Evidence map›Paper›PMID 32970922›Full record

SynthesisJournal of clinical hypertension (Greenwich, Conn.)2021

Meta-analysis of changes in the levels of catecholamines and blood pressure with continuous positive airway pressure therapy in obstructive sleep apnea.

Mackenzie Green, Gie Ken-Dror, David Fluck, Charif Sada, Pankaj Sharma, Christopher H Fry, Thang S Han

Open access · hybridAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of clinical hypertension (Greenwich, Conn.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 5 pooled it
1.2field-weighted citation impact, top 21% 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, 5 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  6. Trial
  7. Impact of obstructive sleep apnoea on nocturnal blood pressure: mechanisms and treatment responses - a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  8. Review
  9. Article
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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

7 authors at 4 institutions in 1 country.

Mackenzie GreenMedical School, University of Glasgow, Glasgow, UK.
Gie Ken-DrorInstitute of Cardiovascular Research, Royal Holloway, University of London, Egham, UK.
David FluckDepartment of Cardiology, Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, UK.
Charif SadaInstitute of Cardiovascular Research, Royal Holloway, University of London, Egham, UK.
Pankaj SharmaImperial College Healthcare NHS Trust, London, UK.
Christopher H FrySchool of Physiology, Pharmacology and Neuroscience, University of Bristol, Bristol, UK.
Thang S HanInstitute of Cardiovascular Research, Royal Holloway, University of London, Egham, UK.ORCID 0000-0003-2570-0938
Royal Holloway University of London · GBAshford and St Peter's Hospitals NHS Foundation Trust · GBImperial College Healthcare NHS Trust · GBUniversity of Bristol · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stress from obstructive sleep apnea (OSA) stimulates catecholamine release consequently exacerbating hypertension. However, different studies have shown a conflicting impact of continuous positive airway pressure (CPAP) treatment in patients with OSA on catecholamine levels and blood pressure. We aimed to examine changes to catecholamine levels and blood pressure in response to CPAP treatment. We conducted a meta-analysis of data published up to May 2020. The quality of the studies was evaluated using standard tools for assessing the risk of bias. Meta-analysis was conducted using RevMan (v5.3) and expressed in standardized mean difference (SMD) for catecholamines and mean difference (MD) for systolic (SBP) and diastolic blood pressure (DBP). A total of 38 studies met our search criteria; they consisted of 14 randomized control trials (RCT) totaling 576 participants and 24 prospective cohort studies (PCS) of 547 participants. Mean age ranged between 41 and 62 year and body mass index between 27.2 and 35.1 kg/m

Indexed as

HypertensionSleep Apnea, ObstructiveBlood PressureCatecholaminesContinuous Positive Airway PressureHumansCatecholamineshormoneshypertensionsympathetic activity

Identifiers

PMID32970922
PMCPMC8030100
OpenAlexW3088550398

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.