The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.
Effectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome
Open accessAbstract
INTRODUCTION: Home respiratory polygraphy (HRP) may be a cost-effective alternative to polysomnography for the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS), but stronger evidence is needed. Normally, patients transport HRP equipment from the hospital to home and back, which may create difficulties for some patients. OBJECTIVES: To determine both the diagnostic efficacy and cost of HRP (with and without a transportation service moving the device and telematic transmission of data) in a large sample compared with in-hospital polysomnography. METHODS: Patients suspected of having SAHS were included in a multicentre study (eight hospitals). They were assigned to home and hospital protocols in random order. Receiver operating characteristic curves were constructed for manual respiratory polygraphy scoring protocol and different polysomnographic cut-off points. Diagnostic efficacies for several polysomnographic cut-off points were explored and costs for two equally effective alternatives were calculated. RESULTS: Of 366 randomised patients, 348 completed the protocol. The best receiver operating characteristic curve was obtained with a polysomnographic cut-off of the apnoea-hypopnoea index (AHI)≥5. The sensitive HRP AHI cut-off point (<5) had a sensitivity of 96%, a specificity of 57% and a negative likelihood ratio (LR) of 0.07; the specific cut-off (>10) had a sensitivity of 87%, a specificity of 86% and a positive LR of 6.25. The cost of HRP was half that of polysomnography. Telematic transmission costs were similar if the patients' costs were taken in to account. CONCLUSION: HRP is an alternative to polysomnography in patients with suspected SAHS. Telematic procedures may help patients with limited mobility and those who live a long way from the sleep centre.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The cited source doesn’t support the claim as written.
In the citing paper
“There is increasing evidence supporting the use of some home-based type III and IV type sleep studies to “rule-in” but not “rule-out”580 moderate to severe OSA.”
From International Consensus Statement on Obstructive Sleep Apnea (2023) · cites this paper as [580]
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“When using an AHI ≥ 5 cutoff, accuracy in a high-risk population (assuming a prevalence of 87%) ranged from 84% to 91%, whereas in a low-risk population (assuming a prevalence of 55%) accuracy ranged from 70% to 78% based on the seven studies”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [88]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
In the citing paper
“Seven studies evaluated the performance of Type 3 HSAT devices against PSG, but the AHI cutoffs employed varied across studies, resulting in sub-grouping by AHI cutoffs for our analyses.”
From Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline (2017) · cites this paper as [88]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Methods for the Economic Evaluation of Health Care Programmes
Drummond, M. E., Sculpher, M. J., Torrance, G. W., O’Brien, B. J., & Stoddart, G. L. (2005) · doi:10.1093/oso/9780198529446.001.0001 · Cited by 13,648
Rechtschaffen, A. (1968) · Medical Entomology and Zoology · Cited by 11,772
(2007) · Cited by 6,530
Marin, J. M., Carrizo, S. J., Vicente, E., & Agusti, A. G. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71141-7 · Cited by 4,678
Methods for the economic evaluation of health care programmes
Wilson, S. (1987) · Journal of Epidemiology & Community Health · doi:10.1136/jech.41.4.355-a · Cited by 4,312
McNicholas, W. T., Strohl, K. P., White, D. P., Levy, P. A., Schmidt, W., Wheatley, J. R., Redline, S. S., Carley, D. W., Buysse, D. J., Young, T. B., et al. (1999) · PubMed · Cited by 3,665
Collop, N. A., Anderson, W. M., Boehlecke, B., Claman, D., Goldberg, R., Gottlieb, D. J., Hudgel, D., Sateia, M., Schwab, R., & Portable Monitoring Task Force of the American Academy of Sleep Medicine (2007) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27032 · Cited by 1,550
