Evidence map›Paper›PMID 30066288›Full record

ArticleEndocrine2018

Temporal relationship of sleep apnea and acromegaly: a nationwide study.

Konstantina Vouzouneraki, Karl A Franklin, Maria Forsgren, Maria Wärn, Jenny Tiberg Persson, Helena Wik, Christina Dahlgren, Ann-Sofie Nilsson, Caroline Alkebro, Pia Burman and 7 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Endocrine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
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

12 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Acromegaly, inflammation and cardiovascular disease: a review.Reviews in endocrine & metabolic disorders · 2020
    Review
  8. Review
  9. Article
  10. Article
  11. Acromegaly in the elderly patient.Archives of endocrinology and metabolism
    Review
  12. 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

17 authors at 7 institutions in 1 country.

Konstantina VouzounerakiDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden. konstantina.vouzouneraki@umu.se.ORCID http://orcid.org/0000-0002-9501-6763
Karl A FranklinDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Maria ForsgrenDepartment of Medical Sciences, Endocrinology and Mineral Metabolism, Uppsala University, Uppsala, Sweden.
Maria WärnDepartment of Molecular Medicine and Surgery, Patient Area Endocrinology and Nephrology, Inflammation and Infection Theme, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
Jenny Tiberg PerssonDepartment of Endocrinology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Helena WikDepartment of Endocrinology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Christina DahlgrenDepartment of Endocrinology, Department of Medical and Health Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Ann-Sofie NilssonDepartment of Clinical Sciences and Department of Endocrinology, University of Lund and Skåne University Hospital, Malmö - Lund, Sweden.
Caroline AlkebroDivision of Diabetology and Endocrinology, Department of Medicine, Örebro University Hospital, Örebro, Sweden.
Pia BurmanDepartment of Clinical Sciences and Department of Endocrinology, University of Lund and Skåne University Hospital, Malmö - Lund, Sweden.
Eva-Marie ErfurthDepartment of Clinical Sciences and Department of Endocrinology, University of Lund and Skåne University Hospital, Malmö - Lund, Sweden.
Jeanette WahlbergDepartment of Endocrinology, Department of Medical and Health Sciences, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden.
Anna-Karin ÅkermanDivision of Diabetology and Endocrinology, Department of Medicine, Örebro University Hospital, Örebro, Sweden.
Charlotte HøybyeDepartment of Molecular Medicine and Surgery, Patient Area Endocrinology and Nephrology, Inflammation and Infection Theme, Karolinska Institute and Karolinska University Hospital, Stockholm, Sweden.
Oskar RagnarssonDepartment of Endocrinology, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg and Sahlgrenska University Hospital, Gothenburg, Sweden.
Britt Edén EngströmDepartment of Medical Sciences, Endocrinology and Mineral Metabolism, Uppsala University, Uppsala, Sweden.
Per DahlqvistDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
Sahlgrenska University Hospital · SESkåne University Hospital · SEUmeå University · SEKarolinska University Hospital · SELinköping University · SEÖrebro University Hospital · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePatients with acromegaly have an increased risk of sleep apnea, but reported prevalence rates vary largely. Here we aimed to evaluate the sleep apnea prevalence in a large national cohort of patients with acromegaly, to examine possible risk factors, and to assess the proportion of patients diagnosed with sleep apnea prior to acromegaly diagnosis.

methodsCross-sectional multicenter study of 259 Swedish patients with acromegaly. At patients' follow-up visits at the endocrine outpatient clinics of all seven university hospitals in Sweden, questionnaires were completed to assess previous sleep apnea diagnosis and treatment, cardiovascular diseases, smoking habits, anthropometric data, and S-IGF-1 levels. Daytime sleepiness was evaluated using the Epworth Sleepiness Scale. Patients suspected to have undiagnosed sleep apnea were referred for sleep apnea investigations.

resultsOf the 259 participants, 75 (29%) were diagnosed with sleep apnea before the study start. In 43 (57%) of these patients, sleep apnea had been diagnosed before the diagnosis of acromegaly. After clinical assessment and sleep studies, sleep apnea was diagnosed in an additional 20 patients, yielding a total sleep apnea prevalence of 37%. Higher sleep apnea risk was associated with higher BMI, waist circumference, and index finger circumference. Sleep apnea was more frequent among patients with S-IGF-1 levels in the highest quartile.

conclusionSleep apnea is common among patients with acromegaly, and is often diagnosed prior to their acromegaly diagnosis. These results support early screening for sleep apnea in patients with acromegaly and awareness for acromegaly in patients with sleep apnea.

Indexed as

AcromegalyAdultAgedAged, 80 and overComorbidityCross-Sectional StudiesFemaleHumansMaleMiddle AgedPolysomnographyRisk FactorsSleep Apnea SyndromesYoung AdultAcromegalyComorbiditiesRisk factorsSleep apnea

Identifiers

PMID30066288
PMCPMC6208862
OpenAlexW2886425072

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.