Evidence map›Paper›PMID 35570203›Full record

SynthesisEuropean 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 Surgery2022

Effect of sleep surgery on lipid profiles in adults with obstructive sleep apnea: a meta-analysis.

Chia-Hsuan Lee, Wei-Chung Hsu, Te-Huei Yeh, Jenq-Yuh Ko, Ming-Tzer Lin, Kun-Tai Kang

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in 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, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Chia-Hsuan LeeDepartment of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, No. 127, Siyuan Rd., Xinzhuang Dist., New Taipei City, Taiwan.
Wei-Chung HsuDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
Te-Huei YehDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
Jenq-Yuh KoDepartment of Otolaryngology, National Taiwan University Hospital, Taipei, Taiwan.
Ming-Tzer LinSleep Center, National Taiwan University Hospital, Taipei, Taiwan. lightpool2010@gmail.com.
Kun-Tai KangDepartment of Otolaryngology, Taipei Hospital, Ministry of Health and Welfare, No. 127, Siyuan Rd., Xinzhuang Dist., New Taipei City, Taiwan. kang.kuntai@msa.hinet.net.ORCID http://orcid.org/0000-0002-4421-9261
National Taiwan University · TWCheng Hsin General Hospital · TWHsin Sheng College of Medical Care and Management · TWMinistry of Health and Welfare · KR

Funding

Taipei Hospital 202010Taipei Hospital 202011
6 · The paper itself

Abstract

purposeThe effects of sleep surgery on the lipid profile of adults diagnosed as having obstructive sleep apnea (OSA) remain unclear. This meta-analysis aimed to clarify whether sleep surgeries improve patients' lipid profile.

methodsThe study protocol was registered on PROSPERO (CRD42020154425). Two authors independently searched the PubMed, MEDLINE, EMBASE, and Cochrane review databases up to September 2020 using keywords such as sleep apnea, OSA, sleep apnea syndromes, lipids, and surgery. The effects of sleep surgery on the apnea-hypopnea index (AHI) and lipid profile parameters were evaluated using a random-effects model.

resultsThirteen studies were included, with a total of 710 patients (mean age: 42.0 years; 85% men; mean sample size: 54.6 patients). The summary estimate of AHI change was - 20.6 events/h (95% CI - 25.9 to - 15.3) and the Epworth Sleepiness Scale score was - 4.2 (95% CI - 5.9 to - 2.5). Sleep surgery lowered total cholesterol (mean - 7.7 mg/dL; 95% CI - 12.2 to - 3.2), low-density lipoprotein (mean - 7.2 mg/dL; 95% CI - 11.0 to - 3.3), and triglyceride (mean - 14.0 mg/dL; 95% CI - 22.2 to - 5.8) levels but did not affect high-density lipoprotein (mean 1.5 mg/dL; 95% CI - 0.6 to 3.7) levels. Subgroup analysis revealed that the lipid profile changes were not associated with the surgical procedure but with the degree of OSA improvement. Meta-regression analyses demonstrated that the improvement in the lipid profile was positively correlated with AHI reduction.

conclusionSurgeries for OSA may improve the lipid profile, which is positively correlated with the degree of OSA improvement.

Indexed as

Sleep Apnea, ObstructiveSleep Apnea SyndromesAdultFemaleHumansLipoproteins, HDLMaleSleepTriglyceridesLipoproteins, HDLTriglyceridesAdultLipidsMeta-analysisSleep apnea syndromesSurgeryUvulopalatopharyngoplasty

Identifiers

PMID35570203
OpenAlexW4280578877

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.