Kidney transplantation: a possible solution to obstructive sleep apnea in patients with end-stage kidney disease.
Apnea hypopnea index
End-stage kidney disease
Kidney transplantation
Sleep apnea
Journal
Sleep & breathing = Schlaf & Atmung
ISSN: 1522-1709
Titre abrégé: Sleep Breath
Pays: Germany
ID NLM: 9804161
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
received:
27
07
2022
accepted:
27
02
2023
revised:
24
02
2023
medline:
29
9
2023
pubmed:
18
3
2023
entrez:
17
3
2023
Statut:
ppublish
Résumé
Obstructive sleep apnea (OSA) is frequently reported among patients with chronic kidney disease resulting in considerable morbidity and mortality. OSA may cause repetitive stimulation of the sympathetic nervous system and elevations in pulmonary artery pressure leading to an elevated risk of cardiac and vascular complications in patients with chronic kidney disease. Furthermore, OSA is associated with progressive worsening of kidney injury and loss of renal function. In this systematic review and meta-analysis, we evaluated the effect of renal transplantation on the progression of OSA in patients with end-stage kidney disease. The meta-analysis included eight studies with a total of 401 patients. Findings showed that kidney transplantation does not lead to a statistically significant effect on the apnea-hypopnea index (MD 2.6 events/hr, 95% CI -3.2 to 8.3, p = 0.21), total sleep time (MD 14.7 min/night, 95% CI -8.4 to 37.8, p = 0.76), sleep efficiency (MD 2.5%, 95% CI -1.4 to 6.3, p = 0.57), slow wave sleep (MD 0.4% of total sleep time, 95% CI -7.5 to 8.4, p = 0.05), and rapid eye movement sleep (MD 0.6% of total sleep time, 95% CI -2.2 to 3.3, p = 0.98). There was no statistically significant effect of kidney transplantation on OSA in patients with chronic renal disease.
Identifiants
pubmed: 36928547
doi: 10.1007/s11325-023-02803-6
pii: 10.1007/s11325-023-02803-6
doi:
Types de publication
Meta-Analysis
Systematic Review
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1667-1675Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
Références
Mills KT, Xu Y, Zhang W, Bundy JD, Chen CS, Kelly TN et al (2015) A systematic analysis of worldwide population-based data on the global burden of chronic kidney disease in 2010. Kidney Int 88(5):950–957
doi: 10.1038/ki.2015.230
pubmed: 26221752
pmcid: 4653075
Charles C, Ferris AH (2020) Chronic kidney disease. Prim Care 47(4):585–595
doi: 10.1016/j.pop.2020.08.001
pubmed: 33121630
Sharma S, Sarnak MJ (2017) Epidemiology: the global burden of reduced GFR: ESRD, CVD and mortality. Nat Rev Nephrol 13(8):447–448
doi: 10.1038/nrneph.2017.84
pubmed: 28626221
Zoccali C, Roumeliotis S, Mallamaci F (2021) Sleep apnea as a cardiorenal risk factor in CKD and renal transplant patients. Blood Purif 50(4–5):642–648
doi: 10.1159/000513424
pubmed: 33588408
Jurado-Gámez B, Martin-Malo A, Rodriguez-Benot A, Muñoz-Cabrera L, CosanoPovedano A, Aljama P (2008) Kidney transplantation improves sleep-related breathing in hemodialysis patients. Blood Purif 26(6):485–490
doi: 10.1159/000157373
pubmed: 18818490
Tanriover C, Ucku D, Akyol M et al (2022) Potential use of SGLT-2 inhibitors in obstructive sleep apnea: a new treatment on the horizon. Sleep Breath. https://doi.org/10.1007/s11325-022-02606-1
