Evidence map›Paper›PMID 34013345›Full record

SynthesisSleep2021

A systematic review of patient-reported outcome measures used to assess sleep in postpartum women using Consensus Based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines.

P Sultan, K Ando, E Sultan, J Hawkins, L Blake, F Barwick, M Kawai, B Carvalho

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Sleep, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Insomnia disorder at 6 weeks postpartum: a prospective study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  4. Article
  5. Article
  6. Proposed domains of postpartum sleep: a concept elicitation study using qualitative interviews.Sleep advances : a journal of the Sleep Research Society · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Development and Validation of a Turkish Version of Obstetric Quality of Recovery-10.Turkish journal of anaesthesiology and reanimation · 2022
    Article
  12. Article
  13. Proposed domains for assessing postpartum recovery: a concept elicitation study.BJOG : an international journal of obstetrics and gynaecology · 2022
    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

8 authors at 2 institutions in 1 country.

P SultanDepartment of Anesthesiology, Perioperative and Pain Medicine. Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0002-7770-0289
K AndoDepartment of Anesthesiology, Perioperative and Pain Medicine. Stanford University School of Medicine, Stanford, CA, USA.ORCID 0000-0003-1778-1344
E SultanDepartment of Anesthesiology, Perioperative and Pain Medicine. Stanford University School of Medicine, Stanford, CA, USA.
J HawkinsStanford University School of Medicine, Stanford, CA, USA.
L BlakeUAMS Medical Library, UAMS, Little Rock, AR, USA.ORCID 0000-0002-8234-8611
F BarwickDivision of Sleep Medicine, Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, Stanford, CA, USA.
M KawaiDivision of Sleep Medicine, Department of Psychiatry and Behavioral Sciences, Stanford University, School of Medicine, Stanford, CA, USA.
B CarvalhoDepartment of Anesthesiology, Perioperative and Pain Medicine. Stanford University School of Medicine, Stanford, CA, USA.
Stanford University · USUniversity of Arkansas Medical Center · US

Funding

Cortical Hemodynamism and Oxygenation During Sleep and Cognition: Window to Cognitive Impairment and Neurodegeneration in AgingK23AG053465 · NIA · STANFORD UNIVERSITY · PI KAWAI, MAKOTO · 2017 to 2022
$1.1M
NIA NIH HHS K23 AG053465
6 · The paper itself

Abstract

STUDY

objectivesWe performed a systematic review to identify the best patient-reported outcome measure (PROM) of postpartum sleep in women.

methodsWe searched four databases for validated PROMs used to assess postpartum sleep. Studies were considered if they evaluated at least one psychometric measurement property of a PROM. An overall performance rating was assigned for each psychometric measurement property of each PROM based upon COSMIN criteria. A modified GRADE approach was used to assess the level of evidence and recommendations were then made for each PROM.

resultsWe identified 15 validation studies of eight PROMs, in 9,070 postpartum women. An adequate number of sleep domains was assessed by five PROMs: Bergen Insomnia Scale (BIS), Pittsburgh Sleep Quality Index (PSQI), General Sleep Disturbance Scale (GSDS), Athens Insomnia Scale (AIS), and the Sleep Symptom Checklist (SSC). BIS and GSDS were the only PROMs to demonstrate adequate content validity and at least a low level of evidence of sufficient internal consistency, resulting in Class A recommendations. The BIS was the only PROM, which is easily accessible and free to use for noncommercial research, that achieved a Class A recommendation.

conclusionThe BIS is the best currently available PROM of postpartum sleep. However, this PROM fails to assess several important domains such as sleep duration (and efficiency), chronotype, sleep-disordered breathing and medication usage. Future studies should focus on evaluating the psychometric measurement properties of BIS in the North American setting and in different cultural groups, or to develop a more specific PROM of postpartum sleep.

Indexed as

Patient Reported Outcome MeasuresSleepConsensusFemaleHumansPostpartum PeriodPsychometricsQuality of LifeSurveys and QuestionnairesCOSMINpatient-reported outcome measurepostpartumPROMsleep

Identifiers

PMID34013345
PMCPMC8682662
OpenAlexW3161094709

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.