Evidence map›Paper›PMID 32022671›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2020

Five-year relative survival in sleep apnea patients with a subsequent cancer diagnosis.

Arthur Sillah, Faiza Faria, Nathaniel F Watson, David Gozal, Amanda I Phipps

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Sleep and Cancer.Cancers · 2025
    Review
  2. 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

5 authors at 3 institutions in 1 country.

Arthur SillahDepartment of Epidemiology, University of Washington School of Public Health, Seattle, Washington.
Faiza FariaInstitute of Public Health Genetics, University of Washington School of Public Health, Seattle, Washington.
Nathaniel F WatsonUniversity of Washington School of Medicine, Department of Neurology and University of Washington Sleep Medicine Center, Seattle, Washington.
David GozalDepartment of Child Health, University of Missouri School of Medicine, Columbia, Missouri.
Amanda I PhippsDepartment of Epidemiology, University of Washington School of Public Health, Seattle, Washington.
University of Washington · USFred Hutch Cancer Center · USUniversity of Missouri Health System · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
Contributing Factors and Consequences of Cancer Health DisparitiesT32CA094880 · NCI · UNIVERSITY OF WASHINGTON · PI Christopher I Li, AMANDA IRENE PHIPPS · 2017 to 2026
$3.7M
HL - Exosomes, Blood, Brain Barrier, and Cognitive Function in Pediatric OSAR01HL130984 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI GOZAL, LEILA KHEIRANDISH · 2016 to 2020
$3.5M
Plasma Exosomes and Vascular Dysfunction in Adults with Sleep ApneaR56HL140548 · NHLBI · UNIVERSITY OF MISSOURI-COLUMBIA · PI GOZAL, DAVID · 2018 to 2018
$794k
Obstructive Sleep Apnea and Cancer Burden: Impact of Apnea Severity and TreatmentR03CA201806 · NCI · UNIVERSITY OF WASHINGTON · PI PHIPPS, AMANDA IRENE · 2016 to 2017
$155k
NCI NIH HHS P30 CA015704NCI NIH HHS R03 CA201806NCI NIH HHS T32 CA094880NHLBI NIH HHS R01 HL130984NHLBI NIH HHS R56 HL140548
6 · The paper itself

Abstract

STUDY

objectivesIn vitro and animal studies suggest that intermittent hypoxia characterizing sleep apnea contributes to accelerated cancer progression. However, the impact of sleep apnea on survival subsequent to cancer diagnosis is unknown.

methodsWe identified a cohort of 1,575 adults diagnosed with sleep apnea between 2005 and 2014 with a subsequent cancer diagnosis via linkage of the University of Washington Medicine system and a population-based cancer registry serving the same Seattle-Puget Sound region. We computed age-standardized 5-year relative survival after cancer diagnosis for all cancers combined, and for specific cancer sites, for both the sleep apnea cohort and the general Seattle-Puget Sound population, and we used US life tables as the reference population. Relative survival was estimated by sex, cancer stage, and health care engagement.

resultsFive-year overall relative survival for cancer was more favorable in the sleep apnea cohort than in the general population [83.6%, 95% confidence interval (CI): 79.8%-86.8% vs 71.6%, 95% CI: 71.3%-71.9%]; this pattern was applicable to most specific cancer sites. However, 5-year relative survival was slightly less favorable in the sleep apnea cohort among patients with melanoma (97.7%, 95% CI: 84.6%-99.7% vs 99.2%, 95% CI: 98.8%-99.5%) and cancer of the corpus uteri (84.0%, 95% CI: 58.2%-94.5% vs 84.6%, 95% CI: 83.1%-86.0%).

conclusionsThe fact that survival after cancer, overall and for most cancer sites, was more favorable in patients with sleep apnea warrants larger community-based studies to further tease out effects of sleep apnea and treatment on site-specific survival for different cancer types, particularly in patients with melanoma or uterine cancer.

Indexed as

NeoplasmsSleep Apnea SyndromesAdultCohort StudiesHumansHypoxiaPolysomnographycancer relative survivalepidemiologyintermittent hypoxiasleep apnea

Identifiers

PMID32022671
PMCPMC7849795
OpenAlexW3005507963

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.