{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T23:59:20Z","timestamp":1784591960272,"version":"3.55.0"},"reference-count":34,"publisher":"European Respiratory Society (ERS)","issue":"3","license":[{"start":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T00:00:00Z","timestamp":1593561600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2020,5,8]]},"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>We describe implementation of a clinical decision support system, a computer-guided consultation (CGC), in the assessment of subjects referred with suspected obstructive sleep apnoea syndrome (OSAS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Two cohorts of patients were assessed. The first 100 cases had data collected with the CGC by a specialist sleep physician (stage1). A further 100 cases were assessed by a nonspecialist using the CGC (stage 2). For each case, the diagnosis suggested by the CGC was compared with the final diagnosis made by a second specialist sleep physician blinded to the CGC diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Stage 1: of 100 people evaluated, a final diagnosis of OSAS was made by both the sleep specialist and CGC in 88% of cases. In 7 of the remaining 12 cases, both agreed there was \u201cNo evidence of OSAS\u201d; in 5 cases the CGC did not reach a final diagnosis instead prompting specialist referral. Stage 2: 100 people were evaluated; 95% were evaluable. Both CGC and the sleep specialist made a diagnosis of OSAS in 83 cases (87%), in 5 cases both agreed there was no OSAS, whereas in 7 cases the CGC prompted a specialist review due to unexplained symptoms. The CGC was concordant with the final diagnosis in 95% and 93% of cases in the two cohorts, respectively and where there was doubt, prompted for clinical review. No OSAS cases were overlooked by the CGC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>An intelligent CGC program creates opportunities in sleep medicine management pathways to safely yet effectively utilise nonspecialists working under specialist supervision.<\/jats:p><\/jats:sec>","DOI":"10.1183\/23120541.00362-2019","type":"journal-article","created":{"date-parts":[[2020,7,27]],"date-time":"2020-07-27T13:53:53Z","timestamp":1595858033000},"page":"00362-2019","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Implementation of a computer-guided consultation in the assessment of suspected obstructive sleep apnoea syndrome"],"prefix":"10.1183","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0433-1785","authenticated-orcid":false,"given":"Biswajit","family":"Chakrabarti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Lewis-Burke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mike","family":"Pearson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonya","family":"Craig","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Davies","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Sheridan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip","family":"England","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eddie","family":"McKnight","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Angus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2020,7,27]]},"reference":[{"key":"2024101708003609000_6.3.00362-2019.1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199304293281704"},{"key":"2024101708003609000_6.3.00362-2019.2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kws342"},{"key":"2024101708003609000_6.3.00362-2019.3","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200005113421901"},{"key":"2024101708003609000_6.3.00362-2019.4","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.163.1.2001008"},{"key":"2024101708003609000_6.3.00362-2019.5","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200509-1442OC"},{"key":"2024101708003609000_6.3.00362-2019.6","doi-asserted-by":"crossref","first-page":"573","DOI":"10.5664\/jcsm.27662","article-title":"Obstructive sleep apnea and risk of motor vehicle crash: systematic review and meta-analysis","volume":"5","author":"Tregear","year":"2009","journal-title":"J Clin Sleep Med"},{"key":"2024101708003609000_6.3.00362-2019.7","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-009-0277-z"},{"key":"2024101708003609000_6.3.00362-2019.8","doi-asserted-by":"publisher","DOI":"10.1111\/jsr.12171"},{"key":"2024101708003609000_6.3.00362-2019.9","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e31819eaaa4"},{"key":"2024101708003609000_6.3.00362-2019.10","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-013-0848-x"},{"key":"2024101708003609000_6.3.00362-2019.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2009.01.014"},{"key":"2024101708003609000_6.3.00362-2019.12","doi-asserted-by":"publisher","DOI":"10.1378\/chest.08-2201"},{"key":"2024101708003609000_6.3.00362-2019.13","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181e12b05"},{"key":"2024101708003609000_6.3.00362-2019.14","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00044908"},{"key":"2024101708003609000_6.3.00362-2019.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.smrv.2013.01.004"},{"key":"2024101708003609000_6.3.00362-2019.16","doi-asserted-by":"crossref","first-page":"1422","DOI":"10.1378\/chest.14-1949","article-title":"The effect of OSA on work disability and work-related injuries","volume":"147","author":"Hirsch Allen","year":"2015","journal-title":"Chest"},{"key":"2024101708003609000_6.3.00362-2019.17","doi-asserted-by":"crossref","unstructured":"Giles TL , Lasserson TJ , Smith BJ , et al. 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