Evidence map›Paper›PMID 40346316›Full record

SynthesisSleep & breathing = Schlaf & Atmung2025

Effects of continuous positive airway pressure therapy on inflammatory markers in patients with obstructive sleep apnea: a meta-analysis of randomized controlled trials.

Qianhong Zhu, Qiuyi Luo, Zhichen Wang, Senlin Chen, Gengzhao Chen, Saie Huang

Abstract readMeta-AnalysisReview
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Qianhong ZhuFujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital, Fuzhou, China.
Qiuyi LuoFujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital, Fuzhou, China.
Zhichen WangFujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital, Fuzhou, China.
Senlin ChenFujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital, Fuzhou, China.
Gengzhao ChenFujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital, Fuzhou, China.
Saie HuangFujian University of Traditional Chinese Medicine Subsidiary Rehabilitation Hospital, Fuzhou, China. saiehuang@fjtcm.edu.cn.

Funding

Fujian Provincial Health Technology Project 2021CXA040
6 · The paper itself

Abstract

objectiveIn this meta-analysis, we provide the findings of randomized controlled trials on the levels of inflammatory markers in patients with obstructive sleep apnea (OSA) receiving continuous positive airway pressure (CPAP).

methodsLiterature published in the PubMed, Web of Science, Embase and Cochrane databases up to May 21, 2024, was comprehensively searched, and inclusion and exclusion criteria were developed. Pooled estimates of CPAP therapy were analyzed via the standardized mean difference (SMD). This meta-analysis follows the PRISMA 2020 guidelines and is registered with PROSPERO (ID CRD42024548588).

resultsA total of 15 studies were included, each reporting data on one or more inflammatory markers, as follows: 10 studies on C-reactive protein (CRP), 12 studies on interleukin-6 (IL-6), 3 studies on interleukin-8 (IL-8), and 9 studies on tumor necrosis factor-α (TNF-α). The results revealed that the SMDs (95% confidence intervals [CIs]) for CRP, IL-6, IL-8 and TNF-α levels before and after CPAP treatment were 0.88 (95% CI 0.28-1.48), 0.58 (95% CI 0.12-1.05), 0.20 (95% CI 0.39-0.80) and 0.17 (95% CI 0.05-0.29), separately.

conclusionCPAP therapy used for a certain duration can lower CRP, IL-6 and TNF-α levels in OSA patients, and there are substantial differences observed in the various inflammatory indicators. To confirm the usefulness of these biomarkers in evaluating CPAP therapy for cardiovascular risk reduction among OSA patients, more randomized controlled trials (RCTs) have to be carried out in the future.

Indexed as

Continuous Positive Airway PressureInflammationSleep Apnea, ObstructiveBiomarkersC-Reactive ProteinHumansInterleukin-6Randomized Controlled Trials as TopicTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinInterleukin-6Tumor Necrosis Factor-alphaContinuous positive airway pressureInflammatory markersMeta-analysisObstructive sleep apnea

Identifiers

PMID40346316
PMCPMC12064446

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.