{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:20:41Z","timestamp":1782397241659,"version":"3.54.5"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,5,2]],"date-time":"2018-05-02T00:00:00Z","timestamp":1525219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Sleep Research"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Despite the Epworth Sleepiness Score being widely used, there are limited studies of its reliability in clinical practice. The aim of this study was to assess the reliability of the Epworth Sleepiness Score in a clinical population. The study included patients referred to Middlemore Hospital sleep service between October and November 2014, aged over 17\u00a0years, with at least two Epworth Sleepiness Score measurements at up to three different points on the diagnostic pathway: on General Practitioner referral (<jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> Epworth Sleepiness Score); at overnight oximetry assessment (Oximetry Epworth Sleepiness Score); and at a specialist clinic (Specialist Epworth Sleepiness Score). No treatment was administered between scores. One\u2010hundred and thirty\u2010three patients were included in the study. There was a median of 91\u00a0days from <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> Epworth Sleepiness Score to Oximetry Epworth Sleepiness Score, and 11\u00a0days from Oximetry Epworth Sleepiness Score to Specialist Epworth Sleepiness Score. There was poor test\u2013retest reliability between <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> Epworth Sleepiness Score and Specialist Epworth Sleepiness Score; 72.4% and 17.8% of patients had an absolute difference of more than 2 and 8 Epworth Sleepiness Score points, respectively. A Bland\u2013Altman plot of mean Epworth Sleepiness Score versus the difference between <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> Epworth Sleepiness Score and Specialist Epworth Sleepiness Score demonstrated a wide scatter of data and 95% confidence interval for the difference in Epworth Sleepiness Score for an individual patient of \u221214 to +10. There was similar variability between <jats:styled-content style=\"fixed-case\">GP<\/jats:styled-content> Epworth Sleepiness Score and Oximetry Epworth Sleepiness Score. The reliability of the Epworth Sleepiness Score is unproven in clinical settings. This study shows poor test\u2013retest reliability of Epworth Sleepiness Score, particularly between primary and secondary care, arguing against the use of Epworth Sleepiness Score for clinical decision\u2010making or prioritisation of services without first assessing the reliability of the Epworth Sleepiness Score in the relevant clinical population.<\/jats:p>","DOI":"10.1111\/jsr.12687","type":"journal-article","created":{"date-parts":[[2018,5,3]],"date-time":"2018-05-03T02:17:00Z","timestamp":1525313820000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["The reliability of the Epworth Sleepiness Score in a sleep clinic population"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6778-9710","authenticated-orcid":false,"given":"Elisabeth","family":"Taylor","sequence":"first","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Middlemore Hospital Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene","family":"Zeng","sequence":"additional","affiliation":[{"name":"Health Intelligence and Informatics Ko Awatea Middlemore Hospital Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Conor","family":"O'Dochartaigh","sequence":"additional","affiliation":[{"name":"Department of Respiratory and Sleep Medicine Middlemore Hospital Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,2]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200810-1558OC"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(86)90837-8"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.313.7048.41"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.11613\/BM.2015.015"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10-2851"},{"key":"e_1_2_7_7_1","unstructured":"Household Labour Force Survey. 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