The Utility of Actigraphy to Measure Sleep in Chronic Pain Patients and Its Concordance with Other Sleep Measures: A Systematic Review and Meta-Analysis
| Autor: | Colin Suen, Frances Chung, Janannii Selvanathan, Marina Englesakis, Jean Wong, Soodaba Mir, Dong An |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Chronic pain Actigraphy Polysomnography medicine.disease Confidence interval 03 medical and health sciences 0302 clinical medicine Systematic review Meta-analysis Physical therapy Medicine Sleep diary 030212 general & internal medicine Sleep onset latency business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Sleep Disorders & Therapy. 9 |
| Popis: | There may be a bidirectional relationship between sleep and pain in patients with chronic pain. Actigraphy is increasingly being used as a non-invasive and objective method to assess sleep in chronic pain patients. This systematic review aimed to evaluate the utility of actigraphy in chronic pain patients. Additionally, meta-analyses were conducted to compare sleep parameters measured by actigraphy with those measured by sleep diary and polysomnography. Medline (1946-2019), Medline In-Process (May 2019), Embase (1947-2019), Cochrane Central Register of Controlled Trials (1991-2019), Cochrane Database of Systematic Reviews (2005-2019), and PubMed-NOTMedline (1946-2019) were searched for studies using actigraphy to measure sleep in chronic pain patients. Using the random effects model, meta-analyses were conducted to examine the concordance of actigraphy versus sleep diary and actigraphy versus polysomnography for commonly measured sleep parameters. Thirty-four studies with 3,590 patients were included. As an adjunct to sleep diary, actigraphy detected improvements in various sleep parameters after interventions in 10 studies and provided a useful objective sleep metric when comparing pain patients with healthy subjects in four studies; however, diary measurements were more “sensitive”. Comparing sleep diary versus actigraphy, sleep onset latency was significantly lower with actigraphy (mean difference of 22.7 minutes lower; 95% confidence interval: 13.2 to 32.2 minutes lower; p |
| Databáze: | OpenAIRE |
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