Evidence map›Paper›PMID 32120165›Full record

ArticleSleep medicine reviews2020

Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review.

Alexa J Watach, Melissa S Xanthopoulos, Olufunke Afolabi-Brown, Bruno Saconi, Kathleen A Fox, Maylene Qiu, Amy M Sawyer

Open access · greenAbstract readScoping Review
In one paragraph

Article in Sleep medicine reviews, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Adherence to positive airway pressure therapy in patients with Down syndrome: assessing cloud-based monitoring data.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  5. Lingual Tonsillectomy as Part of a DISE-Directed Multilevel Upper Airway Surgery to Treat Complex Pediatric OSA: A Safe and Appropriate Procedure.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  6. Article
  7. The lived experience of positive airway pressure therapy in patients with obstructive sleep apnea across the lifespan: a qualitative study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. [The treatment progress of obstructive sleep apnea in children].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2021
    Review
  19. Clinical predictors of nonadherence to positive airway pressure therapy in children: a retrospective cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  20. 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

7 authors at 3 institutions in 1 country.

Alexa J WatachUniversity of Pennsylvania, Perelman School of Medicine, Center for Sleep and Circadian Neurobiology, Philadelphia, PA, USA. Electronic address: Alexa.Watach@uphs.upenn.edu.
Melissa S XanthopoulosChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Olufunke Afolabi-BrownChildren's Hospital of Philadelphia, Philadelphia, PA, USA.
Bruno SaconiUniversity of Pennsylvania, School of Nursing, Philadelphia, PA, USA.
Kathleen A FoxUniversity of Pennsylvania, Biomedical Library, Philadelphia, PA, USA.
Maylene QiuUniversity of Pennsylvania, Biomedical Library, Philadelphia, PA, USA.
Amy M SawyerUniversity of Pennsylvania, Perelman School of Medicine, Center for Sleep and Circadian Neurobiology, Philadelphia, PA, USA; University of Pennsylvania, School of Nursing, Philadelphia, PA, USA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA.
University of Pennsylvania · USChildren's Hospital of Philadelphia · USPhiladelphia VA Medical Center · US

Funding

Training in Sleep & Sleep DisordersT32HL007953 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI David Menassah Raizen, AMY M SAWYER · 2000 to 2026
$10.6M
NHLBI NIH HHS T32 HL007953
6 · The paper itself

Abstract

Positive airway pressure (PAP) therapy is a commonly prescribed treatment for pediatric obstructive sleep apnea (OSA). Negative health consequences associated with untreated OSA make understanding the utilization of PAP therapy imperative. The aim of this review was to describe PAP use in children and adolescents with OSA, explore factors that influence use, and describe published scientific or clinical approaches to improve use. Among 20 studies, average PAP adherence was 56.9% (range, 24-87%). PAP use averaged 4.0 h (SD = 3.1) to 5.2 h (SD = 3.4) per night. Cautious consideration of summary estimates of PAP use is necessary as studies were heterogeneous and adherence definitions widely varied across studies. Age, sex, and developmental delay were the only factors associated with PAP use in more than one study. The majority of approaches to improve use were program evaluations rather than scientifically tested interventions. This review identified critical gaps in the existing literature and sets forth a research agenda for the future.

Indexed as

PediatricsAdolescentChildContinuous Positive Airway PressureHumansSleep Apnea, ObstructiveTreatment Adherence and ComplianceTreatment OutcomeAdherenceComplianceObstructive sleep apneaPediatricPositive airway pressure

Identifiers

PMID32120165
PMCPMC8849588
OpenAlexW3004922088

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.