Evidence map›Paper›PMID 31786747›Full record

ArticleSleep & breathing = Schlaf & Atmung2020

Self-setup of home respiratory polygraphy for the diagnosis of sleep apnea syndrome: cost-efficiency study.

Blanca Barriuso, Lourdes Martin, Cristina Sevilla, Carmen Muñoz, Verónica López, Ma Jose Bello, Nieves Manchado, Montserrat Pamiés, Patricia Díez, Rocío Sanz and 4 more

Abstract readClinical Study
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.3field-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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
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

14 authors at 1 institution in 1 country.

Blanca BarriusoSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain. barriusoblanca@gmail.com.
Lourdes MartinSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Cristina SevillaSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Carmen MuñozSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Verónica LópezSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Ma Jose BelloSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Nieves ManchadoSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Montserrat PamiésSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Patricia DíezSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Rocío SanzSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Cristina CiorbaSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Estrella OrdaxSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Joaquín Terán-SantosSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
María Luz Alonso-AlvarezSleep Unit, Hospital Universitario de Burgos, Avda Baleares 3, 09006, Burgos, Spain.
Hospital Universitario de Burgos · ES

Funding

Fundación Burgos por la Investigación de la Salud 1615
6 · The paper itself

Abstract

purposeTo evaluate the differences in reliability and costs of home respiratory polygraphy (HRP) when installed by the patient and by a nurse, in order to determine the factors affecting and to consider the possible generalization of self-setup procedure. Several HRP devices have been validated for obstructive sleep apnea (OSA) diagnosis but convenience of a nurse intervention in HRP installation has been scarcely studied.

methodsThis is a prospective and interventional study. About 301 participants were assigned to 2 groups: self-setup and nurse intervention. Sleep study, questionnaires, and diagnostic procedures were performed following the clinical practice in 2016. Signals were considered lost above 3 min, and success of the test was established according to guidelines. Costs were calculated according to a previous multicenter study.

resultsBoth groups (self-setup and nurse intervention) resulted homogeneous in age, gender, BMI, and final diagnosis of OSA. Signal losses during the test were similar in both groups. Slightly higher percentage of unsuccessful tests were obtained in the self-setup procedure (5.3 vs 2.0%, p = 0.121). The costs were similar (107 vs 105 €) in the self-setup group as compared to the nurse setup group.

conclusionsThe setup of HRP by either the patient or nurse had similar costs and data acquisition. Both installation procedures of HRP were similar regarding test reliability and costs. Main findings are that self-installation by the patient could be similarly reliable and economic as installation by a nurse, as far as consensus guidelines are followed. This study demonstrates that self-setup of HRP is a potentially viable option for the diagnosis of OSA.

Indexed as

Process Assessment, Health CareSelf-TestingAdultAgedFemaleHumansMaleMiddle AgedNursesPolysomnographyProspective StudiesSleep Apnea, ObstructiveCostHome respiratory polygraphyNurseSignalsSleep apnea

Identifiers

PMID31786747
OpenAlexW2989566809

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.