Evidence map›Paper›PMID 37183861›Full record

ArticleJournal of the American Heart Association2023

Positive Airway Pressure Adherence and Health Care Resource Utilization in Patients With Obstructive Sleep Apnea and Heart Failure With Reduced Ejection Fraction.

Atul Malhotra, Kate V Cole, Anita S Malik, Jean-Louis Pépin, Fatima H Sert Kuniyoshi, Peter A Cistulli, Adam V Benjafield, Virend K Somers, medXcloud group *

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Using observational data to investigate cognitive outcomes of obstructive sleep apnea treatment: a scoping review.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  6. Article
  7. Article
  8. Acute Heart Failure and Central Sleep Apnea.Sleep medicine clinics · 2025
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Early recognition and treatment of OSA in hospitalized patients and its impact on health care utilization in rural population: a real-world study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Article
  16. Sleep Apnea and Heart Failure-Current State-of-The-Art.International journal of molecular sciences · 2024
    Review
  17. Article
  18. Article
  19. Sleep apnoea in congestive heart failure: one step forwards.The Lancet. Respiratory medicine · 2024
    Article
  20. Review
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 at 5 institutions in 3 countries.

Atul MalhotraUniversity of California San Diego La Jolla CA.ORCID 0000-0002-9509-1827
Kate V ColeResMed Science Center San Diego CA.ORCID 0000-0001-9008-9229
Anita S MalikResMed Science Center San Diego CA.ORCID 0000-0002-2592-2912
Jean-Louis PépinInstitut National de la Santé et de la Recherche Médicale (INSERM) U 1300, HP2 Laboratory (Hypoxia: Pathophysiology) Grenoble Alpes University Grenoble France.ORCID 0000-0003-3832-2358
Fatima H Sert KuniyoshiResMed Science Center San Diego CA.ORCID 0000-0001-7644-7384
Peter A CistulliCharles Perkins Centre, Faculty of Medicine and Health University of Sydney Australia.ORCID 0000-0002-7920-4924
Adam V BenjafieldResMed Science Centre Sydney Australia.ORCID 0000-0003-4716-2827
Virend K SomersDepartment of Cardiovascular Medicine, Mayo Clinic Rochester MN.ORCID 0000-0003-4045-4341
medXcloud group *
ResMed (United States) · USInserm · FRMayo Clinic · USThe University of Sydney · AUUniversity of California San Diego · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Obstructive sleep apnea (OSA) is a common comorbidity in patients with heart failure, although current evidence is equivocal regarding the potential benefits of treating OSA with positive airway pressure (PAP) therapy in patients with heart failure. This study assessed the impact of adherence to PAP therapy on health care resource utilization in patients with OSA and heart failure with reduced ejection fraction. Methods and Results Administrative insurance claims data linked with objective PAP therapy use data from patients with OSA and heart failure with reduced ejection fraction were used to determine associations between PAP adherence and a composite outcome of hospitalizations and emergency room visits. One-year PAP adherence was based on an adapted US Medicare definition. Propensity score methods were used to create groups with similar characteristics across PAP adherence levels. The study cohort included 3182 patients (69.9% male, mean age 59.7 years); 39% were considered adherent to PAP therapy (29% intermediate adherent, 31% nonadherent). One year after PAP initiation, adherent patients had fewer composite visits than matched nonadherent patients, driven by a 24% reduction in emergency room visits for adherent patients. Composite visit costs were lower in adherent versus nonadherent patients ($3500 versus $5879,

Indexed as

Heart FailureSleep Apnea, ObstructiveAgedContinuous Positive Airway PressureFemaleHumansMaleMedicareMiddle AgedPatient Acceptance of Health CarePatient ComplianceStroke VolumeUnited Stateshealth care resource utilizationheart failureobstructive sleep apneapositive airway pressure adherence

Identifiers

PMID37183861
PMCPMC10227299
OpenAlexW4376643565

What OpenQuestion holds

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LicenceCC BY-NC
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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.