Evidence map›Paper›PMID 35902534›Full record

ArticleSleep & breathing = Schlaf & Atmung2023

External proficiency testing improves inter-scorer reliability of polysomnography scoring.

Warren R Ruehland, Peter D Rochford, Robert J Pierce, Parmjit Singh, Andrew T Thornton

Abstract read
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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Evaluation of automated pediatric sleep stage classification using U-Sleep: a convolutional neural network.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  4. The impact of study type and sleep measurement on oxygen desaturation index calculation.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    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

5 authors.

Warren R RuehlandInstitute for Breathing and Sleep, Studley Rd, Heidelberg, VIC, 3084, Australia. Warren.Ruehland@austin.org.au.ORCID 0000-0001-9626-7460
Peter D RochfordInstitute for Breathing and Sleep, Studley Rd, Heidelberg, VIC, 3084, Australia.
Robert J PierceInstitute for Breathing and Sleep, Studley Rd, Heidelberg, VIC, 3084, Australia.
Parmjit SinghRoyal Adelaide Hospital, Adelaide, South Australia, Australia.
Andrew T ThorntonRoyal Adelaide Hospital, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated whether or not polysomnography (PSG) inter-scorer reliability (ISR) across sleep centres could be improved by external proficiency testing (EPT), or by EPT combined with method alignment training.

methodsExperienced scorers form 15 sleep centres were randomised to the following: (1) a control group, (2) a group that received a self-directed intervention of EPT reports (EPT

resultsAmong 30 scorers, there were no ISR changes in controls between baseline (BL) and 6 months (6 m). Both EPT groups showed ISR improvement from BL to 6 m for respiratory, arousal and sleep scoring (p < 0.05). Respiratory scoring back-transformed mean (95CI) proportion of specific agreement (PSA) for the EPT

conclusionExternal proficiency testing produced modest, statistically significant PSG inter-scorer reliability improvements among experienced scorers across sleep centres, with potential to improve clinical management of individual patients and increase research study statistical power.

Indexed as

SleepSleep Apnea, ObstructiveHumansObserver VariationPolysomnographyReproducibility of ResultsAgreementConcordanceQuality controlScoring variabilitySleep scoring

Identifiers

What OpenQuestion holds

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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.