Evidence map›Paper›PMID 38156829›Full record

ArticleBehavioral sleep medicine

Sleep Apnea Among Gulf War Veterans: An Examination of VA Utilization Rates, Treatment Initiation, and Health Outcomes.

Scott G Ravyts, Yasmine M Eshera, Sarah C Griffin, Tate Halverson, Jeremy L Grove, Jean C Beckham, Mary J Pugh, Nathan A Kimbrel, Patrick S Calhoun

Open access · greenAbstract read
In one paragraph

Article in Behavioral sleep medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 69% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 6 institutions in 1 country.

Scott G RavytsDepartment of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Yasmine M EsheraDepartment of Psychological Sciences, Kent State University, Kent, OH, USA.
Sarah C GriffinCorporal Michael J. Crescenz Department of Veterans Affairs Medical Center, Philadelphia, PA, USA.
Tate HalversonDurham Veterans Affairs Health Care System, Durham, NC, USA.
Jeremy L GroveDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Jean C BeckhamDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Mary J PughVeterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, USA.
Nathan A KimbrelDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Patrick S CalhounDepartment of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.
Durham VA Health Care System · USDuke University · USHealth Services Research & Development · USJohns Hopkins Medicine · USPhiladelphia VA Medical Center · USUniversity of Utah · US

Funding

Effectiveness and Outcomes of Combined Contingency Management and CBT for Alcohol Use DisorderR01AA027520 · NIAAA · DUKE UNIVERSITY · PI CALHOUN, PATRICK S., DEDERT, ERIC A · 2019 to 2023
$3.4M
Development of mHealth-Supported Skills Training for Alcohol and Related Suicidality (mSTARS): Emotion Regulation Skills Training to Enhance Acute Psychiatric Care and RecoveryK23AA031035 · NIAAA · DUKE UNIVERSITY · PI Jeremy Grove · 2023 to 2026
$695k
Healthcare utilization patterns and associated costs for Gulf War I Era VeteransI01HX001682 · VA · DURHAM VA MEDICAL CENTER · PI KIMBREL, NATHAN A. · 2019 to 2020
–
CSR&D Research Career Scientist AwardIK6BX003777 · VA · DURHAM VA MEDICAL CENTER · PI BECKHAM, JEAN C. · 2017 to 2023
–
BLRD VA IK6 BX003777CSRD VA IK6 CX002767HSRD VA I01 HX001682NIAAA NIH HHS K23 AA031035NIAAA NIH HHS R01 AA027520RRD VA IK2 RX004803
6 · The paper itself

Abstract

objectivesObstructive sleep apnea (OSA) among veterans is frequently underdiagnosed and undertreated. The present study sought to: 1) characterize the prevalence and rate of treatment of OSA among VA users and non-users and 2) examine the associations between diagnosed or probable OSA and key physical and mental health outcomes.

methodsGulf-War I-era Veterans were recruited as part of a national survey assessing mental and physical health concerns, healthcare needs, and healthcare utilization. OSA diagnoses were self-reported while sleep apnea risk was assessed via the STOP-Bang. Veterans also completed questionnaires assessing overall health, pain, depression, PTSD, and psychosocial functioning.

results1,153 veterans were included in the present analyses (Mean age = 58.81; 21.84% female). Compared to non-VA healthcare users, veterans receiving care at the VA were more likely to have been diagnosed with OSA (

conclusionsOSA diagnoses appear to be more common among VA healthcare users. Findings suggest that OSA remains underdiagnosed and associated with important physical and mental health consequences. Additional screening for OSA, especially among non-VA clinics, is warranted.

Indexed as

Gulf WarSleep Apnea, ObstructiveVeteransAdultAgedDepressionFemaleHumansMaleMiddle AgedPatient Acceptance of Health CarePrevalenceStress Disorders, Post-TraumaticSurveys and QuestionnairesUnited StatesUnited States Department of Veterans Affairs

Identifiers

PMID38156829
PMCPMC11166522
OpenAlexW4390404405

What OpenQuestion holds

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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.