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An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study

BACKGROUND: Obstructive sleep apnoea (OSA) is a common and treatable chronic condition that is associated with significant morbidity and economic cost. Geography is increasingly being recognised as a barrier to diagnosis and treatment of many chronic diseases; however, no study to date has investiga...

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Autores principales: Corrigan, Jennifer, Ogah, Imhokhai, Ip-Buting, Ada, Sharpe, Heather, Laratta, Cheryl R., Peller, Peter, Tsai, Willis H., Pendharkar, Sachin R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: European Respiratory Society 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7534578/
https://www.ncbi.nlm.nih.gov/pubmed/33043058
http://dx.doi.org/10.1183/23120541.00141-2020
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author Corrigan, Jennifer
Ogah, Imhokhai
Ip-Buting, Ada
Sharpe, Heather
Laratta, Cheryl R.
Peller, Peter
Tsai, Willis H.
Pendharkar, Sachin R.
author_facet Corrigan, Jennifer
Ogah, Imhokhai
Ip-Buting, Ada
Sharpe, Heather
Laratta, Cheryl R.
Peller, Peter
Tsai, Willis H.
Pendharkar, Sachin R.
author_sort Corrigan, Jennifer
collection PubMed
description BACKGROUND: Obstructive sleep apnoea (OSA) is a common and treatable chronic condition that is associated with significant morbidity and economic cost. Geography is increasingly being recognised as a barrier to diagnosis and treatment of many chronic diseases; however, no study to date has investigated the impact of place of residence on health outcomes in OSA. OBJECTIVE: The purpose of this study is to determine whether treatment outcomes for patients initiating continuous positive airway pressure (CPAP) for OSA differ between those who live in urban versus rural settings. METHODS: A prospective cohort design will be used. Participants will be recruited through community-based CPAP providers and assigned to either the rural or urban cohort based on residential postal code. The primary outcome will be the difference in nightly hours of CPAP use between the two groups, measured 3 months after initiation of therapy. Secondary outcomes will include symptoms, quality of life, patient satisfaction and patient-borne costs. ANTICIPATED RESULTS: This study will determine whether there are differences in CPAP adherence or patient-reported outcomes between rural and urban patients with OSA. These results will highlight potential challenges with providing OSA care in rural populations and may inform health interventions to reduce urban–rural inequities.
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spelling pubmed-75345782020-10-09 An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study Corrigan, Jennifer Ogah, Imhokhai Ip-Buting, Ada Sharpe, Heather Laratta, Cheryl R. Peller, Peter Tsai, Willis H. Pendharkar, Sachin R. ERJ Open Res Study Protocol BACKGROUND: Obstructive sleep apnoea (OSA) is a common and treatable chronic condition that is associated with significant morbidity and economic cost. Geography is increasingly being recognised as a barrier to diagnosis and treatment of many chronic diseases; however, no study to date has investigated the impact of place of residence on health outcomes in OSA. OBJECTIVE: The purpose of this study is to determine whether treatment outcomes for patients initiating continuous positive airway pressure (CPAP) for OSA differ between those who live in urban versus rural settings. METHODS: A prospective cohort design will be used. Participants will be recruited through community-based CPAP providers and assigned to either the rural or urban cohort based on residential postal code. The primary outcome will be the difference in nightly hours of CPAP use between the two groups, measured 3 months after initiation of therapy. Secondary outcomes will include symptoms, quality of life, patient satisfaction and patient-borne costs. ANTICIPATED RESULTS: This study will determine whether there are differences in CPAP adherence or patient-reported outcomes between rural and urban patients with OSA. These results will highlight potential challenges with providing OSA care in rural populations and may inform health interventions to reduce urban–rural inequities. European Respiratory Society 2020-10-05 /pmc/articles/PMC7534578/ /pubmed/33043058 http://dx.doi.org/10.1183/23120541.00141-2020 Text en Copyright ©ERS 2020 http://creativecommons.org/licenses/by-nc/4.0/This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.
spellingShingle Study Protocol
Corrigan, Jennifer
Ogah, Imhokhai
Ip-Buting, Ada
Sharpe, Heather
Laratta, Cheryl R.
Peller, Peter
Tsai, Willis H.
Pendharkar, Sachin R.
An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
title An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
title_full An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
title_fullStr An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
title_full_unstemmed An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
title_short An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
title_sort evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
topic Study Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7534578/
https://www.ncbi.nlm.nih.gov/pubmed/33043058
http://dx.doi.org/10.1183/23120541.00141-2020
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