Zoccali C (2000) Sleep apnoea and nocturnal hypoxaemia in dialysis patients: mere risk-indicators or causal factors for cardiovascular disease? Nephrol Dial Transplant 15(12):1919–1921
doi: 10.1093/ndt/15.12.1919
pubmed: 11096133
Moradzadeh M, Mirmohammadkhani M, Tamadon MR, Mansori K, Malek F (2021) Prevalence of sleep apnea and its associated factors in chronic kidney disease patients. Tanaffos 20(2):116–125
pubmed: 34976082
pmcid: 8710220
Jhamb M, Unruh ML (2012) Volume overload as a mechanism for obstructive sleep apnea in CKD? Nephrol Dial Transplant 27(4):1291–1293
doi: 10.1093/ndt/gfs024
pubmed: 22467747
Ahmed SB, Ronksley PE, Hemmelgarn BR, Tsai WH, Manns BJ, Tonelli M et al (2011) Nocturnal hypoxia and loss of kidney function. PLoS ONE 6(4):e19029
doi: 10.1371/journal.pone.0019029
pubmed: 21559506
pmcid: 3084745
Sakaguchi Y, Hatta T, Hayashi T, Shoji T, Suzuki A, Tomida K et al (2013) Association of nocturnal hypoxemia with progression of CKD. Clin J Am Soc Nephrol 8(9):1502–1507
doi: 10.2215/CJN.11931112
pubmed: 23744006
pmcid: 3805083
Dharia SM, Unruh ML, Brown LK (2015) Central sleep apnea in kidney disease. Semin Nephrol 35(4):335–346
doi: 10.1016/j.semnephrol.2015.06.005
pubmed: 26355252
Nigam G, Pathak C, Riaz M (2016) A systematic review of central sleep apnea in adult patients with chronic kidney disease. Sleep Breath 20(3):957–964
doi: 10.1007/s11325-016-1317-0
pubmed: 26815045
Brooke BS, Schwartz TA, Pawlik TM (2021) MOOSE reporting guidelines for meta-analyses of observational studies. JAMA Surg 156(8):787–788
doi: 10.1001/jamasurg.2021.0522
pubmed: 33825847
McDonough PG (2003) Quorum guidelines for meta-analyses. Fertil Steril 80(1):228
doi: 10.1016/S0015-0282(03)00583-1
pubmed: 12849834
Moher D, Liberati A, Tetzlaff J, Altman DG (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535
doi: 10.1136/bmj.b2535
pubmed: 19622551
pmcid: 2714657
Higgins JP, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560
doi: 10.1136/bmj.327.7414.557
pubmed: 12958120
pmcid: 192859
Wan X, Wang W, Liu J, Tong T (2014) Estimating the sample mean and standard deviation from the sample size, median, range and/or interquartile range. BMC Med Res Methodol 14:135
doi: 10.1186/1471-2288-14-135
pubmed: 25524443
pmcid: 4383202
DerSimonian R, Kacker R (2007) Random-effects model for meta-analysis of clinical trials: an update. Contemp Clin Trials 28(2):105–114
doi: 10.1016/j.cct.2006.04.004
pubmed: 16807131
Beecroft JM, Zaltzman J, Prasad R, Meliton G, Hanly PJ (2007) Impact of kidney transplantation on sleep apnoea in patients with end-stage renal disease. Nephrol Dial Transplant 22(10):3028–3033
doi: 10.1093/ndt/gfm309
pubmed: 17556419
Lee JJ, Kim GS, Kim JA, Kim SJ, Kang JG, Kim GH et al (2011) Improvement of sleep-related breathing disorder in patients with end-stage renal disease after kidney transplantation. Clin Transplant 25(1):126–130
doi: 10.1111/j.1399-0012.2009.01174.x
pubmed: 20030682
Mahajan S, Gupta K, Sinha S, Malhotra A, Mahajan S (2018) Effect of kidney transplantation on sleep-disordered breathing in patients with end stage renal disease: a polysomnographic study. Sleep Med 45:140–145
doi: 10.1016/j.sleep.2017.11.1151
pubmed: 29680422
pmcid: 6186151
