Evidence map›Paper›PMID 17485699›Full record

ReviewCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2007

Sleep and aging: 2. Management of sleep disorders in older people.

Norman Wolkove, Osama Elkholy, Marc Baltzan, Mark Palayew

Open access · goldAbstract readReview
In one paragraph

Review in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
7.4field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Canadian Urological Association best practice report: Diagnosis and management of nocturia.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2022
    Article
  6. Article
  7. Association of sleep trajectory in adulthood with risk of hypertension and its related risk factors: the China Health and Nutrition Survey.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Long-term cognitive and functional effects of potentially inappropriate medications in older women.The journals of gerontology. Series A, Biological sciences and medical sciences · 2014
    Article
  14. Sleep disturbance in older ICU patients.Clinical interventions in aging · 2014
    Review
  15. Article
  16. Nocturia × disturbed sleep: a review.International urogynecology journal · 2012
    Review
  17. Article
  18. An investigation on sleep behaviors of the elderly hospitalized in Zahedan.Iranian journal of nursing and midwifery research · 2012
    Article
  19. Article
  20. 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

4 authors at 1 institution in 1 country.

Norman WolkoveSleep Clinic, Mount Sinai Hospital Center, Montreal, Que. norluco@yahoo.com
Osama Elkholy
Marc Baltzan
Mark Palayew
Sinai Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The treatment of sleep-related illness in older patients must be undertaken with an appreciation of the physiologic changes associated with aging. Insomnia is common among older people. When it occurs secondary to another medical condition, treatment of the underlying disorder is imperative. Benzodiazepines, although potentially effective, must be used with care and in conservative doses. Daytime sedation, a common side effect, may limit use of benzodiazepines. Newer non-benzodiazepine drugs appear to be promising. Rapid eye movement (REM) sleep behaviour disorder can be treated with clonazepam, levodopa-carbidopa or newer dopaminergic agents such as pramipexole. Sleep hygiene is important to patients with narcolepsy. Excessive daytime sleepiness can be treated with central stimulants; cataplexy may be improved with an antidepressant. Restless legs syndrome and periodic leg-movement disorder are treated with benzodiazepines or dopaminergic agents such as levodopa-carbidopa and, more recently, newer dopamine agonists. Treatment of obstructive sleep apnea includes weight reduction and proper sleep positioning (on one's side), but may frequently necessitate the use of a continuous positive air-pressure (CPAP) device. When used regularly, CPAP machines are very effective in reducing daytime fatigue and the sequelae of untreated obstructive sleep apnea.

Indexed as

Adjuvants, ImmunologicAgedAgingAntidepressive AgentsBehavior TherapyBenzodiazepinesDementiaDepressionDopamine AgentsDrug-Related Side Effects and Adverse ReactionsGeriatricsHumansLife StyleMelatoninNocturiaPainAdjuvants, ImmunologicAntidepressive AgentsBenzodiazepinesDopamine AgentsMelatonin

Identifiers

PMID17485699
PMCPMC1863539
OpenAlexW2114267054

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.