Evidence map›Paper›PMID 33707611›Full record

Observational studyScientific reports2021

Obstructive sleep apnea is associated with impaired renal function in patients with diabetic kidney disease.

Ester Zamarrón, Ana Jaureguizar, Aldara García-Sánchez, Trinidad Díaz-Cambriles, Alberto Alonso-Fernández, Vanesa Lores, Olga Mediano, Paula Rodríguez-Rodríguez, Sheila Cabello-Pelegrín, Enrique Morales-Ruíz and 5 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Obstructive sleep apnoea is associated with accelerated progression of diabetic kidney disease.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Chronic lung diseases and kidney disease: pathophysiology and management.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2025
    Review
  9. Article
  10. Observational
  11. Article
  12. A Structured Narrative Review of the OSA-T2DM Axis.Journal of clinical medicine · 2025
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Approach the Patient With Obstructive Sleep Apnea and Obesity.The Journal of clinical endocrinology and metabolism · 2024
    Article
  18. Article
  19. Article
  20. Review
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

15 authors at 9 institutions in 1 country.

Ester ZamarrónServicio de Neumología, Hospital Universitario La Paz-IdiPAZ, Paseo de La Castellana 261, 28046, Madrid, Spain.
Ana JaureguizarServicio de Neumología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Aldara García-SánchezServicio de Neumología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Trinidad Díaz-CambrilesServicio de Neumología, Hospital Universitario, 12 de Octubre, Madrid, Spain.
Alberto Alonso-FernándezCentro de Investigación Biomédica en Red en Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Vanesa LoresServicio de Neumología, Hospital Universitario Infanta Sofía, San Sebastián de Los Reyes, Madrid, Spain.
Olga MedianoCentro de Investigación Biomédica en Red en Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Paula Rodríguez-RodríguezCentro de Investigación Biomédica en Red en Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Sheila Cabello-PelegrínInstitut d'Investigació Sanitària Illes Balears (IdISBa), Palma de Mallorca, Spain.
Enrique Morales-RuízServicio de Nefrología, Hospital Universitario, 12 de Octubre, Madrid, Spain.
María T Ramírez-PrietoServicio de Neumología, Hospital Universitario Infanta Sofía, San Sebastián de Los Reyes, Madrid, Spain.
María Isabel Valiente-DíazServicio de Neumología, Hospital Universitario de Guadalajara, Guadalajara, Spain.
Teresa Gómez-GarcíaCentro de Investigación Biomédica en Red en Enfermedades Respiratorias (CIBERES), Madrid, Spain.
Francisco García-RíoServicio de Neumología, Hospital Universitario La Paz-IdiPAZ, Paseo de La Castellana 261, 28046, Madrid, Spain. fgr01m@gmail.com.
Spanish Sleep Network
Hospital Universitario La Paz · ESCentro de Investigación Biomédica en Red de Enfermedades Respiratorias · ESHospital Universitario 12 De Octubre · ESHospital Universitario de Guadalajara · ESHospital Universitario Infanta Sofía · ESHealth Research Institute of the Balearic Islands · ESHospital Universitario Ramón y Cajal · ESHospital Universitario Fundación Jiménez Díaz · ESUniversidad de Alcalá · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) is a recognized risk factor for the development of diabetic kidney disease (DKD). Our objectives were to compare the urinary albumin-creatinine ratio (UACR) and estimated glomerular filtration rate (eGFR) of patients with DKD according to OSA severity, and to evaluate the contribution of sleep parameters to their renal function. In a multicenter, observational, cross-sectional study, 214 patients with DKD were recruited. After a sleep study, UACR and eGFR were measured, as well as serum creatinine, fasting glucose, glycated hemoglobin, insulin resistance, lipid profile and C-reactive protein. UACR was higher in severe OSA patients (920 ± 1053 mg/g) than in moderate (195 ± 232 mg/g, p < 0.001) or mild OSA/non-OSA subjects (119 ± 186 mg/g, p < 0.001). At the same time, eGFR showed an OSA severity-dependent reduction (48 ± 23 vs. 59 ± 21 vs. 73 ± 19 ml/min per 1.73 m

Indexed as

Kidney Function TestsAgedAlbuminuriaCreatinineDiabetic NephropathiesFemaleGlomerular Filtration RateHumansKidneyLinear ModelsMaleMultivariate AnalysisSleepSleep Apnea, ObstructiveCreatinine

Identifiers

PMID33707611
PMCPMC7952421
OpenAlexW3134792263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.