Back to Journals » International Journal of Chronic Obstructive Pulmonary Disease » Volume 10 » Issue 1

Systematic literature review of patient-reported outcome measures used in assessment and measurement of sleep disorders in chronic obstructive pulmonary disease

Authors Garrow A, Yorke J, Khan N, Vestbo J, Singh D, Tyson S

Received 21 May 2014

Accepted for publication 4 July 2014

Published 9 February 2015 Volume 2015:10(1) Pages 293—307


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Adam P Garrow,1,2 Janelle Yorke,2 Naimat Khan,1 Jørgen Vestbo,3 Dave Singh,1 Sarah Tyson1

1University of Manchester Medicines Evaluation Unit, University Hospital of South Manchester Foundation Trust, 2School of Nursing, Midwifery and Social Work, University of Manchester, 3The University of Manchester Academic Health Science Centre, University Hospital South Manchester NHS Foundation Trust, Manchester, UK

Background: Sleep problems are common in patients with chronic obstructive pulmonary disease (COPD), but the validity of patient-reported outcome measures (PROMs) that measure sleep dysfunction has not been evaluated. We have reviewed the literature to identify disease-specific and non-disease-specific sleep PROMs that have been validated for use in COPD patients. The review also examined the psychometric properties of identified sleep outcome measures and extracted point and variability estimates of sleep instruments used in COPD studies.
Methods: The online EMBASE, MEDLINE, PsycINFO, and SCOPUS databases for all years to May 2014 were used to source articles for the review. The review was performed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Criteria from the Medical Outcomes Trust Scientific Advisory Committee guidelines were used to evaluate the psychometric properties of all sleep PROMs identified.
Results: One COPD-specific and six non-COPD-specific sleep outcome measures were identified and 44 papers met the review selection criteria. We only identified one instrument, the COPD and Asthma Sleep Impact Scale, which was developed specifically for use in COPD populations. Ninety percent of the identified studies used one of two non-disease-specific sleep scales, ie, the Pittsburgh Sleep Quality Index and/or the Epworth Sleep Scale, although neither has been tested for reliability or validity in people with COPD.
Conclusion: The results highlight a need for existing non-disease-specific instruments to be validated in COPD populations and also a need for new disease-specific measures to assess the impact of sleep problems in COPD.

Keywords: sleep, symptom assessment, chronic obstructive pulmonary disease, systematic review

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under a Creative Commons Attribution License. The full terms of the License are available at The license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Download Article [PDF]  View Full Text [HTML][Machine readable]


Readers of this article also read:

The concept of control of COPD in clinical practice

Soler-Cataluña JJ, Alcázar-Navarrete B, Miravitlles M

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:1397-1405

Published Date: 12 December 2014

Characteristics of undiagnosed COPD in a senior community center

Santos SR, Lizzi ES, Vianna EO

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:1155-1161

Published Date: 15 October 2014

The prevalence of obstructive sleep apnea-hypopnea syndrome-related symptoms and their relation to airflow limitation in an elderly population receiving home care

Kleisiaris CF, Kritsotakis EI, Daniil Z, Tzanakis N, Papaioannou A, Gourgoulianis KI

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:1111-1117

Published Date: 10 October 2014

Volumetric capnography for the evaluation of chronic airways diseases

Veronez L, Pereira MC, Doria da Silva SM, Barcaui LA, De Capitani EM, Moreira MM, Paschoal IA

International Journal of Chronic Obstructive Pulmonary Disease 2014, 9:983-989

Published Date: 23 September 2014

Liposomes versus metallic nanostructures: differences in the process of knowledge translation in cancer

Fajardo-Ortiz D, Duran L, Moreno L, Ochoa H, Castaño VM

International Journal of Nanomedicine 2014, 9:2627-2634

Published Date: 26 May 2014

Genetics of rheumatoid arthritis: GWAS and beyond

McAllister KM, Eyre S, Orozco G

Open Access Rheumatology: Research and Reviews 2011, 3:31-46

Published Date: 3 June 2011