Evidence map›Paper›PMID 31639334›Full record

ReviewChest2020

Redesigning Care for OSA.

Lucas M Donovan, Aditi Shah, Ching Li Chai-Coetzer, Ferran Barbé, Najib T Ayas, Vishesh K Kapur

Abstract readReview
In one paragraph

Review in Chest, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
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

16 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. OSA screening before CGRP mAbs in chronic migraine.Sleep & breathing = Schlaf & Atmung · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Facilitators and barriers to getting obstructive sleep apnea diagnosed: perspectives from patients and their partners.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Perspectives on primary care management of obstructive sleep apnea: a qualitative study of patients and health care providers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  15. Can primary care providers manage obstructive sleep apnea?Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lucas M DonovanHSR&D Center of Innovation for Veteran-Centered and Value-Driven Care, Veterans Affairs Puget Sound Health Care System, Seattle, WA; University of Washington School of Medicine, Seattle, WA.
Aditi ShahLeon Judah Blackmore Sleep Disorders Program, University of British Columbia, Vancouver, BC, Canada.
Ching Li Chai-CoetzerAdelaide Institute for Sleep Health, Flinders University, Adelaide, SA, Australia; Respiratory and Sleep Service, Southern Adelaide Local Health Network, SA Health, Adelaide, SA, Australia.
Ferran BarbéInstitut de Recerca Biomèdica of Lleida and CIBERES, Lleida, Catalonia, Spain.
Najib T AyasLeon Judah Blackmore Sleep Disorders Program, University of British Columbia, Vancouver, BC, Canada.
Vishesh K KapurUniversity of Washington School of Medicine, Seattle, WA. Electronic address: vkapur@uw.edu.

Funding

Predictors, consequences, and motivations of benzodiazepine use in patients with chronic obstructive pulmonary diseaseF32HL140685 · NHLBI · UNIVERSITY OF WASHINGTON · PI DONOVAN, LUCAS MATTHEW · 2018 to 2018
$55k
Redesigning Medical specialty Outpatient DELivery through virtual SLEEP care (REMODEL-SLEEP)IK2HX002816 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI DONOVAN, LUCAS MATTHEW · 2020 to 2024
–
HSRD VA IK2 HX002816NHLBI NIH HHS F32 HL140685
6 · The paper itself

Abstract

Constrained by a limited supply of specialized personnel, health systems face a challenge in caring for the large number of patients with OSA. The complexity of this challenge is heightened by the varied clinical presentations of OSA and the diversity of treatment approaches. Innovations such as simplified home-based care models and the incorporation of nonspecialist providers have shown promise in the management of uncomplicated patients, producing comparable outcomes to the resource-intensive traditional approach. However, it is unclear if these innovations can meet the needs of all patients with OSA, including those with mild disease, atypical presentations, and certain comorbid medical and mental health conditions. This review discusses the diversity of needs in OSA care, the evidence base behind recent care innovations, and the potential limitations of each innovation in meeting the diversity of care needs. We propose how these innovations can fit within the stepped care and hub and spoke models in a way that addresses the full spectrum of OSA, and we discuss future research directions to assess the deployment of these innovations.

Indexed as

Patient Care ManagementSleep Apnea, ObstructiveHumansNeeds Assessmenthome sleep apnea testinghub and spokenonspecialist-led careOSAstepped care

Identifiers

PMID31639334
PMCPMC7118239

What OpenQuestion holds

Textmetadata
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.