Evidence map›Paper›PMID 29852897›Full record

ReviewJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2018

Insomnia in the Elderly: A Review.

Dhaval Patel, Joel Steinberg, Pragnesh Patel

2 registry-linked trialsOpen access · bronzeAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018. 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 274 papers, 17 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
274citing papers in PubMed, 17 pooled it
33.3field-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.

NCT04986007 naterminatednot on this mapstarted 2021, after this paper: background citation

Addressing Nocturnal Sleep/Wake Effects on Risk of Suicide in Older Adults (ANSWERS-OA): A Pilot, Open-Label, Randomized Controlled Trial of Digital Cognitive Behavioral Therapy for Insomnia

TypeinterventionalSponsorMICHAEL A GRANDNERRan2021 to 2025Enrolled23ConditionsSleep Initiation and Maintenance Disorders, Suicidal IdeationArmsDigital Cognitive Behavioral Therapy for Insomnia
NCT05410288 nacompletednot on this mapstarted 2022, after this paper: background citation

A Clinical Investigation of the Effects of Acu-TENS and Acupressure on the Sleep Quality of Older Adults With Insomnia: A Pilot Randomized, Placebo-controlled Clinical Trial

TypeinterventionalSponsorThe Hong Kong Polytechnic UniversityRan2022 to 2023Enrolled76ConditionsacuTENS, Sleep Quality, Insomnia, AcupressureArmsAcu-TENS, acupressure+SHP, placebo stimulation+SHP, sleep hygiene program(SHP)
3 · Its place in the literature

Who cites it

274 citing papers in PubMed, 17 syntheses or guidelines pooled it, 624 citations in OpenAlex.

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  11. Associations between insomnia and cardiovascular diseases: a meta-review and meta-analysis of observational and Mendelian randomization studies.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
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214 more citing papers are in PubMed but not listed here.

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

3 authors at 1 institution in 1 country.

Dhaval PatelDepartment of Geriatrics, Wayne State University School of Medicine, Detroit, Michigan.
Joel SteinbergDepartment of Geriatrics, Wayne State University School of Medicine, Detroit, Michigan.
Pragnesh PatelDepartment of Geriatrics, Wayne State University School of Medicine, Detroit, Michigan.
Wayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsomnia remains one of the most common sleep disorders encountered in the geriatric clinic population, frequently characterized by the subjective complaint of difficulty falling or maintaining sleep, or nonrestorative sleep, producing significant daytime symptoms including difficulty concentrating and mood disturbances.

methodsA search of the literature was conducted to review the epidemiology, definition, and age-related changes in sleep, as well as factors contributing to late-life insomnia and scales utilized for the assessment of insomnia in older people. The aim is to summarize recent diagnostic guidelines and both nonpharmacological and pharmacological strategies for the management of insomnia in the older population.

resultsInsomnia remains a clinical diagnosis. There are several demographic, psychosocial, biologic, and behavioral factors that can contribute to late-life insomnia. Older adults are at higher risk for the medical and psychiatric effects of insomnia.

conclusionsThe most important aspect in evaluation of insomnia is detailed history taking and thorough physical examination. Nonpharmacological treatment options have favorable and enduring benefits compared to pharmacological therapy.

Indexed as

AgedFemaleHumansMaleSleep Initiation and Maintenance Disorderscognitive behavioral therapyelderlyinsomniapharmacological treatment

Identifiers

PMID29852897
PMCPMC5991956
OpenAlexW2808673984

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.