DURÁN, J., ESNAOLA, S., RUBIO, R., & IZTUETA, Á. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.3.2005065 · Cited by 1,407
The Association between Sleep Apnea and the Risk of Traffic Accidents
Téran‐Santos, J., Jimenez-Gomez, A., & Cordero-Guevara, J. A. (1999) · New England Journal of Medicine · doi:10.1056/nejm199903183401104 · Cited by 1,252
Collop, N. A., Anderson, W. M., Boehlecke, B. A., Claman, D. M., Goldberg, R., Gottlieb, D. J., Hudgel, D. W., Sateia, M. J., & Schwab, R. (2007) · PubMed Central · Cited by 1,082
The AASM Manual for the Scoring of Sleep and Associated Events : Rules
Iber, C. (2007) · Medical Entomology and Zoology · Cited by 929
Access to Diagnosis and Treatment of Patients with Suspected Sleep Apnea
Flemons, W. W., Douglas, N. J., Kuna, S. T., Rodenstein, D. O., & Wheatley, J. R. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200308-1124pp · Cited by 678
Home Diagnosis of Sleep Apnea: A Systematic Review of the Literature
Flemons, W. W., Littner, M. R., Rowley, J. A., Gay, P. C., Anderson, W. M., Hudgel, D. W., McEvoy, R. D., & Loube, D. I. (2003) · CHEST Journal · doi:10.1378/chest.124.4.1543 · Cited by 568
Bazzano, L. A., Khan, Z., Reynolds, K., & He, J. (2007) · Hypertension · doi:10.1161/hypertensionaha.106.085175 · Cited by 543
Portable Recording in the Assessment of Obstructive Sleep Apnea
Ferber, R. A., Millman, R. P., Coppola, M., Fleetham, J. A., Murray, C. F., Iber, C., McCall, W. V., Nino‐Murcia, G., Pressman, M. R., SANDERS, M. H., et al. (1994) · SLEEP · doi:10.1093/sleep/17.4.378 · Cited by 433
Mulgrew, A. T., Fox, N., Ayas, N. T., & Ryan, C. F. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-146-3-200702060-00004 · Cited by 368
Masa, J. F., Rubio, M., & Findley, L. J. (2000) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.162.4.9907019 · Cited by 302
Self-citationEvaluation of a portable device for diagnosing the sleep apnoea/hypopnoea syndrome
Dingli, K., Coleman, E. L., Vennelle, M., Finch, S. P., WRAITH, P. K., Mackay, T. W., & Douglas, N. J. (2003) · European Respiratory Journal · doi:10.1183/09031936.03.00298103 · Cited by 287
Measurement of Sleep-related Breathing Disturbances in Epidemiologic Studies
Redline, S. S., Tosteson, T. D., Boucher, M. A., & Millman, R. P. (1991) · CHEST Journal · doi:10.1378/chest.100.5.1281 · Cited by 206
Clinical Usefulness of Home Oximetry Compared with Polysomnography for Assessment of Sleep Apnea
Whitelaw, W. A., Brant, R., & Flemons, W. W. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200310-1360oc · Cited by 170
The University of North Carolina at Chapel Hill University Libraries (2020) · Carolina Digital Repository (University of North Carolina at Chapel Hill) · doi:10.17615/7194-mb44 · Cited by 163
Portable Recording in the Assessment of Obstructive Sleep Apnea
Ferber, R. A., Millman, R. P., Coppola, M. P., Fleetham, J. A., Murray, C. F., Iber, C., McCall, W. V., Nino‐Murcia, G., Pressman, M. R., SANDERS, M. H., et al. (2018) · SLEEP · doi:10.1093/sleep/zsy134 · Cited by 152
Validation of a Portable Monitoring System for the Diagnosis of Obstructive Sleep Apnea Syndrome
Santos-Silva, R., Sartori, D. E., Truksinas, V., Truksinas, E., Alonso, F. F. F. D., Tufik, S., & Bittencourt, L. R. A. (2009) · Sleep · doi:10.1093/sleep/32.5.629 · Cited by 142
Chervin, R. D., Murman, D. L., Malow, B. A., & Totten, V. (1999) · Annals of Internal Medicine · doi:10.7326/0003-4819-130-6-199903160-00006 · Cited by 138
Use of home sleep studies for diagnosis of the sleep apnoea/hypopnoea syndrome
Whittle, A. T., Finch, S. P., Mortimore, I. L., Mackay, T. W., & Douglas, N. J. (1997) · Thorax · doi:10.1136/thx.52.12.1068 · Cited by 130
Validation of a Self-Applied Unattended Monitor for Sleep Disordered Breathing
Ayappa, I., Norman, R. G., Seelall, V., & Rapoport, D. M. (2008) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.27075 · Cited by 125
White, D. P., Gibb, T. J., Wall, J. M., & Westbrook, P. R. (1995) · SLEEP · doi:10.1093/sleep/18.2.115 · Cited by 115
