Evidence map›Paper›PMID 29744855›Full record

ArticleJournal of the American Geriatrics Society2018

Recognition and Diagnosis of Obstructive Sleep Apnea in Older Americans.

Tiffany J Braley, Galit Levi Dunietz, Ronald D Chervin, Lynda D Lisabeth, Lesli E Skolarus, James F Burke

Open access · bronzeAbstract read
In one paragraph

Article in Journal of the American Geriatrics Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tiffany J BraleySleep Disorders Center, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Galit Levi DunietzSleep Disorders Center, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Ronald D ChervinSleep Disorders Center, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Lynda D LisabethDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Lesli E SkolarusDepartment of Neurology, School of Public Health, University of Michigan, Ann Arbor, Michigan.
James F BurkeDepartment of Neurology, School of Public Health, University of Michigan, Ann Arbor, Michigan.
Michigan Medicine · USUniversity of Michigan–Ann Arbor · US

Funding

The National Health and Trends StudyU01AG032947 · NIA · JOHNS HOPKINS UNIVERSITY · PI VICKI A. FREEDMAN, JENNIFER ANN SCHRACK · 2008 to 2026
$169.4M
TRAINING IN CLINICAL AND BASIC NEUROSCIENCET32NS007222 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Henry L Paulson · 1985 to 2026
$8.0M
Reducing Racial Disparities in Post-Stroke Disability in the ElderlyR01MD008879 · NIMHD · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURKE, JAMES FRANCIS, SKOLARUS, LESLI ELIZABETH · 2014 to 2018
$1.9M
Using Outcomes Analyses to Inform Implementation of NINDS Clinical TrialsK08NS082597 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURKE, JAMES FRANCIS · 2013 to 2017
$948k
A Community Partnership to Treat StrokeK23NS073685 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SKOLARUS, LESLI ELIZABETH · 2011 to 2016
$924k
NIA NIH HHS U01 AG032947NIMHD NIH HHS R01 MD008879NINDS NIH HHS K08 NS082597NINDS NIH HHS K23 NS073685NINDS NIH HHS T32 NS007222
6 · The paper itself

Abstract

objectivesTo estimate the proportion of older Americans at risk for obstructive sleep apnea (OSA) who receive OSA evaluations, diagnosis, and treatment.

designCross sectional study.

settingNational Health and Aging Trends Study (NHATS), Round 3 survey.

participantsCommunity-dwelling Medicare beneficiaries age 65 and older (N=1,052). MEASUREMENTS: NHATS participants were asked specific questions about sleep disturbances, including items that resembled critical elements of a validated instrument used to assess OSA risk (the STOP-Bang questionnaire). The proportion of older Americans at risk for OSA who received evaluations with home or in-laboratory sleep studies, OSA diagnosis, and OSA treatment was examined, as well as clinical, social, and demographic correlates of OSA.

resultsOf 1,052 participants who completed the sleep module, 56% (95% confidence interval (CI)=53-59%) were estimated to be at high risk of OSA. Only 8% (95% CI=5-11%) of the high-risk individuals had been tested for it. Of those tested, 94% (95% CI=87-100%) were diagnosed with OSA. Treatment with positive airway pressure was prescribed for 82% (95% CI=65-99%) of participants with an OSA diagnosis.

conclusionsEvidence from this nationally representative sample of community-dwelling Medicare beneficiaries suggests that high OSA risk is common but seldom investigated. When investigated, OSA is almost always confirmed and usually treated. These findings suggest a significant gap in OSA assessment for older Americans that could have public health implications.

Indexed as

Health StatusSeverity of Illness IndexAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMaleMass ScreeningMedicarePolysomnographyRisk FactorsSleep Apnea, ObstructiveUnited StatesMedicareNational Health and Aging Trends Studyobstructive sleep apneapolysomnographySTOP-BANG

Identifiers

PMID29744855
PMCPMC6097901
OpenAlexW2801725756

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.