Evidence map›Paper›PMID 34329349›Full record

Trial reportPloS one2021

Circulating levels of cell adhesion molecules and risk of cardiovascular events in obstructive sleep apnea.

Bernardo U Peres, A J Hirsch Allen, Patrick Daniele, Karin H Humphries, Carolyn Taylor, Ismail Laher, Fernanda Almeida, Rachel Jen, Andrew J Sandford, Stephan F van Eeden and 1 more

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Does the severity of obstructive sleep apnea increase the risk of cancer? Clues in apnea-hypopnea index and biomarkers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  10. Obstructive sleep apnea severity, circulating biomarkers, and cancer risk.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. 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

11 authors at 3 institutions in 1 country.

Bernardo U PeresDepartment of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.ORCID 0000-0002-7838-9461
A J Hirsch AllenDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Patrick DanieleCentre for Improved Cardiovascular Health, (CHÉOS), Vancouver, Canada.
Karin H HumphriesCentre for Improved Cardiovascular Health, (CHÉOS), Vancouver, Canada.
Carolyn TaylorDivision of Cardiology, Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Ismail LaherDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Fernanda AlmeidaDepartment of Oral Health Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.ORCID 0000-0002-8704-9506
Rachel JenDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Andrew J SandfordCentre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
Stephan F van EedenCentre for Heart Lung Innovation, St. Paul's Hospital, University of British Columbia, Vancouver, Canada.
Najib T AyasDepartment of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
University of British Columbia · CACentre for Advancing Health Outcomes · CAUniversity of British Columbia Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) patients are at increased risk of cardiovascular disease (CVD). Cell adhesion molecules (CAM) are increased in OSA and CAM are also implicated in the development of CVD. RESEARCH QUESTION: Do CAM (ICAM-1, VCAM-1 and E-selectin) have prognostic value in identifying risk of cardiovascular events in OSA? STUDY DESIGN AND

methodsPatients with suspected OSA referred for a polysomnogram provided a fasting blood sample. Plasma levels of ICAM-1, VCAM-1 and E-selectin were determined by multiplex Luminex Assay (Milliporesigma ON, Canada). Cardiovascular events were determined by deterministic linkage to provincial health databases.

results418 patients were included in the analysis. Mostly male (68.2%), mean age of 50.7 yrs, median AHI 16.5 events/hour, and mean BMI of 31.7 kg/m2. 36 cardiovascular events occurred in 8-yrs of follow up. Higher levels of ICAM-1 were associated with developing CVD (HR = 3.65 95% CI 1.40-9.53, 2nd and 3rd tertiles vs. 1st tertile), including in patients with OSA (HR = 3.1 95% CI 1.16-8.25). E-selectin was significantly associated with cardiovascular events in patients with moderate to severe OSA (HR = 3.31 95% CI 0.94-11.72, 2nd and 3rd tertiles vs. 1st tertile) but not in patients without moderate to severe OSA (HR = 0.67 95% CI 0.19-2.38), p-value for interaction = 0.07.

interpretationIn a suspected OSA cohort, patients with higher levels of ICAM-1 (>816 ng/ml) were significantly more likely to experience a cardiovascular event within 8 years after PSG. In moderate to severe OSA patients, a higher E-selectin (>36.4 ng/ml) was significantly associated with cardiovascular events.

Indexed as

Cardiovascular DiseasesSleep Apnea, ObstructiveAdultCell Adhesion MoleculesFastingFollow-Up StudiesHumansMiddle AgedCell Adhesion Molecules

Identifiers

PMID34329349
PMCPMC8323915
OpenAlexW3186008326

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.