Evidence map›Paper›PMID 31538607›Full record

ReviewJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2019

National Expansion of Sleep Telemedicine for Veterans: The TeleSleep Program.

Kathleen F Sarmiento, Robert L Folmer, Carl J Stepnowsky, Mary A Whooley, Eilis A Boudreau, Samuel T Kuna, Charles W Atwood, Connor J Smith, W Claibe Yarbrough

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05489562 (Use of Intraoral Suction and Its Effects on Obstructive Sleep Apnea), which is not on this map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.2field-weighted citation impact, top 5% 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.

NCT05489562 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Use of Intraoral Suction and Its Effects on Obstructive Sleep Apnea

TypeinterventionalSponsorVA Boston Healthcare SystemRan2023 to 2024Enrolled40ConditionsObstructive Sleep Apnea of AdultArmsIntraoral Suction
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 60 citations in OpenAlex.

  1. Trial
  2. Effect of cloud-based sleep coaches on positive airway pressure adherence.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Trial
  3. Article
  4. Effectiveness of mailed versus in-person PAP initiation in the Veterans Affairs' TeleSleep program.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  5. Article
  6. Article
  7. Recommendations for permanent sleep telehealth: an American Academy of Sleep Medicine position statement.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  8. Article
  9. Article
  10. From trenches to technology: a narrative review of sleep medicine in the military.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Review
  11. Factors influencing shared decision-making for insomnia and obstructive sleep apnea treatment among Veterans with mild traumatic brain injury.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  12. Review
  13. Article
  14. Article
  15. Observational
  16. Veterans Health Administration TeleSleep Enterprise-Wide Initiative 2017-2020: bringing sleep care to our nation's veterans.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2023
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Kathleen F SarmientoSan Francisco VA Healthcare System, San Francisco, California.
Robert L FolmerVA Portland Healthcare System, Portland, Oregon.
Carl J StepnowskyVA San Diego Healthcare System, San Diego, California.
Mary A WhooleySan Francisco VA Healthcare System, San Francisco, California.
Eilis A BoudreauVA Portland Healthcare System, Portland, Oregon.
Samuel T KunaPhiladelphia VA Medical Center, Philadelphia, Pennsylvania.
Charles W AtwoodVA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.
Connor J SmithDepartment of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.
W Claibe YarbroughDallas VA Medical Center, Dallas, Texas.
Oregon Health & Science University · USUniversity of California, San Francisco · USBaylor School · USPhiladelphia VA Medical Center · USUniversity of California San Diego · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectives(1) Review the prevalence and comorbidity of sleep disorders among United States military personnel and veterans. (2) Describe the status of sleep care services at Veterans Health Administration (VHA) facilities. (3) Characterize the demand for sleep care among veterans and the availability of sleep care across the VHA. (4) Describe the VA TeleSleep Program that was developed to address this demand.

methodsPubMed and Medline databases (National Center for Biotechnology Information, United States National Library of Medicine) were searched for terms related to sleep disorders and sleep care in United States military and veteran populations. Information related to the status of sleep care services at VHA facilities was provided by clinical staff members at each location. Additional data were obtained from the VA Corporate Data Warehouse.

resultsAmong United States military personnel, medical encounters for insomnia increased 372% between 2005-2014; encounters for obstructive sleep apnea (OSA) increased 517% during the same period. The age-adjusted prevalence of sleep disorder diagnoses among veterans increased nearly 6-fold between 2000-2010; the prevalence of OSA more than doubled in this population from 2005-2014.

conclusionsMost VA sleep programs are understaffed for their workload and have lengthy wait times for appointments. The VA Office of Rural Health determined that the dilemma of limited VHA sleep health care availability and accessibility might be solved, at least in part, by implementing a comprehensive telehealth program in VA medical facilities. The VA TeleSleep Program is an expansion of telemedicine services to address this need, especially for veterans in rural or remote regions. CITATION: Sarmiento KF, Folmer RL, Stepnowsky CJ, Whooley MA, Boudreau EA, Kuna ST, Atwood CW, Smith CJ, Yarbrough WC. National expansion of sleep telemedicine for veterans: the telesleep program. J Clin Sleep Med. 2019;15(9):1355-1364.

Indexed as

Health Services AccessibilityHumansMilitary PersonnelSleep Wake DisordersTelemedicineUnited StatesUnited States Department of Veterans AffairsVeteransruralsleeptelehealthtelemedicineVeterans AffairsVeterans Health Administration

Identifiers

PMID31538607
PMCPMC6760390
OpenAlexW2972386793

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.