Evidence map›Paper›PMID 41156316›Full record

ArticleJournal of clinical medicine2025

Sleep Disturbances Across Dementias and Cognitive Decline: Study Protocol for a Systematic Review and Network Meta-Analysis of Polysomnographic Findings.

Annibale Antonioni, Arianna Della Valle, Caterina Leitner, Emanuela Maria Raho, Edward Cesnik, Jay Guido Capone, Maria Elena Flacco, Francesca Casoni, Paola Proserpio, Luigi Ferini-Strambi and 1 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Pitfalls of insomnia management in the elderly: A narrative review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Review
  3. Article
  4. Article
  5. 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

11 authors.

Annibale AntonioniDepartment of Neuroscience and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0003-1555-6418
Arianna Della ValleDepartment of Clinical Neurosciences, Neurology-Sleep Disorders Center, IRCSS San Raffaele Institute, 20127 Milan, Italy.
Caterina LeitnerDepartment of Clinical Neurosciences, Neurology-Sleep Disorders Center, IRCSS San Raffaele Institute, 20127 Milan, Italy.ORCID 0000-0001-7179-1004
Emanuela Maria RahoDepartment of Neuroscience, Ferrara University Hospital, 44124 Ferrara, Italy.
Edward CesnikDepartment of Neuroscience, Ferrara University Hospital, 44124 Ferrara, Italy.
Jay Guido CaponeDepartment of Neuroscience, Ferrara University Hospital, 44124 Ferrara, Italy.ORCID 0000-0002-4313-5349
Maria Elena FlaccoDepartment of Environmental and Prevention Sciences, University of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0003-1404-4314
Francesca CasoniDepartment of Clinical Neurosciences, Neurology-Sleep Disorders Center, IRCSS San Raffaele Institute, 20127 Milan, Italy.ORCID 0000-0002-5086-8014
Paola ProserpioDepartment of Clinical Neurosciences, Neurology-Sleep Disorders Center, IRCSS San Raffaele Institute, 20127 Milan, Italy.
Luigi Ferini-StrambiDepartment of Clinical Neurosciences, Neurology-Sleep Disorders Center, IRCSS San Raffaele Institute, 20127 Milan, Italy.ORCID 0000-0003-2867-5424
Andrea GalbiatiDepartment of Clinical Neurosciences, Neurology-Sleep Disorders Center, IRCSS San Raffaele Institute, 20127 Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep disturbances are increasingly recognized as early and clinically meaningful features in the pathophysiology of neurodegenerative diseases. Polysomnography (PSG), i.e., the gold standard for objectively characterizing sleep architecture, may provide non-invasive and scalable biomarkers for both early detection and differential diagnosis of dementia. This systematic review and network meta-analysis aims to synthesize existing evidence on PSG-derived sleep alterations across the neurodegenerative continuum, including subjective cognitive impairment, mild cognitive impairment, Alzheimer's disease, frontotemporal dementia, Lewy body dementia, and Parkinson's disease dementia, compared to healthy controls. It will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines for reporting systematic reviews that include network meta-analyses, and it has been registered with the International Prospective Register of Systematic Reviews (PROSPERO) under registration number CRD420251114418. We will include peer-reviewed studies with nocturnal PSG data from adult participants, categorized using validated diagnostic criteria, and scored according to the most recent American Academy of Sleep Medicine guidelines. Both pairwise and network meta-analyses will be conducted using standardized mean differences to quantify group-level effects. Additional analyses will explore the correlations between PSG parameters, severity of cognitive impairment, behavioral symptoms, treatments, and relevant comorbidities. Longitudinal data, where available, will be analyzed separately to evaluate prognostic value. This study will provide a comprehensive synthesis of PSG alterations across neurodegenerative disorders, offering insights into their diagnostic utility and potential as early markers for stratification in clinical trials of disease-modifying therapies.

Indexed as

dementiamild cognitive impairment (MCI)neurodegenerative disorderspolysomnography (PSG)sleepsubjective cognitive impairment (SCI)

Identifiers

PMID41156316
PMCPMC12565185

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.