Evidence map›Paper›PMID 31947711›Full record

ArticleJournal of clinical medicine2020

Gender Differences in Obstructive Sleep Apnea: The Value of Sleep Questionnaires with a Separate Analysis of Cardiovascular Patients.

Athanasia Pataka, Seraphim Kotoulas, George Kalamaras, Sofia Schiza, Konstantinos Sapalidis, Dimitirios Giannakidis, Nikolaos Michalopoulos, Charilaos Koulouris, Zoi Aidoni, Aikaterini Amaniti and 12 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Association of edentulism and obstructive sleep apnea: A systematic review.Journal of prosthodontics : official journal of the American College of Prosthodontists · 2025
    Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Screening Obstructive Sleep Apnea in Chinese Adults: Optimizing STOP-Bang and NoSAS Cutoff Values.Medical science monitor : international medical journal of experimental and clinical research · 2025
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  13. Review
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  15. Article
  16. Article
  17. Observational
  18. The Berlin Questionnaire in pregnancy predominantly identifies obesity.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  19. Contact-free screening for obstructive sleep apnea: comfort, especially in a physically distanced brave new world.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  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

22 authors at 6 institutions in 2 countries.

Athanasia PatakaRespiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.
Seraphim KotoulasRespiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.ORCID 0000-0002-6092-1341
George KalamarasRespiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.
Sofia SchizaSleep Disorders Unit, Department of Respiratory Medicine, Medical School, University of Crete, 71110 Heraklion, Greece.
Konstantinos Sapalidis3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Dimitirios Giannakidis3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.ORCID 0000-0002-8438-4050
Nikolaos Michalopoulos3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Charilaos Koulouris3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Zoi AidoniAnesthesiology Department, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Aikaterini AmanitiAnesthesiology Department, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Izoldi BouloukakiSleep Disorders Unit, Department of Respiratory Medicine, Medical School, University of Crete, 71110 Heraklion, Greece.
Evangelos ChatzopoulosRespiratory Failure Unit, G. Papanikolaou Hospital, Aristotle University of Thessaloniki, 57010 Thessaloniki, Greece.
Konstantinos RomanidisSecond Department of Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Panagoula OikonomouSecond Department of Surgery, University Hospital of Alexandroupolis, Medical School, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
Paschalis SteiropoulosDepartment of Pneumonology, Democritus University of Thrace, 68100 Alexandroupolis, Greece.ORCID 0000-0001-7121-6253
Georgia TrakadaDivision of Pulmonology, Department of Clinical Therapeutics, National and Kapodistrian University of Athens School of Medicine, Alexandra Hospital, 11528 Athens, Greece.ORCID 0000-0003-0037-1269
Anastasios VagionasOncology Department, General Hospital of Kavala, 65500 Kavala, Greece.
Aris Ioannidis3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Iason Nikolaos Katsios3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Alexandru Marian GoganauGeneral Surgery Clinic 1, University of Medicine and Pharmacy of Craiova, Craiova County Emergency Hospital, 200009 Craiova, Romania.
Pavlos Zarogoulidis3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.ORCID 0000-0001-5119-2207
Christoforos Kosmidis3rd Department of Surgery, "AHEPA" University Hospital, Aristotle University of Thessaloniki, Medical School, 54636 Thessaloniki, Greece.
Aristotle University of Thessaloniki · GRDemocritus University of Thrace · GRUniversity of Crete · GRNational and Kapodistrian University of Athens · GRTechnological Educational Institute of Eastern Macedonia and Thrace · GRUniversity of Medicine and Pharmacy of Craiova · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGender affects the clinical presentation of obstructive sleep apnea (OSA). The classic OSA symptoms, such as sleepiness, snoring, and apnea, are not so frequent in women.

objectivesTo evaluate possible gender differences in questionnaires used for OSA prediction, such as the Epworth Sleepiness Scale (ESS), STOP, STOP Bang (SB), Berlin Questionnaire (BQ), Athens Insomnia Scale (AIS), and Fatigue Scale (FS).

methods350 males were matched with 350 women referred to a sleep clinic, according to OSA severity. All responded to the questionnaires and underwent a sleep study. Cardiovascular disease (CVD) patients were separately analyzed.

resultsESS did not differ between genders. SB was higher in males, whereas STOP, BQ, AIS, and FS were higher in females. BQ presented the highest sensitivity in both genders, whereas STOP exhibited the highest specificity in males and ESS in females. AIS and FS were more sensitive and SB more specific in females, whereas BQ was more specific in males. For severe OSA, the predictive values of SB and BQ were almost similar for both genders; however AIS and FS were higher in women. CVD patients presented higher scores, independent of gender, except for AIS, which was higher in females.

conclusionGender-specific evaluation of questionnaires is necessary to prevent OSA under-diagnosis.

Indexed as

Athens Insomnia ScaleBerlinEpworthFatigue Scalegenderquestionnairessleep apneaStop Bang

Identifiers

PMID31947711
PMCPMC7019723
OpenAlexW2997207867

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.