ArticleSleep2020
Multidimensional sleep health and subsequent health-care costs and utilization in older women.
Article in Sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 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.
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.
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Who cites it
19 citing papers in PubMed, 26 citations in OpenAlex.
- Modifiable prognostic factors of high societal costs among people on sick leave due to musculoskeletal disorders: a replication study.BMC musculoskeletal disorders · 2024Trial
- Billing Disparities in Home Sleep Testing: The Role of Sleep Medicine Board Certification and Practice Setting.Healthcare (Basel, Switzerland) · 2026Article
- Actigraphy-derived multidimensional sleep health among breast cancer survivors and controls: Pink SWAN.Journal of cancer survivorship : research and practice · 2026Article
- Factors associated with poor sleep health in adults at risk for obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2026Article
- Predictive Modeling of Preoperative Sleep Disorder Risk in Older Adults by Using Data From Wearable Monitoring Devices: Prospective Cohort Study.JMIR formative research · 2026Article
- Multidimensional sleep health and psychological distress: associations in a Community-Dwelling population.Sleep & breathing = Schlaf & Atmung · 2025Article
- Efficacy of electroacupuncture on insomnia disorder in older adults: study protocol for a multicentre randomised controlled trial.Frontiers in neurology · 2025Article
- The existing state of knowledge about sleep health in community-dwelling older persons - a scoping review.Annals of medicine · 2024Article
- The multidimensional sleep health of individuals with multiple sclerosis and Huntington's disease and healthy controls.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024Article
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- Effects of combined exercise training with sleep education in older adults with obstructive sleep apnea: protocol for a randomized clinical trial.Frontiers in psychology · 2024Article
- Longitudinal associations between time-varying insomnia symptoms and all-cause health care services utilization among middle-aged and older adults in the United States.Health services research · 2022Article
- Redefining Cardiovascular Health to Include Sleep: Prospective Associations With Cardiovascular Disease in the MESA Sleep Study.Journal of the American Heart Association · 2022Article
- Multidimensional Sleep Health Is Associated with Cardiovascular Disease Prevalence and Cardiometabolic Health in US Adults.International journal of environmental research and public health · 2022Article
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- Associations of sleep duration with patient-reported outcomes and health care use in US adults with asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020Article
- Multidimensional Sleep and Self-Rated Physical Health and Depressive Symptoms Among Retired Older Adults: A Sex-Stratified Analysis.Behavioral sleep medicineArticle
- Association Between Insomnia and Healthcare Utilization: A Scoping Review of the Literature.American journal of lifestyle medicineReview
Corrections and comments
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Authors and funding
9 authors at 5 institutions in 1 country.
Funding
Abstract
STUDY
objectivesDetermine the association of poor multidimensional sleep health with health-care costs and utilization.
methodsWe linked 1,459 community-dwelling women (mean age 83.6 years) participating in the Study of Osteoporotic Fractures Year 16 visit (2002-2004) with their Medicare claims. Five dimensions of sleep health (satisfaction, daytime sleepiness, timing, latency, and duration) were assessed by self-report. The number of impaired dimensions was expressed as a score (range 0-5). Total direct health-care costs and utilization were ascertained during the subsequent 36 months.
resultsMean (SD) total health-care costs/year (2017 dollars) increased in a graded manner across the sleep health score ranging from $10,745 ($15,795) among women with no impairment to up to $15,332 ($22,810) in women with impairment in three to five dimensions (p = 0.01). After adjustment for age, race, and enrollment site, women with impairment in three to five dimensions vs. no impairment had greater mean total costs (cost ratio [CR] 1.34 [95% CI = 1.13 to 1.60]) and appeared to be at higher risk of hospitalization (odds ratio (OR) 1.31 [95% CI = 0.96 to 1.81]). After further accounting for number of medical conditions, functional limitations, and depressive symptoms, impairment in three to five sleep health dimensions was not associated with total costs (CR 1.02 [95% CI = 0.86 to 1.22]) or hospitalization (OR 0.91 [95% CI = 0.65 to 1.28]). Poor multidimensional sleep health was not related to outpatient costs or risk of skilled nursing facility stay.
conclusionsOlder women with poor sleep health have higher subsequent total health-care costs largely attributable to their greater burden of medical conditions, functional limitations, and depressive symptoms.
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What OpenQuestion holds
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.