Evidence map›Paper›PMID 18246980›Full record

GuidelineSleep2007

Practice parameters for the treatment of narcolepsy and other hypersomnias of central origin.

Timothy I Morgenthaler, Vishesh K Kapur, Terry Brown, Todd J Swick, Cathy Alessi, R Nisha Aurora, Brian Boehlecke, Andrew L Chesson, Leah Friedman, Rama Maganti and 4 more

Erratum issuedOpen access · bronzeAbstract readPractice GuidelineReview
In one paragraph

Guideline in Sleep, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 150 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
150citing papers in PubMed, 8 pooled it
11.4field-weighted citation impact, top 1% 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

150 citing papers in PubMed, 8 syntheses or guidelines pooled it, 488 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Treatment of central disorders of hypersomnolence: an American Academy of Sleep Medicine systematic review, meta-analysis, and GRADE assessment.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Pooled it
  4. Treatment of central disorders of hypersomnolence: an American Academy of Sleep Medicine clinical practice guideline.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Guideline
  5. Narcolepsy and psychosis: A systematic review.Acta psychiatrica Scandinavica · 2021
    Pooled it
  6. Pooled it
  7. Survivorship: sleep disorders, version 1.2014.Journal of the National Comprehensive Cancer Network : JNCCN · 2014
    Guideline
  8. Sodium oxybate for narcolepsy with cataplexy: systematic review and meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2012
    Pooled it
  9. Trial
  10. Long-term safety and maintenance of efficacy of sodium oxybate in the treatment of narcolepsy with cataplexy in pediatric patients.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
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  20. Time to response with sodium oxybate for the treatment of excessive daytime sleepiness and cataplexy in patients with narcolepsy.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015
    Trial

90 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

14 authors at 12 institutions in 1 country.

Timothy I MorgenthalerMayo Clinic, Rochester MN, USA. aasm@aasmnet.org
Vishesh K Kapur
Terry Brown
Todd J Swick
Cathy Alessi
R Nisha Aurora
Brian Boehlecke
Andrew L Chesson
Leah Friedman
Rama Maganti
Judith Owens
Jeffrey Pancer
Rochelle Zak
Standards of Practice Committee of the American Academy of Sleep Medicine
Barrow Neurological Institute · USHouston Medical Center · USIcahn School of Medicine at Mount Sinai · USLouisiana State University in Shreveport · USMayo Clinic in Arizona · USMount Sinai Medical Center · USRhode Island Hospital · USSaint Thomas - Rutherford Hospital · USStanford University · USUniversity of North Carolina at Chapel Hill · USUniversity of Washington · USVA Greater Los Angeles Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

These practice parameters pertain to the treatment of hypersomnias of central origin. They serve as both an update of previous practice parameters for the therapy of narcolepsy and as the first practice parameters to address treatment of other hypersomnias of central origin. They are based on evidence analyzed in the accompanying review paper. The specific disorders addressed by these parameters are narcolepsy (with cataplexy, without cataplexy, due to medical condition and unspecified), idiopathic hypersomnia (with long sleep time and without long sleep time), recurrent hypersomnia and hypersomnia due to medical condition. Successful treatment of hypersomnia of central origin requires an accurate diagnosis, individual tailoring of therapy to produce the fullest possible return of normal function, and regular follow-up to monitor response to treatment. Modafinil, sodium oxybate, amphetamine, methamphetamine, dextroamphetamine, methylphenidate, and selegiline are effective treatments for excessive sleepiness associated with narcolepsy, while tricyclic antidepressants and fluoxetine are effective treatments for cataplexy, sleep paralysis, and hypnagogic hallucinations; but the quality of published clinical evidence supporting them varies. Scheduled naps can be beneficial to combat sleepiness in narcolepsy patients. Based on available evidence, modafinil is an effective therapy for sleepiness due to idiopathic hypersomnia, Parkinson's disease, myotonic dystrophy, and multiple sclerosis. Based on evidence and/or long history of use in the therapy of narcolepsy committee consensus was that modafinil, amphetamine, methamphetamine, dextroamphetamine, and methylphenidate are reasonable options for the therapy of hypersomnias of central origin.

Indexed as

Evidence-Based MedicineAntidepressive Agents, TricyclicBenzhydryl CompoundsCataplexyCentral Nervous System StimulantsDisorders of Excessive SomnolenceFluoxetineHumansModafinilNarcolepsyTreatment OutcomeAntidepressive Agents, TricyclicBenzhydryl CompoundsCentral Nervous System StimulantsFluoxetineModafinil

Identifiers

PMID18246980
PMCPMC2276123
OpenAlexW1241659441

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.