Evidence map›Paper›PMID 39542493›Full record

ArticleBMJ open2024

Clinical impact of customised positive airway pressure (PAP) therapy interfaces versus usual care in the treatment of patients with sleep-disordered breathing (3DPiPPIn): a randomised controlled trial protocol.

Stephanie K Mansell, Swapna Mandal, Deborah Ridout, Oliver Olsen, Francesca Gowing, Cherry Kilbride, Stephen T Hilton, Eleanor Main, Silvia Schievano

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07406620 (Entropy-Based Assessment of Physiological Signals in Obstructive Sleep Apnoea Patients Pre and Post Continuous Positive Airway Pressure Therapy), which is not on this 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

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.

NCT07406620 active not recruitingnot on this mapstarted 2026, after this paper: background citation

Entropy-Based Assessment of Physiological Signals in Obstructive Sleep Apnoea Patients Pre and Post Continuous Positive Airway Pressure Therapy: A Secondary Analysis of 3DPiPPIn Trial Data

TypeobservationalSponsorKing's College LondonRan2026 to 2026Enrolled139ConditionsObstructive Sleep Apnoea (OSA)ArmsContinuous Positive Airway Pressure Therapy
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Evaluating Patient and Public Involvement and Engagement Activity Within the 3DPiPPIn Trial: A Qualitative Exploration of Contributors' Perspectives on Their Impact.Health expectations : an international journal of public participation in health care and health policy · 2026
    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

9 authors.

Stephanie K MansellUniversity College London, London, UK stephanie.mansell.21@ucl.ac.uk.ORCID http://orcid.org/0000-0002-2806-380X
Swapna MandalUniversity College London, London, UK.
Deborah RidoutUniversity College London, London, UK.
Oliver OlsenOliver Olsen, Guildford, UK.
Francesca GowingRoyal Free London NHS Foundation Trust, London, UK.ORCID http://orcid.org/0000-0001-9349-7703
Cherry KilbrideRoyal Free London NHS Foundation Trust, London, UK.
Stephen T HiltonUniversity College London, London, UK.
Eleanor MainUniversity College London, London, UK.ORCID http://orcid.org/0000-0002-9739-3167
Silvia SchievanoUniversity College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSleep-disordered breathing affects 1.6 million people in the UK. The recognised treatment is positive airway pressure (PAP) therapy, delivered via a generic conventional interface (mask). PAP therapy improves morbidity, mortality and quality of life, but treatment effectiveness depends on interface fit and tolerance. Interface side effects include pressure ulcers, skin reactions and interface leak. Three-dimensional (3D) printing is an innovative technology that can produce customised interfaces.

aimsThe primary aim is to assess the impact of customised versus conventional interfaces on residual Apnoea Hypopnea Index at 6 months. METHODS AND ANALYSIS: This is a randomised control trial via block randomisation, minimised by age >65 and ethnicity, using a computerised random number generator. Patients with sleep-disordered breathing under the care of the Royal Free London NHS Foundation Trust will be recruited. Patients new to therapy will be randomised to customised interface or conventional interface for 6 months. A sample size of 160 is required for 80% power with a significance of 5%, accounting for a 20% dropout rate. Descriptive statistics will report demographics. The primary and secondary outcomes will be compared using linear regression adjusted for baseline score. ETHICS AND DISSEMINATION: This protocol has been approved by the Hampshire B Research Ethics Committee (REC reference: 22/SC/0405). Results will be disseminated to healthcare professionals and patients through conferences, open-access journals, newsletters, a study webpage, infographics, animations, social media and healthcare awards. ISRCTN REGISTRATION NUMBER: 74082423.

Indexed as

Continuous Positive Airway PressureSleep Apnea SyndromesFemaleHumansMaleQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeHealth informaticsRandomized Controlled TrialSleep medicine

Identifiers

PMID39542493
PMCPMC11575285

What OpenQuestion holds

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Registered trials

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.