Evidence map›Paper›PMID 34794444›Full record

ArticleBMC health services research2021

Assessment, referral and management of obstructive sleep apnea by Australian general practitioners: a qualitative analysis.

Nicole Grivell, Jenny Haycock, Anne Redman, Andrew Vakulin, Nicholas Zwar, Nigel Stocks, Oliver Frank, Richard Reed, Ching Li Chai-Coetzer, Ronald R Grunstein and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Primary care versus sleep specialist pathways for obstructive sleep apnea with home testing: access, adherence, and treatment personalization.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Access and models of obstructive sleep apnea care: a cross-national comparison of Canadian and Australian patient survey data.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
    Article
  8. Article
  9. Article
  10. Article
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

12 authors at 5 institutions in 1 country.

Nicole GrivellNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia. nicole.grivell@flinders.edu.au.ORCID http://orcid.org/0000-0002-0564-7888
Jenny HaycockNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Anne RedmanNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Andrew VakulinNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Nicholas ZwarNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Nigel StocksNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Oliver FrankNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Richard ReedNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Ching Li Chai-CoetzerNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Ronald R GrunsteinNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
R Doug McEvoyNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Elizabeth HoonNational Centre for Sleep Health Services Research, Bedford Park, SA, Australia.
Flinders University · AUAdelaide Institute for Sleep Health · AUBond University · AUSax Institute · AUThe University of Sydney · AU

Funding

National Health and Medical Research Council 1134954
6 · The paper itself

Abstract

backgroundThe high and increasing demand for obstructive sleep apnea (OSA) care has exceeded the capacity of specialist sleep services prompting consideration of whether general practitioners could have an enhanced role in service delivery. However, little is known about the current involvement, experiences and attitudes of Australian general practitioners towards OSA. The purpose of this study was to provide an in-depth analysis of Australian general practitioners' experiences and opinions regarding their care of patients with OSA to inform the design and implementation of new general practice models of care.

methodsPurposive sampling was used to recruit participants with maximum variation in age, experience and location. Semi-structured interviews were conducted and were analysed using Thematic Analysis.

resultsThree major themes were identified: (1) General practitioners are important in recognising symptoms of OSA and facilitating a diagnosis by others; (2) Inequities in access to the assessment and management of OSA; and (3) General practitioners currently have a limited role in the management of OSA.

conclusionsWhen consulting with patients with symptoms of OSA, general practitioners see their primary responsibility as providing a referral for diagnosis by others. General practitioners working with patients in areas of greater need, such as rural/remote areas and those of socio-economic disadvantage, demonstrated interest in being more involved in OSA management. Inequities in access to assessment and management are potential drivers for change in future models of care for OSA in general practice.

Indexed as

General PractitionersSleep Apnea, ObstructiveAustraliaFamily PracticeHumansReferral and ConsultationDelivery of Health CareGeneral PracticeGeneral PractitionersPrimary Health CareSleep Apnea, Obstructive

Identifiers

PMID34794444
PMCPMC8601775
OpenAlexW3214373758

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.