Socioeconomic Factors and Adherence to CPAP: The Population-Based Course of Disease in Patients Reported to the Swedish CPAP Oxygen and Ventilator Registry Study.
Adult
Aged
Cohort Studies
Continuous Positive Airway Pressure
Educational Status
Emigrants and Immigrants
/ statistics & numerical data
Female
Humans
Income
/ statistics & numerical data
Linear Models
Male
Marital Status
/ statistics & numerical data
Middle Aged
Multivariate Analysis
Patient Compliance
/ statistics & numerical data
Registries
Sleep Apnea, Obstructive
/ therapy
Socioeconomic Factors
Sweden
CPAP
OSA
adherence
socioeconomic factors
Journal
Chest
ISSN: 1931-3543
Titre abrégé: Chest
Pays: United States
ID NLM: 0231335
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
received:
26
11
2020
revised:
29
03
2021
accepted:
30
04
2021
pubmed:
11
5
2021
medline:
11
1
2022
entrez:
10
5
2021
Statut:
ppublish
Résumé
Early identification of poor adherence to CPAP treatment is of major clinical importance to optimize treatment outcomes in patients with OSA. How do socioeconomic factors influence CPAP adherence? Nationwide, population-based cohort study of patients with OSA receiving CPAP treatment reported to the Swedish quality registry Swedevox between 2010 and 2018 was cross-linked with individual socioeconomic data from Statistics Sweden. Socioeconomic factors associated with CPAP adherence were identified using a multivariate linear regression model, adjusted for age and sex. In total, 20,521 patients were included: 70.7% men; mean age ± SD, 57.8 ± 12.2 years; BMI, 32.0 ± 6.1 kg/m Civil status, educational level, household income, and foreign background predict CPAP adherence in a clinically significant manner and should be considered when treating OSA with CPAP.
Sections du résumé
BACKGROUND
Early identification of poor adherence to CPAP treatment is of major clinical importance to optimize treatment outcomes in patients with OSA.
RESEARCH QUESTION
How do socioeconomic factors influence CPAP adherence?
STUDY DESIGN AND METHODS
Nationwide, population-based cohort study of patients with OSA receiving CPAP treatment reported to the Swedish quality registry Swedevox between 2010 and 2018 was cross-linked with individual socioeconomic data from Statistics Sweden. Socioeconomic factors associated with CPAP adherence were identified using a multivariate linear regression model, adjusted for age and sex.
RESULTS
In total, 20,521 patients were included: 70.7% men; mean age ± SD, 57.8 ± 12.2 years; BMI, 32.0 ± 6.1 kg/m
INTERPRETATION
Civil status, educational level, household income, and foreign background predict CPAP adherence in a clinically significant manner and should be considered when treating OSA with CPAP.
Identifiants
pubmed: 33971148
pii: S0012-3692(21)00887-4
doi: 10.1016/j.chest.2021.04.064
pmc: PMC8546239
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1481-1491Informations de copyright
Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.
Références
Sleep Med. 2018 Nov;51:85-91
pubmed: 30103074
Sleep. 2015 Mar 01;38(3):341-9
pubmed: 25325460
Public Health. 2019 Sep;174:97-101
pubmed: 31326762
Sleep. 2009 Apr;32(4):545-52
pubmed: 19413149
BMC Pulm Med. 2017 Mar 22;17(1):56
pubmed: 28330459
Eur J Epidemiol. 2019 Apr;34(4):423-437
pubmed: 30929112
Lancet Respir Med. 2020 Apr;8(4):359-367
pubmed: 31839558
Intern Med J. 2012 Jun;42(6):e95-101
pubmed: 21040323
Sleep. 1991 Dec;14(6):540-5
pubmed: 1798888
N Engl J Med. 2016 Sep 8;375(10):919-31
pubmed: 27571048
Chest. 2002 Feb;121(2):430-5
pubmed: 11834653
Ann Intern Med. 2012 Jan 17;156(2):115-22
pubmed: 22250142
Sleep. 2011 Nov 01;34(11):1595-603
pubmed: 22043130
Chest. 2019 Jun;155(6):1272-1287
pubmed: 30684472
Proc Am Thorac Soc. 2008 Feb 15;5(2):173-8
pubmed: 18250209
Sleep. 2009 Jun;32(6):799-806
pubmed: 19544757
Isr Med Assoc J. 2005 Jan;7(1):13-8
pubmed: 15658139
J Thorac Dis. 2015 Aug;7(8):1311-22
pubmed: 26380759
Sleep. 2007 Jun;30(6):711-9
pubmed: 17580592
Lancet. 2005 Mar 19-25;365(9464):1046-53
pubmed: 15781100
Sleep Breath. 2004 Dec;8(4):173-83
pubmed: 15611892
Sleep. 2011 Dec 01;34(12):1653-8
pubmed: 22131602
Patient Prefer Adherence. 2018 Jul 20;12:1299-1304
pubmed: 30050292
PLoS Med. 2009 Aug;6(8):e1000132
pubmed: 19688045
JAMA. 2012 May 23;307(20):2161-8
pubmed: 22618923
ERJ Open Res. 2021 Jan 18;7(1):
pubmed: 33532458
Am J Respir Crit Care Med. 2016 Sep 1;194(5):613-20
pubmed: 26914592
Sleep. 2004 Feb 1;27(1):134-8
pubmed: 14998250
Sleep. 2008 Aug;31(8):1071-8
pubmed: 18714778
Ann Am Thorac Soc. 2019 Jan;16(1):22-28
pubmed: 30230362
BMJ Open. 2020 Nov 19;10(11):e040396
pubmed: 33444200
Thorax. 2014 Dec;69(12):1128-35
pubmed: 24947425
J Sleep Res. 2012 Aug;21(4):419-26
pubmed: 21988137