ArticleOtolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery2018
Follow-up and Time to Treatment in an Urban Cohort of Children with Sleep-Disordered Breathing.
Article in Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
17 citing papers in PubMed, 34 citations in OpenAlex.
- Geographic and racial/ethnic patterns of polysomnography use among children enrolled in Medicaid, 2017-2019.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026Observational
- Preliminary Estimates of the Diagnostic Accuracy of Video Clips for Obstructive Sleep Apnea in Children.Pediatric pulmonology · 2025Article
- Social Capital and Pediatric Tracheostomy Outcomes.Laryngoscope investigative otolaryngology · 2025Article
- Approaching Social Determinants of Health in Otolaryngology - Head Neck Surgery: Linking Needs to Resources to Promote Health Equity.ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses · 2025Article
- Sleep Disordered Breathing in Children with Autism Spectrum Disorder: An In-Depth Review of Correlations and Complexities.Children (Basel, Switzerland) · 2023Review
- Identifying barriers to obstructive sleep-disordered breathing care: Parental perspectives.International journal of pediatric otorhinolaryngology · 2023Article
- Coverage Decisions for Positive Airway Pressure Therapy: Intended and Unintended Consequences.Annals of the American Thoracic Society · 2023Article
- Does race-ethnicity affect upper airway stimulation adherence and treatment outcome of obstructive sleep apnea?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Rural Barriers to Surgical Care for Children With Sleep-Disordered Breathing.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2022Article
- Nurse-led triage of new sleep referrals is associated with lower risk of potentially contraindicated sleep testing: a retrospective cohort study.BMJ quality & safety · 2021Article
- Is It Time to Head Home for the Night? Home Sleep Testing in Young Children.Annals of the American Thoracic Society · 2020Article
- The COVID-19 Pandemic Presents an Opportunity to Reassess the Value of Polysomnography.American journal of respiratory and critical care medicine · 2020Article
- Identification of Potential Barriers to Timely Access to Pediatric Hearing Aids.JAMA otolaryngology-- head & neck surgery · 2020Article
- Costs of Sleep Endoscopy With Same-Day Versus Staged Surgery for Pediatric Obstructive Sleep Apnea.OTO openArticle
- Sleep problem screening of young children by speech-language pathologists: A mixed-methods feasibility study.Autism & developmental language impairmentsArticle
- Combined Effects of Race and Ethnicity With Rurality on Tonsillectomy Rates Among Children Enrolled in Medicaid.Academic pediatricsArticle
- Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
Objective To evaluate follow-up and timing of sleep-disordered breathing diagnosis and treatment in urban children referred from primary care. Study Design Retrospective longitudinal cohort analysis. Setting Tertiary health system. Subjects and Methods Pediatric outpatients with sleep-disordered breathing, referred from primary care for subspecialty appointment or polysomnography in 2014, followed for 2 years. Timing of polysomnography or subspecialty appointments, loss to follow-up, and sleep-disordered breathing severity were main outcomes. Chi-square and t-test identified differences in children referred for polysomnography, surgery, and loss to follow-up. Logistic regression identified predictors of loss to follow-up. Days to polysomnography or surgery were evaluated using the Kaplan-Meier estimator, with Cox regression comparing estimates by polysomnography receipt and disease severity. Results Of 216 children, 188 (87%) had public insurance. Half (109 [50%]) were lost to follow-up after primary care referral. More children were lost to follow-up when referred for polysomnography (50 [76%]) compared with subspecialty evaluation (35 [32%]; P < .001). Children referred to both polysomnography and subspecialty were more likely to be lost to follow-up (odds ratio = 2.73, 95% confidence interval = 1.29-5.78; P = .009). For children who obtained polysomnography, an asymmetric distribution of obstructive sleep apnea severity was not observed ( P = .152). Median time to polysomnography and surgery was 75 and 226 days, respectively. Obstructive sleep apnea severity did not influence time to surgery ( P = .410). Conclusion In this urban population, half of the children referred for sleep-disordered breathing evaluation are lost to follow-up from primary care. Obstructive sleep apnea severity did not predict follow-up or timeliness of treatment. These findings suggest social determinants may pose barriers to care in addition to the clinical burden of sleep-disordered breathing.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.