Evidence map›Paper›PMID 40562423›Full record

ArticleJournal of sleep research2026

Feasibility, Validity and Economic Impact of a Home-Based Sleep Screening Test in the Detection of Sleep-Related Breathing Disorders in Individuals Living With Spinal Cord Injury: A Multi-Method Study and Cost-Minimisation Analysis.

Julio C Furlan, Julia I Coschignano, Sarah Berger, Sander L Hitzig, James Milligan, Peter Athanasopoulos, Mark I Boulos

Abstract readValidation Study
In one paragraph

Article in Journal of sleep research, 2026. 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

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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Julio C FurlanKITE Research Institute, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0002-2038-0018
Julia I CoschignanoRehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.ORCID 0009-0007-3788-1218
Sarah BergerHurvitz Brain Sciences Program, Sunnybrook Research Institute, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Sander L HitzigRehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.
James MilliganDepartment of Family Medicine, McMaster University, Hamilton, Ontario, Canada.
Peter AthanasopoulosSCI Ontario, Toronto, Ontario, Canada.
Mark I BoulosRehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada.

Funding

Praxis Spinal Cord Institute G2021-40
6 · The paper itself

Abstract

This prospective multi-method study was performed to assess the feasibility and validity of an unattended home-based sleep screening test (HBSST) in the detection of sleep-related breathing disorders (SRBDs) among individuals with spinal cord injury (SCI). Further, the economic impact of the HBSST was compared with polysomnography using cost-minimisation analysis. Adults with subacute/chronic (> 1 month) SCI were recruited for the multi-method study. Feasibility analysis included quantitative and qualitative data. A pilot validity analysis compared the apnea-hypopnea index (AHI) from the HBSST and from polysomnography in nine individuals with mild-to-severe SRBD. Notably, HBSST and polysomnography tests were separately performed. Of the 28 participants (11 females, 17 males; mean age: 54.9 years) with subacute/chronic, complete (n = 7) or incomplete SCI at cervical (n = 18), thoracic (n = 8) or lumbosacral levels, nine individuals were diagnosed with a moderate-to-severe SRBD. All participants successfully completed the HBSST. Most of the participants (60.71%) set up the device for the HBSST without any assistance. The AHI from the HBSST was significantly correlated with the AHI from the polysomnography (r = 0.717; p = 0.0248; n = 9). Finally, our results indicated that the use of HBSST was a cost-saving approach when compared with polysomnography. In conclusion, the results of our prospective multi-method study provided novel and clinically important data to support the feasibility and suggest criterion validity of a HBSST when compared with the findings from polysomnography completed during different nights. The results of our cost-minimisation analysis indicated that the HBSST is a more cost-effective strategy for detection of SRBDs in the SCI population than polysomnography.

Indexed as

Mass ScreeningPolysomnographySleep Apnea SyndromesSpinal Cord InjuriesAdultAgedCost-Benefit AnalysisFeasibility StudiesFemaleHumansMaleMiddle AgedProspective StudiesReproducibility of Resultscost‐effectiveness analysishome‐based screening sleep testpolysomnographysleep apneasleep‐related breathing disorderspinal cord injury

Identifiers

PMID40562423
PMCPMC12856071

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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.