities: Current Evidence on a Multi-Organ Metabolic Syndrome.International journal of environmental research and public health · 2019
    Review
  8. Obstructive Sleep Apnea and the Liver.Clinics in liver disease · 2019
    Review
  9. Article
  10. Obstructive Sleep Apnea in Children and Adolescents and the Risk of Major Adverse Cardiovascular Events: A Nationwide Cohort Study in Taiwan.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2019
    Article
  11. Review
  12. Sleep apnea, metabolic disease, and the cutting edge of therapy.Metabolism: clinical and experimental · 2018
    Review
  13. Article
  14. 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

6 authors at 2 institutions in 1 country.

Liang-Wen HangDepartment of Respiratory Therapy, College of Health Care, China Medical University, Taichung, Taiwan.
Chi-Fung ChenDepartment of Public Health, College of Public Health, China Medical University, Taichung, Taiwan.
Chang-Bi WangDepartment of Public Health, College of Public Health, China Medical University, Taichung, Taiwan.
Trong-Neng WuDepartment of Public Health, College of Public Health, China Medical University, Taichung, Taiwan.
Wen-Miin LiangDepartment of Public Health, College of Public Health, China Medical University, Taichung, Taiwan. wmliang.cmu@gmail.com.
Tzu-Chieh ChouDepartment of Public Health, College of Public Health, China Medical University, Taichung, Taiwan. choutc@mail.cmu.edu.tw.ORCID http://orcid.org/0000-0002-9634-0637
China Medical University · TWAsia University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies on the association between continuous positive airway pressure (CPAP) treatment and liver diseases such as non-alcoholic fatty liver disease (NAFLD) and cirrhosis in patients with obstructive sleep apnea/hypopnea syndrome (OSAHS) are limited. To the best of our knowledge, none exists that makes use of a national database in an Asian population. This study aims to evaluate the effects of CPAP treatment on patients with these two disorders in a retrospective, population-based study in Taiwan.

methodsUsing the Taiwan National Health Insurance claims database, this study collected the data of OSAHS patients diagnosed between 2000 and 2008 and divided them into CPAP treatment and non-CPAP treatment groups. All subjects were followed up until 2010. Liver disease incidence and risk were calculated.

resultsThe CPAP group had a lower cumulative incidence rate of developing liver disease than the non-CPAP group within the observation periods (p < 0.001). After adjusting for age, gender, urbanization level, and comorbidities, the CPAP treatment group showed a lower risk of developing liver disease compared with the non-CPAP treatment group (sub-aHR of 0.66 (95% CI 0.55-0.80), p < 0.001).

conclusionsOur observations suggest that CPAP treatment may play an important role to delay the progression of liver disease in OSAHS patients and decreases the incidence of liver disease among OSAHS patients. Thus, CPAP therapy may be a feasible way to decrease the risk of liver disease among patients with OSAHS.

Indexed as

AdultAgedCohort StudiesContinuous Positive Airway PressureFemaleFollow-Up StudiesHumansIncidenceLiver CirrhosisMaleMiddle AgedNon-alcoholic Fatty Liver DiseasePropensity ScoreRisk FactorsSleep Apnea, ObstructiveTaiwanCohortCPAP treatmentLiver diseaseOSAHSPopulation-based study

Identifiers

PMID27957696
OpenAlexW2565269727

What OpenQuestion holds

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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.