ArticleJournal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine2026
Primary care versus sleep specialist pathways for obstructive sleep apnea with home testing: access, adherence, and treatment personalization.
Article in Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough expanding obstructive sleep apnea (OSA) management capabilities has been a longstanding goal, patients report higher positive airway pressure (PAP) therapy compliance when cared for by specialists at centers accredited by the American Academy of Sleep Medicine (AASM) [1]. At Mayo Clinic, primary care providers (PCPs) are now authorized to order home sleep apnea testing (HSAT) and subsequent therapy, eliminating the need for consultation with Sleep Medicine. This study evaluates whether patients diagnosed with OSA through primary and specialty care pathways experience comparable timeliness of care, counseling about therapeutic options, and PAP adherence.
methodsFifty-five patients were selected from each of two groups, based on whether HSAT was ordered and initially managed by a PCP or sleep medicine specialist (SMS). Initial sleep metrics, PAP adherence, and key management details (treatments offered and care timelines) were compared across groups.
resultsAlthough provider type was not associated with meaningful discrepancies in diagnosis and treatment timeliness once HSAT was ordered, consultation with a SMS introduced upfront delays caused by limited access to specialty care. SMSs discussed a larger range of treatment options, however, and patients seen by a SMS were more adherent to therapy, using PAP ≥ 4 h for an additional 13% of nights and for 1.15 h longer per night.
conclusionDespite differing modes of patient communication, PCPs offer timely OSA testing and diagnosis. However, further efforts are needed to address variations in the breadth of counseling provided, and to ensure that all patients are equipped to succeed with PAP therapy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.