Mallamaci F, Tripepi R, D’Arrigo G, Panuccio V, Parlongo G, Caridi G et al (2020) Sleep-disordered breathing and 24-hour ambulatory blood pressure monitoring in renal transplant patients: longitudinal study. J Am Heart Assoc 9(13):e016237
doi: 10.1161/JAHA.120.016237
pubmed: 32578469
pmcid: 7670525
Rodrigues CJ, Marson O, Togeiro SM, Tufik S, Ribeiro AB, Tavares A (2010) Sleep-disordered breathing changes after kidney transplantation: a polysomnographic study. Nephrol Dial Transplant 25(6):2011–2015
doi: 10.1093/ndt/gfp752
pubmed: 20075435
Tandukar S, Hou S, Yabes J, Ran X, Fletcher M, Strollo P et al (2019) Does kidney transplantation affect sleep and fatigue in patients with kidney disease? Transplant Direct 5(6):e461
doi: 10.1097/TXD.0000000000000895
pubmed: 31321295
pmcid: 6553622
ForniOgna V, Ogna A, Haba-Rubio J, Nowak G, Venetz JP, Golshayan D et al (2020) Impact of kidney transplantation on sleep apnea severity: a prospective polysomnographic study. Am J Transplant 20(6):1659–1667
doi: 10.1111/ajt.15771
Lyons OD, Inami T, Perger E, Yadollahi A, Chan CT, Bradley TD (2017) The effect of fluid overload on sleep apnoea severity in haemodialysis patients. Eur Respir J 49(4):1601789
doi: 10.1183/13993003.01789-2016
pubmed: 28381432
Elias RM, Chan CT, Paul N, Motwani SS, Kasai T, Gabriel JM et al (2013) Relationship of pharyngeal water content and jugular volume with severity of obstructive sleep apnea in renal failure. Nephrol Dial Transplant 28(4):937–944
doi: 10.1093/ndt/gfs473
pubmed: 23136217
Elias RM, Bradley TD, Kasai T, Motwani SS, Chan CT (2012) Rostral overnight fluid shift in end-stage renal disease: relationship with obstructive sleep apnea. Nephrol Dial Transplant 27(4):1569–1573
doi: 10.1093/ndt/gfr605
pubmed: 22058175
Tanaka A, Inaguma D, Ito E, Kamegai N, Kato A, Mizutani M et al (2017) Factors associated with severity of sleep apnoea syndrome in patients with chronic kidney disease. Acta Cardiol 72(4):440–445
doi: 10.1080/00015385.2017.1335048
pubmed: 28705074
Harmon RR, De Lima JJG, Drager LF, Portilho NP, Costa-Hong V, Bortolotto LA et al (2018) Obstructive sleep apnea is associated with interdialytic weight gain and increased long-term cardiovascular events in hemodialysis patients. Sleep Breath 22(3):721–728
doi: 10.1007/s11325-017-1603-5
pubmed: 29275523
Anastassov GE, Trieger N (1998) Edema in the upper airway in patients with obstructive sleep apnea syndrome. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 86(6):644–647
doi: 10.1016/S1079-2104(98)90197-4
pubmed: 9868718
Voulgaris A, Bonsignore MR, Schiza S, Marrone O, Steiropoulos P (2021) Is kidney a new organ target in patients with obstructive sleep apnea? Research priorities in a rapidly evolving field. Sleep Med 86:56–67
doi: 10.1016/j.sleep.2021.08.009
pubmed: 34474225
Dienemann T, Ziolkowski SL, Bender S, Goral S, Long J, Baker JF et al (2021) Changes in Body composition, muscle strength, and fat distribution following kidney transplantation. Am J Kidney Dis 78(6):816–825
doi: 10.1053/j.ajkd.2020.11.032
pubmed: 34352286
pmcid: 8608755
Vieira NM, Silva MZC, Costa FL, Presti PT, Silva TM, Silveira LM et al (2021) Nutritional parameters in early and late kidney transplantation. Transplant Proc 53(7):2162–2167
doi: 10.1016/j.transproceed.2021.07.032
pubmed: 34429191