Evidence map›Paper›PMID 25434753›Full record

ArticleClinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology2015

Inter-expert and intra-expert reliability in sleep spindle scoring.

Sabrina L Wendt, Peter Welinder, Helge B D Sorensen, Paul E Peppard, Poul Jennum, Pietro Perona, Emmanuel Mignot, Simon C Warby

Abstract read
In one paragraph

Article in Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
2.4field-weighted citation impact, top 12% 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

35 citing papers in PubMed, 74 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Analysis and visualization of sleep stages based on deep neural networks.Neurobiology of sleep and circadian rhythms · 2021
    Article
  19. Large-scale assessment of consistency in sleep stage scoring rules among multiple sleep centers using an interpretable machine learning algorithm.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  20. Article
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

8 authors at 5 institutions in 2 countries.

Sabrina L WendtCenter for Sleep Science and Medicine, Stanford University, Palo Alto, CA, United States; Danish Center for Sleep Medicine, Glostrup University Hospital, DK-2600 Glostrup, Denmark.
Peter WelinderComputational Vision Laboratory, California Institute of Technology, Pasadena, CA, United States.
Helge B D SorensenDept. of Electrical Engineering, Technical University of Denmark, DK-2800 Kongens Lyngby, Denmark.
Paul E PeppardDepartment of Population Health Sciences, University of Wisconsin - Madison, Madison, WI, United States.
Poul JennumDanish Center for Sleep Medicine, Glostrup University Hospital, DK-2600 Glostrup, Denmark.
Pietro PeronaComputational Vision Laboratory, California Institute of Technology, Pasadena, CA, United States.
Emmanuel MignotCenter for Sleep Science and Medicine, Stanford University, Palo Alto, CA, United States.
Simon C WarbyCenter for Sleep Science and Medicine, Stanford University, Palo Alto, CA, United States; Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Coeur de Montréal, Department of Psychiatry, Université de Montréal, Montréal, Canada. Electronic address: simon.c.warby@umontreal.ca.
California Institute of Technology · USGlostrup Hospital · DKStanford University · USTechnical University of Denmark · DKUniversity of Wisconsin–Madison · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
SPECTRUM OF NARCOLEPSY AND ITS SYMPTOMSP50NS023724 · NINDS · STANFORD UNIVERSITY · PI MIGNOT, EMMANUEL J · 1986 to 2016
$18.9M
EPIDEMIOLOGY OF SLEEP-DISORDERED BREATHING IN ADULTSR01HL062252 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI PEPPARD, PAUL E · 1999 to 2013
$14.1M
CENTER FOR NARCOLEPSY AND RELATED DISORDERSP01NS023724 · NINDS · STANFORD UNIVERSITY · PI DEMENT, WILLIAM C · 1987 to 1988
–
Canadian Institutes of Health ResearchNCATS NIH HHS UL1 TR000427NCRR NIH HHS 1UL1RR025011NCRR NIH HHS UL1 RR025011NHLBI NIH HHS R01 HL062252NHLBI NIH HHS R01HL62252NINDS NIH HHS NS23724NINDS NIH HHS P50 NS023724
6 · The paper itself

Abstract

objectivesTo measure the inter-expert and intra-expert agreement in sleep spindle scoring, and to quantify how many experts are needed to build a reliable dataset of sleep spindle scorings.

methodsThe EEG dataset was comprised of 400 randomly selected 115s segments of stage 2 sleep from 110 sleeping subjects in the general population (57±8, range: 42-72 years). To assess expert agreement, a total of 24 Registered Polysomnographic Technologists (RPSGTs) scored spindles in a subset of the EEG dataset at a single electrode location (C3-M2). Intra-expert and inter-expert agreements were calculated as F1-scores, Cohen's kappa (κ), and intra-class correlation coefficient (ICC).

resultsWe found an average intra-expert F1-score agreement of 72±7% (κ: 0.66±0.07). The average inter-expert agreement was 61±6% (κ: 0.52±0.07). Amplitude and frequency of discrete spindles were calculated with higher reliability than the estimation of spindle duration. Reliability of sleep spindle scoring can be improved by using qualitative confidence scores, rather than a dichotomous yes/no scoring system.

conclusionsWe estimate that 2-3 experts are needed to build a spindle scoring dataset with 'substantial' reliability (κ: 0.61-0.8), and 4 or more experts are needed to build a dataset with 'almost perfect' reliability (κ: 0.81-1). SIGNIFICANCE: Spindle scoring is a critical part of sleep staging, and spindles are believed to play an important role in development, aging, and diseases of the nervous system.

Indexed as

Observer VariationAdultAgedArousalElectroencephalographyFemaleHumansMaleMiddle AgedPolysomnographyReproducibility of ResultsSleep StagesAgreementElectroencephalographyEvent detectionInter-expertInter-raterIntra-expertIntra-raterPolysomnographyReliabilitySleep scoringSleep spindlesSleep staging

Identifiers

PMID25434753
PMCPMC4426257
OpenAlexW1963609107

What OpenQuestion holds

Textmetadata
LicenceTDM
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.