Evidence map›Paper›PMID 27303598›Full record

ArticleBasic and clinical neuroscience2016

Evaluation of Berlin Questionnaire Validity for Sleep Apnea Risk in Sleep Clinic Populations.

Behnam Khaledi-Paveh, Habibolah Khazaie, Marzie Nasouri, Mohammad Rasoul Ghadami, Masoud Tahmasian

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In one paragraph

Article in Basic and clinical neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2017
    Guideline
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  7. Observational
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  9. Review
  10. The association between OSA and glycemic control in diabetes.International journal of preventive medicine · 2023
    Article
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  14. Review
  15. Article
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  18. Sleepiness, occlusion, dental arch and palatal dimensions in children attention deficit hyperactivity disorder (ADHD).European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2018
    Article
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  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

5 authors.

Behnam Khaledi-PavehSleep Disorders Research Center, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Habibolah KhazaieSleep Disorders Research Center, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Marzie NasouriSleep Disorders Research Center, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Mohammad Rasoul GhadamiSleep Disorders Research Center, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Masoud TahmasianSleep Disorders Research Center, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran.; Department of Neurology, University Hospital of Cologne, Cologne, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Berlin questionnaire (BQ) is a common tool to screen for Obstructive Sleep Apnea (OSA) in the general population, but its application in the clinical sleep setting is still challenging. The aim of this study was to determine the specificity and sensitivity of the BQ compared to the apnea-hypopnea index obtained from polysomnography recordings obtained from a sleep clinic in Iran.

methodsWe recruited 100 patients who were referred to the Sleep Disorders Research Center of Kermanshah University of Medical Sciences for the evaluation of suspected sleep-disorder breathing difficulties. Patients completed a Persian version of BQ and underwent one night of PSG. For each patient, Apnea-Hypopnea Index (AHI) was calculated to assess the diagnosis and severity of OSA. Severity of OSA was categorized as mild when AHI was between 5 and 15, moderate when it was between 15 and 30, and severe when it was more than 30.

resultsBQ results categorized 65% of our patients as high risk and 35% as low risk for OSA. The sensitivity and the specificity of BQ for OSA diagnosis with AHI>5 were 77.3% and 23.1%, respectively. Positive predictive value was 68.0% and negative predictive value was 22.0%. Moreover, the area under curve was 0.53 (95% CI: 0.49 - 0.67, P=0.38). DISCUSSION: Our findings suggested that BQ, despite its advantages in the general population, is not a precise tool to determine the risk of sleep apnea in the clinical setting, particularly in the sleep clinic population.

Indexed as

Berlin questionnaireObstructiveSleep apneaSleep clinicValidation

Identifiers

PMID27303598
PMCPMC4892329

What OpenQuestion holds

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Registered trials

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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.