ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2021
The differential impact of respiratory event scoring criteria on CPAP eligibility in women and men.
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, 19 citations in OpenAlex.
- Varying Hypopnea Definitions and Treatment Eligibility in Obstructive Sleep Apnea.Sleep & breathing = Schlaf & Atmung · 2026Article
- Sex, but Not Race, Influences OSA Diagnosis When Applying the 4% Versus 3% Hypopnea Scoring Rule.Journal of clinical medicine · 2025Article
- CAISR: achieving human-level performance in automated sleep analysis across all clinical sleep metrics.Sleep · 2025Article
- Enough is enough: strict hypopnea criteria exacerbate sleep-related health disparities in females.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- Using expanded diagnostic criteria mitigates gender disparities in diagnosis of sleep-disordered breathing.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025Article
- Improving the cardiovascular outcomes of obstructive sleep apnea: Towards more precise hypoxia-based models of disease severity.Current sleep medicine reports · 2025Article
- Sex differences in sleep apnea and Alzheimer's Disease: role of cerebrovascular dysfunction.npj women's health · 2025Review
- Continuous positive airway pressure treatment of obstructive sleep apnea and hypertensive complications in high-risk pregnancy.Sleep & breathing = Schlaf & Atmung · 2023Article
- Fifteen Patients Who Can Be Helped by Medicare: Insurance Policy Changes in the Coverage of CPAP Therapy for Obstructive Sleep Apnea.Neurology. Clinical practice · 2023Article
- Determinants of non-completion of sleep apnea testing during pregnancy.Frontiers in sleep · 2023Article
- A transition to the American Academy of Sleep Medicine-recommended hypopnea definition in adults: initiatives of the Hypopnea Scoring Rule Task Force.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesObstructive sleep apnea is more prevalent and severe in men than women. The American Academy of Sleep Medicine offers 2 definitions for scoring hypopneas: "acceptable" = associated with a ≥ 4% oxygen desaturation, adopted by Center for Medicare and Medicaid Services (CMS), and "recommended" = associated with a ≥ 3% oxygen desaturation and/or an arousal. We hypothesized that CMS vs American Academy of Sleep Medicine scoring criteria would differentially impact continuous positive airway pressure eligibility in women and men.
methodsWe conducted a retrospective review of adult diagnostic in-lab polysomnography at an urban academic institution. All polysomnographies were scored by both CMS and American Academy of Sleep Medicine scoring criteria, and an analysis by sex was performed that considered demographics and other polysomnography variables.
resultsOf 969 polysomnographies reviewed, 674 (69.6%) were in women. Women were younger (51.5 vs 53.3 years old) and had a higher body mass index (38.6 kg/m
conclusionsCMS scoring criteria imparts a sex bias toward women, potentially resulting in denial of therapy to symptomatic women with obstructive sleep apnea. Larger, prospective cohort studies are needed to confirm these findings. CITATION: Khalid F, Ayache M, Auckley D. The differential impact of respiratory event scoring criteria on CPAP eligibility in women and men.
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