Evidence map›Paper›PMID 37620257›Full record

ArticleBMJ open2023

Single-centre, single-blinded, randomised, parallel group, feasibility study protocol investigating if mandibular advancement device treatment for obstructive sleep apnoea can reduce nocturnal gastro-oesophageal reflux (MAD-Reflux trial).

Saoirse O'Toole, Rebecca Moazzez, Gabriella Wojewodka, Sebastian Zeki, Jafar Jafari, Katherine Hope, Andrew Brand, Zoe Hoare, Suzanne Scott, Kodchawan Doungsong and 4 more

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-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, 2 citations in OpenAlex.

  1. An empirical comparison of sleep-specific versus generic quality of life instruments among Australians with sleep disorders.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 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

14 authors at 6 institutions in 3 countries.

Saoirse O'TooleCentre for Clinical, Oral and Translational Sciences, King's College London, London, UK saoirse.otoole@kcl.ac.uk.ORCID 0000-0002-2144-1847
Rebecca MoazzezRestorative Dentistry, University of the Pacific Arthur A Dugoni School of Dentistry, San Francisco, California, USA.
Gabriella WojewodkaOral and Clinical Research Unit, King's College London, London, UK.ORCID 0000-0003-4635-4800
Sebastian ZekiOesophageal Physiology Laboratory, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Jafar JafariOesophageal Physiology Laboratory, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Katherine HopeHope2Sleep, Hull, UK.
Andrew BrandNWORTH (North Wales Organisation for Randomised Trials in Health), School of Medical and Health Sciences, Bangor University, Bangor, UK.
Zoe HoareNWORTH (North Wales Organisation for Randomised Trials in Health), School of Medical and Health Sciences, Bangor University, Bangor, UK.ORCID 0000-0003-1803-5482
Suzanne ScottQueen Mary University of London Wolfson Institute of Population Health, London, UK.
Kodchawan DoungsongCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK.
Victory EzeoforCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK.
Rhiannon Tudor EdwardsCentre for Health Economics and Medicines Evaluation, Bangor University, Bangor, UK.ORCID 0000-0003-4748-5730
Panagis DrakatosOesophageal Physiology Laboratory, Guy's and St Thomas' Hospitals NHS Trust, London, UK.
Joerg SteierLane Fox Unit/Sleep Disorders Centre, Guy's & St Thomas' NHS Foundation Trust, London, UK.ORCID 0000-0002-1587-3109
Bangor University · GBSt Thomas' Hospital · GBKing's College London · GBQueen Mary University of London · GBUniversity College Dublin · IEUniversity of the Pacific · US

Funding

Department of Health NIHR202744
6 · The paper itself

Abstract

introductionJust under half of patients with obstructive sleep apnoea (OSA) also have gastro-oesophageal reflux disease (GORD). These conditions appear to be inter-related and continual positive airway pressure (CPAP) therapy, the gold standard treatment for OSA to prevent airway collapse, has been shown to reduce GORD. As the impact of mandibular advancement devices, a second-line therapy for OSA, on GORD has yet to be investigated, a feasibility study is needed prior to a definitive trial.

methodsThis will be a single-centre, single-blinded, tertiary-care based, interdisciplinary, parallel randomised controlled study. Potential OSA participants presenting to the sleep department will be pre-screened for GORD using validated questionnaires, consented and invited to receive simultaneous home sleep and oesophageal pH monitoring. Those with confirmed OSA and GORD (n=44) will be randomly allocated to receive either CPAP (n=22) or MAD therapy (n=22). Following successful titration and 3 weeks customisation period, participants will repeat the simultaneous sleep and oesophageal pH monitoring while wearing the device. The number of patients screened for recruitment, drop-out rates, patient feedback of the study protocol, costs of interventions and clinical information to inform a definitive study design will be investigated. ETHICS AND DISSEMINATION: Health Research Authority approval has been obtained from the Nottingham 2 Research Ethics Committee, ref:22/EM/0157 and the trial has been registered on ISRCTN (https://doi.org/10.1186/ISRCTN16013232). Definitive findings about the feasibility of doing 24 hour pH oesophageal monitoring while doing a home sleep study will be disseminated via clinical and research networks facilitating valuable insights into the simultaneous management of both conditions. TRIAL REGISTRATION NUMBER: ISRCTN Reg No: 16013232.

Indexed as

Gastroesophageal RefluxSleep Apnea, ObstructiveFeasibility StudiesHumansOcclusal SplintsRandomized Controlled Trials as TopicSleepFeasibility StudiesGASTROENTEROLOGYHealth economicsORAL MEDICINESLEEP MEDICINE

Identifiers

PMID37620257
PMCPMC10450077
OpenAlexW4386122904

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.