ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021
Obstructive sleep apnea in older adults: geographic disparities in PAP treatment and adherence.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 15 citations in OpenAlex.
- Rising Mortality from Sleep Apnea and Hypertension in U.S. Adults: A 23-Year Epidemiological Analysis And Impact of the COVID-19 Pandemic (2000-2023).Journal of epidemiology and global health · 2026Article
- Associations Between Obstructive Sleep Apnea, Obesity, and Indices of Cardiovascular Health Among a Cross-Sectional Sample of Adults Residing in the Southeastern United States.Sleep & breathing = Schlaf & Atmung · 2026Observational
- Disparities in sleep medicine in Japan: association between CPAP prescriptions and the number of certified sleep medicine providers.Sleep & breathing = Schlaf & Atmung · 2025Article
- Consumer personas for CPAP purchasing in older adults with obstructive sleep apnea: a hospital database study.Future science OA · 2025Article
- Development of a Novel Shared Care Intervention to Address Obstructive Sleep Apnea in Rural West Virginia.Annals of the American Thoracic Society · 2025Article
- Characterizing the Landscape of Otolaryngology Trained Hypoglossal Nerve Stimulator Surgeons.Laryngoscope investigative otolaryngology · 2025Article
- Continuous positive airway pressure in acute ischemic stroke patients with obstructive sleep apnea: analysis of the National Inpatient Sample database.Frontiers in neurology · 2025Article
- Adherence to Auto-CPAP and Age: A Stable Condition? Comment on Barroso et al. Influence of Age on Adherence to Auto-CPAP: Experience from a Sleep Center in Portugal.Advances in respiratory medicine · 2022Article
- Provider Perspectives on Sleep Apnea from Appalachia: A Mixed Methods Study.Journal of clinical medicine · 2022Article
- Article
- Regional differences in PAP care: more questions than answers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021Article
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
objectivesObstructive sleep apnea (OSA) is prevalent among older adults. Although treatment with positive airway pressure (PAP) lowers subsequent morbidity, PAP adherence is inconsistent. Socioeconomic disparities have been observed in OSA treatment, but regional differences in OSA care are unknown. This study examined geographic variations in PAP treatment and adherence among older Americans.
methodsThis study utilized a representative 5% sample of all Medicare fee-for-service beneficiaries aged 65+ years. An OSA diagnosis, treatment, and PAP adherence were confirmed with International Classification of Diseases, Ninth Revision, HCPCS (Health Care Common Procedure Coding System) codes, and ≥2 HCPCS claims for PAP supplies respectively. Descriptive statistics were used to examine proportions of Medicare beneficiaries who obtained and adhered to PAP. Maps described the proportion of treated and adherent beneficiaries by state and hospital referral region.
resultsFor state-level data, PAP treatment and adherence proportions among beneficiaries with an OSA diagnosis ranged between 54-87% and 59-81%, respectively. Proportions of treated patients were higher in Midwest states (>80%), in comparison to Northwest, Northeast, and Southern states (<73%). Southern states and California had lowest proportions of PAP adherence (<70%). Within-state variability in treatment patterns were apparent along the East and West coasts. Correlations of PAP treatment and adherence proportions were low in Washington, DC, New York, and New Jersey. Discordant treatment and adherence proportions were observed in Alabama and Mississippi.
conclusionsSignificant state-level and regional disparities of PAP treatment and adherence among Medicare beneficiaries with OSA suggest gaps in delivery of OSA care for older Americans.
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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.