Evidence map›Paper›PMID 29991438›Full record

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

Use of Actigraphy for the Evaluation of Sleep Disorders and Circadian Rhythm Sleep-Wake Disorders: An American Academy of Sleep Medicine Systematic Review, Meta-Analysis, and GRADE Assessment.

Michael T Smith, Christina S McCrae, Joseph Cheung, Jennifer L Martin, Christopher G Harrod, Jonathan L Heald, Kelly A Carden

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 trial NCT05402280 (Sleep Disturbances in Hospitalized Patients as a Risk Factor for Delirium), which is not on this map. Cited by 242 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
242citing papers in PubMed, 13 pooled it
40.1field-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.

NCT05402280 narecruitingnot on this mapstarted 2022, after this paper: background citation

Sleep Disturbances in Hospitalized Patients as a Risk Factor for Delirium

TypeinterventionalSponsorUniversity of OstravaRan2022 to 2025Enrolled3,240ConditionsSleep DisturbanceArmsSleep protocol
3 · Its place in the literature

Who cites it

242 citing papers in PubMed, 13 syntheses or guidelines pooled it, 483 citations in OpenAlex.

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  7. Effect of sleep on development of early childhood caries: a systematic review.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2023
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  10. The effect of robot interventions on sleep in adults: a systematic review and network meta-analysis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
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182 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

7 authors at 6 institutions in 1 country.

Michael T SmithJohns Hopkins School of Medicine, Baltimore, Maryland.
Christina S McCraeUniversity of Missouri, Columbia, Missouri.
Joseph CheungStanford Center for Sleep Sciences and Medicine, Stanford University, Palo Alto, California.
Jennifer L MartinDavid Geffen School of Medicine at the University of California Los Angeles, Los Angeles, California.
Christopher G HarrodAmerican Academy of Sleep Medicine, Darien, Illinois.
Jonathan L HealdAmerican Academy of Sleep Medicine, Darien, Illinois.
Kelly A CardenSaint Thomas Medical Partners-Sleep Specialists, Nashville, Tennessee.
American Academy of Sleep Medicine · USJohns Hopkins University · USStanford University · USSt. Thomas Medical Group · USUniversity of California, Los Angeles · USUniversity of Missouri · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this systematic review is to provide supporting evidence for a clinical practice guideline on the use of actigraphy.

methodsThe American Academy of Sleep Medicine commissioned a task force of experts in sleep medicine. A systematic review was conducted to identify studies that compared the use of actigraphy, sleep logs, and/or polysomnography. Statistical analyses were performed to determine the clinical significance of using actigraphy as an objective measure of sleep and circadian parameters. Finally, the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) process was used to assess the evidence for making recommendations.

resultsThe literature search resulted in 81 studies that met inclusion criteria; all 81 studies provided data suitable for statistical analyses. These data demonstrate that actigraphy provides consistent objective data that is often unique from patient-reported sleep logs for some sleep parameters in adult and pediatric patients with suspected or diagnosed insomnia, circadian rhythm sleep-wake disorders, sleep-disordered breathing, central disorders of hypersomnolence, and adults with insufficient sleep syndrome. These data also demonstrate that actigraphy is not a reliable measure of periodic limb movements in adult and pediatric patients. The task force provided a detailed summary of the evidence along with the quality of evidence, the balance of benefits and harms, patient values and preferences, and resource use considerations.

Indexed as

Sleep Medicine SpecialtyAcademies and InstitutesActigraphyGRADE ApproachHumansSleep Disorders, Circadian RhythmSleep Wake DisordersUnited Statesactigraphycircadian rhythmsleep disorderssystematic review

Identifiers

PMID29991438
PMCPMC6040804
OpenAlexW2884542075

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.