Parra, O., Garcia-Esclasans, N., Montserrat, J. M., García‐Eroles, L., Ruiz, J., Lopez, J. A., Guerra, J. M., & Jj, S. (1997) · European Respiratory Journal · doi:10.1183/09031936.97.10081720 · Cited by 108
Self-citationDeutsch, P. A., Simmons, M. S., & Wallace, J. M. (2006) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.26508 · Cited by 103
Home respiratory polygraphy for diagnosis of sleep-disordered breathing in heart failure
Quintana‐Gallego, E., Villa-Gil, M., Carmona-Bernal, C., Botebol-Benhamou, G., Martínez-Martínez, Á., Sánchez-Armengol, Á., Polo-Padillo, J., & Capote, F. (2004) · European Respiratory Journal · doi:10.1183/09031936.04.00140603 · Cited by 89
Comparison of a cardiorespiratory deviceversuspolysomnography for diagnosis of sleep apnoea
Calleja, J. M., Esnaola, S., Rubio, R., & Duran, J. (2002) · European Respiratory Journal · doi:10.1183/09031936.02.00297402 · Cited by 87
Nightly Variability of Sleep‐Disordered Breathing Measured over 3 Nights
Stepnowsky, C. J., Orr, W. C., & Davidson, T. M. (2004) · Otolaryngology · doi:10.1016/j.otohns.2004.07.011 · Cited by 81
Respiratory Polygraphy With Actigraphy in the Diagnosis of Sleep Apnea-Hypopnea Syndrome
García-Díaz, E., Quintana-Gallego, E., Ruiz, A., Carmona-Bernal, C., Sánchez-Armengol, Á., Botebol-Benhamou, G., & Capote, F. (2007) · Chest · doi:10.1378/chest.06-1604 · Cited by 80
Su, S., Baroody, F. M., Kohrman, M. H., & Suskind, D. L. (2004) · Otolaryngology · doi:10.1016/j.otohns.2004.07.014 · Cited by 78
Comparison of the NovaSom QSG™, a new sleep apnea home-diagnostic system, and polysomnography
Reichert, J. A., Bloch, D. A., Cundiff, E., & Votteri, B. A. (2002) · Sleep Medicine · doi:10.1016/s1389-9457(02)00234-4 · Cited by 78
Yin, M., Miyazaki, S., & Ishikawa, K. (2006) · Otolaryngology–Head and Neck Surgery · doi:10.1016/j.otohns.2005.10.019 · Cited by 60
Recursos y demoras en el diagnóstico del síndrome de apneas-hipopneas durante el sueño (SAHS)
Jiménez, J. F. M., Illa, F. B., Gil, F. C., Vives, E. C., Díaz-de-Atauri, J., Cantoll, J. D., Ortiz, S. L., Marín, J. M., Canal, J. M. M., González, M. R., et al. (2007) · Archivos de Bronconeumología · doi:10.1016/s1579-2129(07)60050-0 · Cited by 59
Ballester, E., Solans, M., Vilà, X., Hernandez, L., Quintó, L., Bolívar, I., Bardagí, S., & Montserrat, J. M. (2000) · European Respiratory Journal · doi:10.1034/j.1399-3003.2000.16a22.x · Cited by 58
Self-citationPhillips, B. A. (2008) · Yearbook of Pulmonary Disease · doi:10.1016/s8756-3452(08)70713-8 · Cited by 54
Reuveni, H., Schweitzer, E., & Tarasiuk, A. (2001) · Medical Decision Making · doi:10.1177/0272989x0102100603 · Cited by 52
Álvarez, M. D. L. L. A., Santos, J. T., Guevara, J. C., Martínez, M. G., Pascual, L. R., Bañuelos, J. L. V., & Cabello, Á. M. (2008) · Archivos de Bronconeumología · doi:10.1157/13114653 · Cited by 48
Recursos y demoras en el diagnóstico del síndrome de apneas-hipopneas durante el sueño (SAHS)
Jiménez, J. F. M., Barbé, F., Gil, F. C., Vives, E. C., Díaz-de-Atauri, J., Durán‐Cantolla, J., Ortiz, S. L., Marín, J. M., Canal, J. M. M., González, M. R., et al. (2007) · Archivos de Bronconeumología · doi:10.1157/13100537 · Cited by 46
Álvarez, M. D. L. L. A., Santos, J. T., Guevara, J. C., Martínez, M. G., Pascual, L. R., Bañuelos, J. L. V., & Cabello, Á. M. (2008) · Archivos de Bronconeumología · doi:10.1016/s1579-2129(08)60005-1 · Cited by 41
To, K., Wing‐Chi, C. H. A. N., Chan, T., Tung, A., Ngai, J. C. L., Ng, S. S., Choo, K. L., & Hui, D. S. C. (2008) · Respirology · doi:10.1111/j.1440-1843.2008.01439.x · Cited by 30
Validation of a Respiratory Polygraphy System in the Diagnosis of Sleep Apnea Syndrome
Candela, A., Hernández, L. M., Asensio, S., Sánchez–Payá, J., Vila, J., Benito, N., & Romero, S. (2005) · Archivos de Bronconeumología · doi:10.1016/s1579-2129(06)60400-x · Cited by 26
Candela, A., Hernández, L., Asensio, S., Sánchez–Payá, J., Vila, J., Benito, N., & Romero, S. (2005) · Archivos de Bronconeumología · doi:10.1157/13070802 · Cited by 24
¿Podemos modificar el remodelado bronquial en el asma?
