{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T14:53:14Z","timestamp":1793371994760,"version":"4.5.0"},"reference-count":34,"publisher":"European Respiratory Society (ERS)","issue":"4","content-domain":{"domain":["ersjournals.com"],"crossmark-restriction":true},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2012,7,15]]},"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:p>Automatic home respiratory polygraphy (HRP) scoring functions can potentially confirm the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS) (obviating technician scoring) in a substantial number of patients. The result would have important management and cost implications. The aim of this study was to determine the diagnostic cost-effectiveness of a sequential HRP scoring protocol (automatic and then manual for residual cases) compared with manual HRP scoring, and with in-hospital polysomnography.<\/jats:p><jats:p>We included suspected SAHS patients in a multicentre study and assigned them to home and hospital protocols at random. We constructed receiver operating characteristic (ROC) curves for manual and automatic scoring. Diagnostic agreement for several cut-off points was explored and costs for two equally effective alternatives were calculated.<\/jats:p><jats:p>Of 366 randomised patients, 348 completed the protocol. Manual scoring produced better ROC curves than automatic scoring. There was no sensitive automatic or subsequent manual HRP apnoea\u2013hypopnoea index (AHI) cut-off point. The specific cut-off points for automatic and subsequent manual HRP scorings (AHI &gt;25 and &gt;20, respectively) had a specificity of 93% for automatic and 94% for manual scorings. The costs of manual protocol were 9% higher than sequential HRP protocol; these were 69% and 64%, respectively, of the cost of the polysomnography.<\/jats:p><jats:p>A sequential HRP scoring protocol is a cost-effective alternative to polysomnography, although with limited cost savings compared to HRP manual scoring.<\/jats:p>","DOI":"10.1183\/09031936.00186811","type":"journal-article","created":{"date-parts":[[2012,8,12]],"date-time":"2012-08-12T00:25:52Z","timestamp":1344731152000},"page":"879-887","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":37,"title":["Effectiveness of sequential automatic-manual home respiratory polygraphy scoring"],"prefix":"10.1183","volume":"41","author":[{"given":"Juan F.","family":"Masa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Corral","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joaquin","family":"Duran-Cantolla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Cabello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Hern\u00e1ndez-Blasco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Monasterio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Alonso-Fernandez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eusebi","family":"Chiner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco-Jos\u00e9","family":"V\u00e1zquez-Polo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jose M.","family":"Montserrat","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Spanish Sleep Group","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2012,8,9]]},"reference":[{"key":"2024102021163432000_41.4.879.1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.163.3.2005065"},{"key":"2024102021163432000_41.4.879.2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.106.085175"},{"key":"2024102021163432000_41.4.879.3","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200901-0050OC"},{"key":"2024102021163432000_41.4.879.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)71141-7"},{"key":"2024102021163432000_41.4.879.5","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199903183401104"},{"key":"2024102021163432000_41.4.879.6","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1164\/ajrccm.162.4.9907019","article-title":"Habitually sleepy drivers have a high frequency of automobile crashes associated with respiratory disorders during sleep","volume":"162","author":"Masa","year":"2000","journal-title":"Am J Respir Crit Care Med"},{"key":"2024102021163432000_41.4.879.7","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200308-1124PP"},{"key":"2024102021163432000_41.4.879.8","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1157\/13100537","article-title":"Working Group. 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