Evidence map›Paper›PMID 33709191›Full record

SynthesisSleep & breathing = Schlaf & Atmung2021

Association between obstructive sleep apnea and health-related quality of life in untreated adults: a systematic review.

Patrícia Pauletto, Jéssica Conti Réus, Michele Bolan, Carla Massignan, Carlos Flores-Mir, Israel Maia, David Gozal, Ana Luiza Curi Hallal, André Luís Porporatti, Graziela De Luca Canto

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Quality of life among obstructive sleep apnoea patients: a systematic review and meta-analysis of EQ-5D studies.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  4. Lived experience of patients with sleep apnea: a systematic synthesis of qualitative evidence.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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  15. Patient centered outcomes of transoral robotic surgery for obstructive sleep apnea: a retrospective analysis.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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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

10 authors.

Patrícia PaulettoDepartment of Dentistry, Brazilian Centre for Evidence-Based Research, Health Sciences Center, Federal University of Santa Catarina, Campus Universitário Caixa Postal 476 - Trindade, Florianópolis, Santa Catarina, 88040-900, Brazil. patricia.pauletto.p@gmail.com.ORCID 0000-0002-1762-7059
Jéssica Conti RéusDepartment of Dentistry, Brazilian Centre for Evidence-Based Research, Health Sciences Center, Federal University of Santa Catarina, Campus Universitário Caixa Postal 476 - Trindade, Florianópolis, Santa Catarina, 88040-900, Brazil.
Michele BolanDepartment of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil.
Carla MassignanDepartment of Dentistry, Brazilian Centre for Evidence-Based Research, Health Sciences Center, Federal University of Santa Catarina, Campus Universitário Caixa Postal 476 - Trindade, Florianópolis, Santa Catarina, 88040-900, Brazil.
Carlos Flores-MirDepartment of Dentistry, University of Alberta, Edmonton, Canada.
Israel MaiaBaía Sul Research Institute, Florianópolis, Santa Catarina, Brazil.
David GozalDepartment of Child Health, University of Missouri School of Medicine, Columbia, MO, 65201, USA.
Ana Luiza Curi HallalDepartment of Dentistry, Brazilian Centre for Evidence-Based Research, Health Sciences Center, Federal University of Santa Catarina, Campus Universitário Caixa Postal 476 - Trindade, Florianópolis, Santa Catarina, 88040-900, Brazil.
André Luís PorporattiDepartment of Dentistry, Brazilian Centre for Evidence-Based Research, Health Sciences Center, Federal University of Santa Catarina, Campus Universitário Caixa Postal 476 - Trindade, Florianópolis, Santa Catarina, 88040-900, Brazil.
Graziela De Luca CantoDepartment of Dentistry, Brazilian Centre for Evidence-Based Research, Health Sciences Center, Federal University of Santa Catarina, Campus Universitário Caixa Postal 476 - Trindade, Florianópolis, Santa Catarina, 88040-900, Brazil.

Funding

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
NHLBI NIH HHS R01 HL130984NHLBI NIH HHS R56 HL140548
6 · The paper itself

Abstract

purposeThe objective of this systematic review was to answer the question: "Is there association between obstructive sleep apnea (OSA) and health-related quality of life (HRQoL) in untreated adults?"

methodsWe included observational studies that evaluated the health-related quality of life of patients with OSA vs control groups, through generic and disease-specific questionnaires. The searches were conducted in six databases: Embase, Lilacs, PsycINFO, PubMed, Scopus, and Web of Science. Additional search in the grey literature and hand search were performed, and also experts were consulted. Risk of bias was performed by using Joanna Briggs Institute Critical Appraisal Checklist for cross-sectional, cohort, and case-control studies. We analyzed the data using a narrative synthesis. The Grading of Recommendations Assessment, Development, and Evaluation evidence profile was used to verify the overall certainty of the assessed evidence.

resultsNineteen studies were included for qualitative analysis. Generic questionnaires showed worse HRQoL in the OSA group compared to the control group in at least one domain of the HRQoL questionnaires. The affected domains that showed statistical and clinically relevant differences were physical functioning, physical role, pain, general health, vitality, emotional role, and mental health. The certainty of evidence assessment was very low.

conclusionThe available literature suggests that OSA in untreated adults is associated with worse HRQoL. However, this association seems to disappear when we consider only studies adjusted for related covariates. REGISTRATION: CRD42018114746.

Indexed as

Quality of LifeSleep Apnea, ObstructiveHumansHealth-related quality of lifeObstructive sleep apneaPolysomnographySystematic review

Identifiers

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.