Evidence map›Paper›PMID 31739857›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2019

Individuals With Scleroderma May Have Increased Risk of Sleep-Disordered Breathing.

Brandon T Nokes, Hassan A Raza, Rodrigo Cartin-Ceba, Phillip J Lyng, Lois E Krahn, Lewis Wesselius, Clinton E Jokerst, Sarah B Umar, W Leroy Griffing, Matthew R Neville and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

16 citing papers in PubMed, 23 citations in OpenAlex.

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  13. Endothelial-to-mesenchymal transition in systemic sclerosis.Clinical and experimental immunology · 2021
    Review
  14. Pulmonary artery dilatation and obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  15. Pulmonary hypertension and obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  16. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 1 country.

Brandon T NokesDepartment of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, San Diego, California.
Hassan A RazaDivision of Pulmonary Medicine, Mayo Clinic Hospital, Phoenix, Arizona.
Rodrigo Cartin-CebaDivision of Pulmonary Medicine, Mayo Clinic, Scottsdale, Arizona.
Phillip J LyngDivision of Pulmonary Medicine, Mayo Clinic Hospital, Phoenix, Arizona.
Lois E KrahnDivision of Pulmonary Medicine, Mayo Clinic Hospital, Phoenix, Arizona.
Lewis WesseliusDivision of Pulmonary Medicine, Mayo Clinic, Scottsdale, Arizona.
Clinton E JokerstDepartment of Radiology, Mayo Clinic, Scottsdale, Arizona.
Sarah B UmarDivision of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona.
W Leroy GriffingDivision of Rheumatology, Mayo Clinic, Scottsdale, Arizona.
Matthew R NevilleDivision of Biostatistics, Mayo Clinic, Scottsdale, Arizona.
Atul MalhotraDepartment of Pulmonary, Critical Care and Sleep Medicine, University of California San Diego, San Diego, California.
James M ParishDivision of Pulmonary Medicine, Mayo Clinic Hospital, Phoenix, Arizona.
Mayo Clinic in Arizona · USMayo Clinic Hospital · USUniversity of California, San Diego · US

Funding

Single Motor Unit Genioglossus Recordings to Understand Sleep Apnea PathogenesisR01HL085188 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2008 to 2018
$3.5M
Training in the Next Generation in Respiratory ScienceT32HL134632 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL, POWELL, FRANK L. · 2017 to 2021
$2.1M
Assessment of Upper Airway Mechanics Using Newer Electromyographic TechniquesK24HL132105 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MALHOTRA, ATUL · 2016 to 2020
$611k
NHLBI NIH HHS K24 HL132105NHLBI NIH HHS R01 HL085188NHLBI NIH HHS T32 HL134632
6 · The paper itself

Abstract

STUDY

objectivesScleroderma is associated with abnormal skin thickening, interstitial lung disease, pulmonary hypertension, and abnormalities of the upper airway. These changes can cause cardiopulmonary complications, potentially including sleep-disordered breathing. The objective of this study is to examine the risk of sleep-disordered breathing in patients with scleroderma.

methodsWe retrospectively identified patients with documented scleroderma. We abstracted data from their electronic health records, including findings from antibody tests, serial pulmonary function tests, transthoracic echocardiography, high-resolution computed tomography, and overnight forehead oximetry.

resultsWe identified 171 patients with scleroderma. Mean age at the time of initial consult was 56.5 years (range, 18-96 years), and 150 (86.7%) were women. Scleroderma was categorized as limited disease for 108 (62.4%), diffuse disease for 59 (34.1%), and mixed connective tissue disease for 6 (3.5%). Fifty-four patients (31.2%) had abnormal overnight forehead oximetry results, defined as an oxygen desaturation index greater than 5 or a baseline mean arterial oxygen saturation level less than 90%.

conclusionsCardiopulmonary complications are common in patients with scleroderma, one of which may be sleep-disordered breathing. In our cohort, approximately one-third of individuals with scleroderma had evidence of sleep-disordered breathing. Moreover, the rate of sleep-disordered breathing in our population of scleroderma patients was twice the rate of pulmonary hypertension and was approximately the same as the rate of interstitial lung disease. Future prospective studies are needed to further assess the role of sleep-disordered breathing in scleroderma clinical outcomes.

Indexed as

FemaleHumansLogistic ModelsMaleMiddle AgedOximetryPolysomnographyRetrospective StudiesRisk FactorsScleroderma, DiffuseScleroderma, LimitedScleroderma, SystemicSleep Apnea Syndromeslungoximetrysclerodermasleep apnea syndromesystemic

Identifiers

PMID31739857
PMCPMC6853384
OpenAlexW2981148285

What OpenQuestion 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 OpenQuestion graph.