Evidence map›Paper›PMID 32687910›Full record

ArticleChest2021

Age and Sex Disparities in Adherence to CPAP.

Sanjay R Patel, Jessie P Bakker, Christy J Stitt, Mark S Aloia, S Mehdi Nouraie

Abstract read
In one paragraph

Article in Chest, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 1 pooled it
–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

64 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Automatic activation of neurostimulation for central sleep apnea results in high nightly usage.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Objective and subjective adherence to oral appliance therapy in adults with obstructive sleep apnea: pilot data from a one-year longitudinal study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Mechanisms Linking Sleep-Disordered Breathing and Cardiometabolic Disease Risk.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article

4 more citing papers are in PubMed but not listed here.

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

5 authors.

Sanjay R PatelCenter for Sleep and Cardiovascular Outcomes Research, University of Pittsburgh, Pittsburgh, PA; Division of Pulmonary Allergy and Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA. Electronic address: patelsr2@upmc.edu.
Jessie P BakkerPhilips Respironics, Monroeville, PA.
Christy J StittPhilips Respironics, Monroeville, PA.
Mark S AloiaPhilips Respironics, Monroeville, PA.
S Mehdi NouraieDivision of Pulmonary Allergy and Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA.

Funding

Mentored Patient Oriented Research in Sleep and Metabolic DiseaseK24HL127307 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PATEL, SANJAY R · 2015 to 2019
$582k
NHLBI NIH HHS K24 HL127307
6 · The paper itself

Abstract

backgroundCPAP effectiveness is limited by suboptimal adherence. Prior studies of adherence have focused on middle-aged men. RESEARCH QUESTION: Does CPAP adherence vary by age and sex? STUDY DESIGN AND

methodsTelemonitoring data from a CPAP manufacturer database were used to assess adherence in patients initiating CPAP therapy between November 2015 and October 2018. Analyses were restricted to patients in the United States aged 18 to 90 years.

resultsAcross 789,260 patients initiated on CPAP (mean age, 55 ± 14 years; 58.2% male), overall adherence by US Centers of Medicare & Medicaid Services criteria was 72.6%, but it varied dramatically by age and sex, ranging from 51.3% in 18- to 30-year-old women to 80.6% in 71- to 80-year-old men. Patterns of use over the first 90 days demonstrated that younger age groups had peak CPAP use by the 2

interpretationCPAP adherence rates vary substantially by demographics, with 18- to 30-year-old women having the lowest adherence. The pattern of use over the first 90 days also varies substantially by age and sex. Further research to understand and address the causes of disparities will be crucial to maximizing the benefits of CPAP therapy.

Indexed as

Continuous Positive Airway PressureAdolescentAdultAgedAged, 80 and overAge FactorsCohort StudiesFemaleHumansMaleMiddle AgedPatient ComplianceSex FactorsSleep Apnea, ObstructiveUnited StatesYoung AdultadherenceCPAPdisparitysleep apnea

Identifiers

PMID32687910
PMCPMC7803941

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.