Evidence map›Paper›PMID 36868588›Full record

ArticleBMJ open2023

Association between obstructive sleep apnoea and cancer: a cross-sectional, population-based study of the DISCOVERY cohort.

Andreas Palm, J Theorell-Haglöw, Johan Isakson, Mirjam Ljunggren, Josefin Sundh, Magnus Per Ekström, Ludger Grote

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Risk of cancer in patients with sleep apnea: comparison of surgery versus CPAP in a long-term follow-up study.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 · 2024
    Article
  8. 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

7 authors at 5 institutions in 1 country.

Andreas PalmDepartment of Medical Sciences, Lung, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden andreas.palm@medsci.uu.se.ORCID 0000-0002-0590-0417
J Theorell-HaglöwDepartment of Medical Sciences, Lung, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Johan IsaksonCentre for Research and Development, Region of Gävleborg, Gävle Hospital, Gävle, Sweden.ORCID 0000-0001-5787-0072
Mirjam LjunggrenDepartment of Medical Sciences, Lung, Allergy and Sleep Research, Uppsala University, Uppsala, Sweden.
Josefin SundhDepartment of Respiratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID 0000-0003-1926-8464
Magnus Per EkströmDepartment of Clinical Sciences, Respiratory Medicine and Allergology, Lund University, Lund, Sweden, Lund, Sweden.ORCID 0000-0002-7227-5113
Ludger GroteSahlgrenska Academy, Gothenburg University, Centre for Sleep and Wake Disorders, Goteborg, Sweden.
Uppsala University · SEGävle Hospital · SELund University · SEÖrebro University · SEUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNocturnal hypoxia in obstructive sleep apnoea (OSA) is a potential risk factor for cancer. We aimed to investigate the association between OSA measures and cancer prevalence in a large national patient cohort.

designCross-sectional study. SETTINGS: 44 sleep centres in Sweden.

participants62 811 patients from the Swedish registry for positive airway pressure (PAP) treatment in OSA, linked to the national cancer registry and national socioeconomic data (the course of DIsease in patients reported to Swedish CPAP, Oxygen and VEntilator RegistrY cohort). OUTCOME MEASURES: After propensity score matching for relevant confounders (anthropometric data, comorbidities, socioeconomic status, smoking prevalence), sleep apnoea severity, measured as Apnoea-Hypopnoea Index (AHI) or Oxygen Desaturation Index (ODI), were compared between those with and without cancer diagnosis up to 5 years prior to PAP initiation. Subgroup analysis for cancer subtype was performed.

resultsOSA patients with cancer (n=2093) (29.8% females, age 65.3 (SD 10.1) years, body mass index 30 (IQR 27-34) kg/m

conclusionsOSA mediated intermittent hypoxia was independently associated with cancer prevalence in this large, national cohort. Future longitudinal studies are warranted to study the potential protective influence of OSA treatment on cancer incidence.

Indexed as

MelanomaProstatic NeoplasmsSleep Apnea, ObstructiveAgedCross-Sectional StudiesHumansHypoxiaMaleAdult thoracic medicineONCOLOGYSLEEP MEDICINE

Identifiers

PMID36868588
PMCPMC9990651
OpenAlexW4323066928

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.