Evidence map›Paper›PMID 39167344›Full record

ArticleSleep & breathing = Schlaf & Atmung2024

Patient preference of level I, II and III sleep diagnostic tests to diagnose obstructive sleep apnoea among pregnant women in early to mid-gestation.

Frances Clements, Hima Vedam, Yewon Chung, Nathaniel S Marshall, Kerri Melehan, Annemarie Hennessy, Angela Makris

Abstract read
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

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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

2 citing papers in PubMed.

  1. Article
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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

7 authors.

Frances ClementsDepartment of Respiratory and Sleep Medicine, Liverpool Hospital, South Western Sydney Local Health District, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia. 11120692@student.westernsydney.edu.au.ORCID 0000-0002-3146-6028
Hima VedamDepartment of Respiratory and Sleep Medicine, Liverpool Hospital, South Western Sydney Local Health District, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.ORCID 0000-0002-0515-8670
Yewon ChungDepartment of Respiratory and Sleep Medicine, Liverpool Hospital, South Western Sydney Local Health District, Locked Bag 7103, Liverpool BC, NSW, 1871, Australia.ORCID 0000-0003-0692-6608
Nathaniel S MarshallWoolcock Institute of Medical Research, Centre for Sleep and Chronobiology, Macquarie University, Sydney, NSW, Australia.ORCID 0000-0002-9014-1397
Kerri MelehanFaculty of Medicine and Health, University of Sydney, Sydney, Australia.ORCID 0000-0002-2022-5739
Annemarie HennessySchool of Medicine, Western Sydney University, New South Wales, Australia.ORCID 0000-0002-5975-2843
Angela MakrisSchool of Medicine, Western Sydney University, New South Wales, Australia.ORCID 0000-0002-1636-3493

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is a paucity of data on preferences for obstructive sleep apnoea (OSA) diagnostic tests during pregnancy. Simple test completion rates fail to capture patient preference or experience of completing sleep diagnostic tests. We assessed preference, ease of use, convenience, and the repeatability of level I, II and III sleep diagnostic tests, using questionnaires, in pregnant women in early to mid-gestation.

methodsPregnant women with signs or symptoms of OSA, or at high risk of cardiometabolic disorders of pregnancy completed level I, II and III sleep studies by 24 weeks gestation. Participants then completed a questionnaire to rank test preference. Additional questionnaires assessed ease of use, convenience, and acceptability to repeat test, using 5-point Likert scale questions, yes/no response and optional linked text fields.

resultsOf fifty-two consented participants, 43 completed any questionnaire (mean age 32.7 ± 5.4 years, BMI 32.7 ± 5.4, median gestation at Level I polysomnography (PSG) of 14.2 weeks (interquartile range (IQR) 13.5-17.6)). Of the 29 respondents who completed test ranking questionnaire, level III was the preferred test ((n = 21 / 29, 75%)), followed by level 1 (n = 6 / 29, 20.7%) and level II (n = 2 / 29, 7.1%) (p for diff < 0.001). Level III was reported the easiest test (very easy to complete) (n = 16, 51.6%), followed by level I(n = 10, 33.3%), and level II (n = 9, 9.1%) (p for diff < 0.001)). Level III was reported most convenient test (very convenient to complete) (n = 16, 51.6%), followed by level I (n = 4, 13.3%) and level II (n = 4, 13.3%) (p for diff < 0.001)). Level III was reported most acceptable to repeat (very acceptable to repeat) (n = 13, 41.9%), followed by level I (n = 3, 10.0%) and level II (n = 3, 10.0%) (p for diff < 0.001)).

conclusionPregnant women being assessed for OSA by 24 weeks gestation preferred to undertake level III sleep studies and found level III easier to use, more convenient and most acceptable to repeat than Level I and II studies. Given autonomy is an important principle, patient preference of sleep diagnostic tests should be taken into consideration in sleep clinical services and research involving pregnant women.

Indexed as

Patient PreferencePolysomnographyPregnancy ComplicationsSleep Apnea, ObstructiveAdultFemaleHumansPregnancySurveys and QuestionnairesGestational diabetes mellitusLevel ILevel IILevel IIIPreeclampsia

Identifiers

PMID39167344
PMCPMC11568020

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Registered trials

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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.