Evidence map›Paper›PMID 33589771›Full record

Trial reportInternational journal of obesity (2005)2021

Three-year effects of bariatric surgery on obstructive sleep apnea in patients with obesity grade 1 and 2: a sub-analysis of the GATEWAY trial.

Sofia F Furlan, Luciano F Drager, Renato Nakagawa Santos, Lucas P Damiani, Angela Cristine Bersch-Ferreira, Tamiris A Miranda, Rachel Helena V Machado, Eliana V Santucci, Luiz A Bortolotto, Geraldo Lorenzi-Filho and 3 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of obesity (2005), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. [Clinical effects of postoperative management based on health promotion strategy on weight control and symptom improvement in patients with OSAHS].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2026
    Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Obesity and its management in primary care setting.Journal of diabetes and its complications · 2025
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. The association of weight loss from anti-obesity medications or bariatric surgery and apnea-hypopnea index in obstructive sleep apnea.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024
    Review
  17. Review
  18. Article
  19. Article
  20. Brazilian Thoracic Association Consensus on Sleep-disordered Breathing.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2022
    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

13 authors at 3 institutions in 1 country.

Sofia F Furlan *Program in Cardiology, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Luciano F Drager *Hypertension Unit, University of São Paulo Medical School, São Paulo, Brazil. luciano.drager@incor.com.br.ORCID http://orcid.org/0000-0002-2081-6846
Renato Nakagawa SantosResearch Institute, Heart Hospital (HCor), São Paulo, Brazil.
Lucas P DamianiResearch Institute, Heart Hospital (HCor), São Paulo, Brazil.
Angela Cristine Bersch-FerreiraResearch Institute, Heart Hospital (HCor), São Paulo, Brazil.
Tamiris A MirandaResearch Institute, Heart Hospital (HCor), São Paulo, Brazil.
Rachel Helena V MachadoResearch Institute, Heart Hospital (HCor), São Paulo, Brazil.
Eliana V SantucciResearch Institute, Heart Hospital (HCor), São Paulo, Brazil.
Luiz A BortolottoHypertension Unit, University of São Paulo Medical School, São Paulo, Brazil.
Geraldo Lorenzi-FilhoSleep Laboratory, Pulmonary Division, Heart Institute (InCor), São Paulo, Brazil.
Otavio BerwangerAlbert Einstein Hospital, São Paulo, Brazil.
Alexandre B CavalcantiResearch Institute, Heart Hospital (HCor), São Paulo, Brazil.
Carlos A SchiavonResearch Institute, Heart Hospital (HCor), São Paulo, Brazil. cschiavon@hcor.com.br.
Universidade de São Paulo · BRHospital do Coração · BRHospital Israelita Albert Einstein · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMost of the evidence on bariatric surgery on obstructive sleep apnea (OSA) is based on observational studies and/or short-term follow-up in patients with obesity grade 3. SUBJECTS/

methodsThis randomized study compared the effects of roux-en-Y gastric bypass (RYGB) or usual care (UC) on OSA severity in patients with obesity grade 1-2. Mild, moderate, and severe OSA was defined by the apnea-hypopnoea index (AHI): 5-14.9; 15-29.9, and ≥30 events/h, respectively. OSA remission was defined by converting any form of OSA into normal AHI (<5 events/h).

resultsAfter 3-year of follow-up, the body-mass index increased in the UC while decreased in the RYGB group: +1.7 (-1.9; 2.7) versus -10.6 (-12.7; -9.2) kg/m

conclusionsRYGB is an attractive strategy for mid-term OSA remission or decrease moderate-to-severe forms of OSA in patients with obesity grade 1-2.

Indexed as

Bariatric SurgeryAdultBody Mass IndexBrazilFemaleGastric BypassHumansMaleMiddle AgedObesity, MorbidSleep Apnea, Obstructive

Identifiers

PMID33589771
OpenAlexW3129491132

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.