Evidence map›Paper›PMID 25142569›Full record

ArticleSleep2014

Sleep and sickness absence: a nationally representative register-based follow-up study.

Tea Lallukka, Risto Kaikkonen, Tommi Härkänen, Erkki Kronholm, Timo Partonen, Ossi Rahkonen, Seppo Koskinen

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Sleep, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
6.9field-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.

NCT03844295 nacompletednot on this mapstarted 2019, after this paper: background citation

Upper AIRway Implanted Nerve STIMulation Therapy: A Breakthrough in Obstructive Sleep Apnea Therapy

TypeinterventionalSponsorUniversity Hospital, GrenobleRan2019 to 2023Enrolled7ConditionsObstructive Sleep Apnea SyndromeArmsActivated Inspire® Upper Airway Stimulation System, Inactivated Inspire® Upper Airway Stimulation System
NCT06149273 narecruitingnot on this mapstarted 2023, after this paper: background citation

Treatment of Insomnia in Primary Care Study

TypeinterventionalSponsorUniversity of TurkuRan2023 to 2029Enrolled250ConditionsInsomnia ChronicArmsSleep School, Treatment as usual
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  7. Article
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  9. Article
  10. Article
  11. Child Eveningness as a Predictor of Parental Sleep.Children (Basel, Switzerland) · 2022
    Article
  12. Article
  13. Article
  14. Article
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  16. Article
  17. A Cognitive Behavioral Model Proposing That Clinical Burnout May Maintain Itself.International journal of environmental research and public health · 2021
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Tea Lallukka
Risto Kaikkonen
Tommi Härkänen
Erkki Kronholm
Timo Partonen
Ossi Rahkonen
Seppo Koskinen
Finnish Institute for Health and Welfare · FIFinnish Institute of Occupational Health · FIUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesWe aimed to examine various sleep measures as determinants of sickness absence while considering confounders.

designNationally representative Health 2000 Survey linked with sickness absence data from the Finnish Social Insurance Institution.

settingFinland.

participantsWorking-aged women (n = 1,875) and men (n = 1,885).

interventionsN/A. MEASUREMENTS AND

resultsInsomnia-related symptoms, early morning awakenings, being more tired during daytime than other people of same age, use of sleeping pills, excessive daytime sleepiness, probable sleep apnea (4 items about snoring/apnea), and reporting that sleep duration varies between different seasons were examined as determinants of sickness absence over a 7.2 year follow-up. Poisson and gamma regression models were fitted. After adjusting age, all examined sleep disturbances except excessive daytime sleepiness were associated with sickness absence among men (RRs 1.3-2.5). Among women, after adjusting for age, insomnia-related symptoms, early morning awakenings, being more tired than others, and use of sleeping pills were associated with sickness absence (RRs 1.4-1.8). After further adjustments for education, working conditions, health behaviors, and objectively measured mental and somatic health, the associations somewhat attenuated but mainly remained. The optimal sleep duration with the lowest risk of sickness absence was 7.6 hours for women and 7.8 hours for men. Although persistence of other health problems could affect the estimates, direct costs due to sickness absence could decrease by up to 28% if sleep disturbances could be fully addressed.

conclusionsThis study highlights the need for prevention of sleep disturbances and promotion of optimal sleep length to prevent sickness absence.

Indexed as

RegistriesAdultAge FactorsCosts and Cost AnalysisEfficiencyFatigueFemaleFinlandFollow-Up StudiesHealth SurveysHumansHypnotics and SedativesMaleMiddle AgedSeasonsSex FactorsHypnotics and Sedativescohort studycosthypnoticsinsomniaregister basedsleep durationwork disability

Identifiers

PMID25142569
PMCPMC4153055
OpenAlexW2041350752

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.