Evidence map›Paper›PMID 35855527›Full record

ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2022

Central disorders of hypersomnolence: diagnostic discrepancies between military and civilian sleep centers.

Connie L Thomas, Shashaank Vattikuti, David Shaha, J Kent Werner, Shana Hansen, Jacob Collen, Vincent F Capaldi, Scott Williams

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 41% of its field
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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Sleep apnea and orofacial pain: an integrative clinical perspective.Journal of oral & facial pain and headache · 2025
    Review
  2. From trenches to technology: a narrative review of sleep medicine in the military.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Review
  3. Is it time for a gold standard in the diagnosis of hypersomnia?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 1 country.

Connie L ThomasSleep Disorders Center, Walter Reed National Military Medical Center, Bethesda, Maryland.
Shashaank VattikutiCenter for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland.
David ShahaSleep Disorders Clinic, Department of Medicine, Womack Army Medical Center, Fort Bragg, North Carolina.
J Kent WernerSleep Disorders Center, Walter Reed National Military Medical Center, Bethesda, Maryland.
Shana HansenDepartment of Sleep Medicine, San Antonio Military Medical Center, San Antonio, Texas.
Jacob CollenDepartment of Medicine, Uniformed Services University of the Health Sciences, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Vincent F CapaldiDepartment of Psychiatry, Uniformed Services University of the Health Sciences, Bethesda, Maryland.
Scott WilliamsCenter for Military Psychiatry and Neuroscience, Walter Reed Army Institute of Research, Silver Spring, Maryland.
Uniformed Services University of the Health Sciences · USWalter Reed Army Institute of Research · USSan Antonio Military Medical Center · USWalter Reed National Military Medical Center · USWomack Army Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesThe majority of active-duty service members obtain insufficient sleep, which can influence diagnostic evaluations for sleep disorders, including disorders of hypersomnolence. An incorrect diagnosis of hypersomnia may be career ending for military service or lead to inappropriate medical care. This study was conducted to assess the rates at which narcolepsy (Nc) and idiopathic hypersomnia (IH) are diagnosed by military vs civilian sleep disorders centers.

methodsThis retrospective study utilized claims data from the Military Health System Data Repository. The analyses compared diagnostic rates of military personnel by provider type-either civilian provider or military provider-from January 1, 2016 to December 31, 2019. Three diagnostic categories for Nc and IH: Nc or IH, Nc only, and IH only, were assessed with multivariate logistic regression models.

resultsWe found that among service members evaluated for a sleep disorder, the odds ratios of a positive diagnosis at a civilian facility vs a military facility for Nc or IH was 2.1, for Nc only was 2.1, and IH only was 2.0 over the 4-year period.

conclusionsCivilian sleep specialists were twice as likely to diagnose central disorders of hypersomnolence compared to military specialists. Raising awareness about this discrepancy is critical given the occupational and patient care-related implications of misdiagnoses. CITATION: Thomas CL, Vattikuti S, Shaha D, et al. Central disorders of hypersomnolence: diagnostic discrepancies between military and civilian sleep centers.

Indexed as

Disorders of Excessive SomnolenceIdiopathic HypersomniaMilitary PersonnelNarcolepsySleep Wake DisordersHumansPolysomnographyRetrospective StudiesSleepcircadian rhythm disordersidiopathic hypersomniainsufficient sleep syndromemultiple sleep latency testnarcolepsyobstructive sleep apnea

Identifiers

PMID35855527
PMCPMC9516578
OpenAlexW4286008623

What Socratic holds

Textmetadata
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 Socratic graph.