Ramos‐Barbón, D. (2005) · Archivos de Bronconeumología · doi:10.1016/s0300-2896(05)70761-4 · Cited by 14
Reuveni, H., Schweitzer, E., & Tarasiuk, A. (2001) · Medical Decision Making · doi:10.1177/02729890122062802 · Cited by 4
Flagged first, then by citations
Research works printed but not linked: 2
- [1]1. Thorax 2011;66:567e573. doi:10.1136/thx.2010.152272 Sleep-disordered breathing on July 26, 2023 by guest. Protected by copyright. http://thorax.bmj.com/ Thorax: first published as 10.1136/thx.2010.152272 on 20 May 2011. Downloaded from Sleep-disordered breathing on July 26, 2023 by guest. Protected by copyright. http://thorax.bmj.com/ Thorax: first published as 10.1136/thx.2010.152272 on 20 May 2011. Downloaded from Thorax 2011;66:567e573. doi:10.1136/thx.2010.152272 Sleep-disordered breathing on July 26, 2023 by guest. Protected by copyright. http://thorax.bmj.com/ Thorax: first published as 10.1136/thx.2010.152272 on 20 May 2011. Downloaded from REFERENCES
- [8]8. Masa Jime ´nez JF, Barbe ´Illa F, Capote Gil F, et al; Working Group. [Resources and delays in the diagnosis of sleep apnea-hypopnea syndrome] (In Spanish). Arch Bronconeumol 2007;43:188e98.
Cited by
Sorted by citations
Kapur, V. K., Auckley, D. H., Chowdhuri, S., Kuhlmann, D. C., Mehra, R., Ramar, K., & Harrod, C. G. (2017) · Journal of Clinical Sleep Medicine · doi:10.5664/jcsm.6506 · Cited by 3,253
Martínez-García, M.-A., Capote, F., Campos-Rodríguez, F., Lloberes, P., Díaz de Atauri, M. J., Somoza, M., Masa, J. F., González, M., Sacristán, L., Barbé, F., et al. (2013) · JAMA · doi:10.1001/jama.2013.281250 · Cited by 685
Self-citationQaseem, A., Dallas, P., Owens, D. K., Starkey, M., Holty, J.-E. C., & Shekelle, P. (2014) · Annals of Internal Medicine · doi:10.7326/m12-3187 · Cited by 526
International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350
Contactless Sleep Apnea Detection on Smartphones
Nandakumar, R., Gollakota, S., & Watson, N. F. (2015) · International Conference on Mobile Systems, Applications, and Services · doi:10.1145/2742647.2742674 · Cited by 350
Metadata
- Authors
- Masa, J. F., Corral, J., Pereira, R., Duran-Cantolla, J., Cabello, M., Hernandez-Blasco, L., Monasterio, C., Alonso, A., Chiner, E., Rubio, M., Garcia-Ledesma, E., Cacelo, L., Carpizo, R., Sacristan, L., Salord, N., Carrera, M., Sancho-Chust, J. N., Embid, C., Vazquez-Polo, F.-J., Negrin, M. A., & Montserrat, J. M.
- Affiliations
- Hospital San Pedro de Alcántara (ES)
- Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (ES)
- Marqués de Valdecilla University Hospital (ES)
- Bellvitge University Hospital (ES)
- Hospital Universitari Sant Joan D'Alacant (ES)
- Hospital Txagorritxu (ES)
- Hospital Universitario Son Dureta (ES)
- Hospital Clínic de Barcelona (ES)
- Corresponding author
- Masa, J. F.
- ORCID
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2011-05-20
- Volume
- 66
- Issue
- 7
- Pages
- 567-573
- ISSN
- 0040-6376 (ISSN-L)
- OpenAlex
- W2127808446
- Semantic Scholar
- a9a0fbea5374d5120655df662e130d8afdb0ccbf
- Cited by
- 161
- References
- 49
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 6 · 2023: 14 · 2022: 11 · 2021: 13 · 2020: 7 · 2019: 10 · 2018: 11 · 2017: 18 · 2016: 12 · 2015: 13 · 2014: 11 · 2013: 15 · 2012: 8
- FWCI
- 7.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Funders
- Ministerio de Ciencia e Innovación
- Sociedad Española de Neumología y Cirugía Torácica
- Instituto de Salud Carlos III
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Keywords
- sleep apnea-hypopnea syndrome, polysomnography, diagnostic accuracy, apnea-hypopnea index, cost-effectiveness, telemetric data transmission, diagnostic thresholds
- MeSH terms
- Adolescent, Adult, Aged, Cost-Benefit Analysis, Epidemiologic Methods, Female, Humans, Male, Middle Aged, Sleep Apnea Syndromes, Telemetry, Transportation, Health Care Costs, Polysomnography, Home Care Services, Hospital-Based, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
