{
  "completed": true,
  "status": "completed_original_source_reconciliation",
  "provider_mode": "Consensus Pro signed-in browser; observed output and citation link mappings",
  "queries": [
    "https://consensus.app/search/nocturnal-mouth-taping-sleep-apnea/z9FO5OuxTje7JIxeOyz34g/"
  ],
  "query_record_note": "Exact provider question/response retained privately in its retrieval receipt.",
  "primary_comparison_count": 8,
  "primary_comparisons": [
    {
      "pmid": "25450408",
      "doi": "10.1177/0194599814559383",
      "source_type": "primary study report",
      "study_group": "PMID25450408",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Porous-patch study design",
      "result_comparison": "The original is a thirty-person prospective before-during pilot. Its 35 percent median AHI change and sleepiness improvement are real reported findings, but no randomized concurrent control or anatomical-mediator necessity is established.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/25450408/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-57-62-2400.json"
      ],
      "body_receipts": []
    },
    {
      "pmid": "36141367",
      "doi": "10.3390/healthcare10091755",
      "source_type": "primary study report",
      "study_group": "PMID36141367",
      "access_depth": "full_text_partial",
      "consensus_aspect": "Omitted direct tape pilot and original design",
      "result_comparison": "Consensus did not prominently retrieve Lee2022 despite the explicit brief. Its actual Methods identify retrospective tolerated-user selection and treatment of nasal obstruction; the AHI change cannot be described as a controlled prospective tape-only trial.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/36141367/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-0-8-2200.json"
      ],
      "body_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\body-presentation-receipts\\36141367-s1-p0-1-2-3-4-5-6.json",
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\body-presentation-receipts\\36141367-s2-p0-1-2.json"
      ]
    },
    {
      "pmid": "37032816",
      "doi": "10.2147/NSS.S384387",
      "source_type": "primary study report",
      "study_group": "PMID37032816",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Puffing sample and responder grouping",
      "result_comparison": "The original abstract reports seventy-one participants and fixed usual-then-taped nights, with groups classified by measured ODI response. Provider wording using fifty-eight and a categorical adverse percentage is not adopted without matched body definitions.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/37032816/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-0-8-2200.json"
      ],
      "body_receipts": []
    },
    {
      "pmid": "39361293",
      "doi": "10.1001/jamaoto.2024.3319",
      "source_type": "primary study report",
      "study_group": "PMID39361293",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Sedated airflow and compensation",
      "result_comparison": "The original defines drug-induced sleep endoscopy and alternating-breath manual closure, with worse flow in high oral breathers. This is mechanistic safety-relevant evidence, not a natural-sleep tape-only AHI trial; a provider omission is not absence of the study.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/39361293/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-0-8-2200.json"
      ],
      "body_receipts": []
    },
    {
      "pmid": "40963295",
      "doi": "10.5664/jcsm.11870",
      "source_type": "primary study report",
      "study_group": "PMID40963295",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Randomized CPAP-adjunct outcome",
      "result_comparison": "The sixty-two-person trial reports more CPAP usage with adjunct tape. This controlled finding is retained without converting it into tape-alone treatment efficacy.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/40963295/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-57-62-2400.json"
      ],
      "body_receipts": []
    },
    {
      "pmid": "33378539",
      "doi": "10.1093/sleep/zsaa291",
      "source_type": "primary study report",
      "study_group": "PMID33378539",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Wearable endpoint specificity",
      "result_comparison": "The original finds high sleep sensitivity and limited wake specificity, mixed stages and worse disrupted-night performance. These are device-specific validation findings rather than a universal assertion that all wearable measurements are useless.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/33378539/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-16-24-1800.json"
      ],
      "body_receipts": []
    },
    {
      "pmid": "39460013",
      "doi": "10.3390/s24206532",
      "source_type": "primary study report",
      "study_group": "PMID39460013",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Recent device validation",
      "result_comparison": "The original reports useful healthy-cohort agreement and device-specific stage biases. Blanket dismissal of all commercial stage estimates would ignore these distinctions.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/39460013/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-16-24-1800.json"
      ],
      "body_receipts": []
    },
    {
      "pmid": "34904935",
      "doi": "10.1164/rccm.202107-1761OC",
      "source_type": "primary study report",
      "study_group": "PMID34904935",
      "access_depth": "abstract_metadata",
      "consensus_aspect": "Multinight causal confounder",
      "result_comparison": "Measured night-to-night AHI variability gives a concrete reason to require repeated baseline and treatment nights. The large purchaser sample does not itself prove that pilot improvements are artifacts.",
      "original_source": "https://pubmed.ncbi.nlm.nih.gov/34904935/",
      "source_examination_receipts": [
        "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\examinations\\original-24-32-1800.json"
      ],
      "body_receipts": []
    }
  ],
  "grade_changed": false,
  "grade_change_note": "Source-based adjudication; no independent blinded regrade claimed.",
  "raw_receipts": [
    {
      "path": "deliverables\\hsef_v53_traffic_ranks_06_10_2026-10-13\\mouth-taping-sleep\\consensus-browser-2026-10-13.json",
      "sha256": "a47a1883b8ab7a8ea1f1969a7e093ff8e70a72247eec8ff9615478e993968faa"
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  ],
  "independent_blinded_audit": false,
  "cutoff": "2026-10-13",
  "completed_utc": "2026-10-13T16:38:32.071537+00:00",
  "conclusion": "Endpoint hierarchy, experimental scope and original-source limits determine the evidence cards; provider wording does not override them."
}