Evidence map›Paper›PMID 33928484›Full record

Observational studySleep & breathing = Schlaf & Atmung2022

Impact of the sleep apnea management group clinic on positive airway pressure adherence.

Katie Tran, Lu Wang, Reena Mehra, Robon Vanek, Shivani Kaw, Tina Campean, Nancy Foldvary-Schaefer, Douglas E Moul, Harneet Walia

Abstract readObservational Study
In one paragraph

Observational study in Sleep & breathing = Schlaf & Atmung, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

9 authors.

Katie TranCenter for Sleep and Breathing Disorders, UT Southwestern University, Dallas, TX, USA.
Lu WangDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Reena MehraSleep Disorders Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Robon VanekSleep Disorders Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Shivani KawSleep Disorders Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Tina CampeanSleep Disorders Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Nancy Foldvary-SchaeferSleep Disorders Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Douglas E MoulSleep Disorders Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.
Harneet WaliaSleep Disorders Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA. Harneet_walia@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPositive airway pressure (PAP) adherence is critical for managing obstructive sleep apnea (OSA). We postulate that group-based Sleep Apnea Management (SAM) clinic, which harnesses the benefits of providing mutual support as well as facilitates access to system-based resources and education, will confer improvements in PAP adherence.

methodsData from SAM clinic attendees from January 2017 to June 2018 were retrospectively analyzed. Adherence data at SAM baseline visit and 1-3 months follow-up were collected. Average PAP usage from all-days and days used were analyzed along with demographics, co-morbidities, and Epworth Sleepiness Scale. Adherence was defined as >4 hours a night for ≥70% of nights over a 30-day period. Key structural elements of the SAM group clinic model were co-presence of the OSA care team members and peer group support. Key efficiency elements were group education and the prompt-to-patient multidisciplinary troubleshooting adherence barriers.

resultsOf 110 SAM clinic attendees, average age was 60.9±12.7 years, 53% were men, and 46% Caucasian. At baseline, the mean for average-all-days usage was 4.2 hours, mean average-days-used usage was 5.2 hours, and mean percentage-of-days usage ≥4 hours was 57%. At follow-up, the mean average-all-days usage increased 1.2 hours (p<0.001), mean average-days-used usage increased 0.8 hours (p<0.001), and the mean percentage-of-days with usage ≥4 hours increased 16% (p<0.001). At baseline, 46% of patients met criteria for adherence, which increased to 66% at follow-up.

conclusionIn this study, after the SAM clinic, all PAP adherence parameters improved significantly. This observational study serves as a proof of concept study for future trials pertaining to group clinic in managing PAP adherence in OSA.

Indexed as

Continuous Positive Airway PressureAgedFemaleGroup ProcessesHumansMaleMiddle AgedPatient ComplianceRetrospective StudiesSleep Apnea, ObstructiveTreatment OutcomeAdherenceGroup clinicObstructive sleep apneaPositive airway pressure

Identifiers

PMID33928484
PMCPMC8084412

What OpenQuestion holds

Textmetadata
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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.