Evidence map›Paper›PMID 26094934›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2015

Sleep Disorders in Aboriginal and Torres Strait Islander People and Residents of Regional and Remote Australia.

Cindy E Woods, Karen McPherson, Erik Tikoft, Kim Usher, Fariborz Hosseini, Janine Ferns, Hubertus Jersmann, Ral Antic, Graeme Paul Maguire

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 39% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Racial and Ethnic Disparities in the Diagnosis and Treatment of Obstructive Sleep Apnea: A Systematic Review.International journal of environmental research and public health · 2026
    Pooled it
  2. Smartwatch-based detection of moderate-to-severe and high-risk obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Observational
  3. A systematic review of obstructive sleep apnea in Indigenous peoples worldwide.Sleep advances : a journal of the Sleep Research Society · 2026
    Review
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  16. Sleep Disorders in Indigenous Communities: Time to Close the Gap.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2015
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Cindy E WoodsCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
Karen McPhersonAlice Springs Hospital, Alice Springs, Northern Territory, Australia.
Erik TikoftAlice Springs Hospital, Alice Springs, Northern Territory, Australia.
Kim UsherCentre for Nursing and Midwifery Research, James Cook University, Cairns, Queensland, Australia.
Fariborz HosseiniAlice Springs Hospital, Alice Springs, Northern Territory, Australia.
Janine FernsCairns Hospital, Cairns, Queensland, Australia.
Hubertus JersmannAlice Springs Hospital, Alice Springs, Northern Territory, Australia.
Ral AnticAlice Springs Hospital, Alice Springs, Northern Territory, Australia.
Graeme Paul MaguireCollege of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia.
Alice Springs Hospital · AUJames Cook University · AUCairns Hospital · AUUniversity of Adelaide · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesTo compare the use of sleep diagnostic tests, the risks, and cofactors, and outcomes of the care of Indigenous and non-indigenous Australian adults in regional and remote Australia in whom sleep related breathing disorders have been diagnosed.

methodsA retrospective cohort study of 200 adults; 100 Aboriginal and Torres Strait Islander and 100 non-indigenous adults with a confirmed sleep related breathing disorder diagnosed prior to September 2011 at Alice Springs Hospital and Cairns Hospital, Australia.

resultsResults showed overall Indigenous Australians were 1.8 times more likely to have a positive diagnostic sleep study performed compared with non-indigenous patients, 1.6 times less likely in central Australia and 3.4 times more likely in far north Queensland. All regional and remote residents accessed diagnostic sleep studies at a rate less than Australia overall (31/100,000/y (95% confidence interval, 21-44) compared with 575/100,000/y).

conclusionThe barriers to diagnosis and ongoing care are likely to relate to remote residence, lower health self-efficacy, the complex nature of the treatment tool, and environmental factors such as electricity and sleeping area. Indigeneity, remote residence, environmental factors, and low awareness of sleep health are likely to affect service accessibility and rate of use and capacity to enhance patient and family education and support following a diagnosis. A greater understanding of enablers and barriers to care and evaluation of interventions to address these are required. COMMENTARY: A commentary on this article appears in this issue on page 1255.

Indexed as

AustraliaAustralian Aboriginal and Torres Strait Islander PeoplesCohort StudiesFemaleHumansMaleMiddle AgedQueenslandRetrospective StudiesRisk FactorsSleep Wake DisordersAustraliaindigenous populationobstructive sleep apnoeapolysomnographysleep

Identifiers

PMID26094934
PMCPMC4623124
OpenAlexW775933850

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.