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 investigat...
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Autor*in:	Jennifer Corrigan [verfasserIn] Imhokhai Ogah [verfasserIn] Ada Ip-Buting [verfasserIn] Heather Sharpe [verfasserIn] Cheryl R. Laratta [verfasserIn] Peter Peller [verfasserIn] Willis H. Tsai [verfasserIn] Sachin R. Pendharkar [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2020

Übergeordnetes Werk:	In: ERJ Open Research - European Respiratory Society, 2015, 6(2020), 4
Übergeordnetes Werk:	volume:6 ; year:2020 ; number:4

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1183/23120541.00141-2020

Katalog-ID:	DOAJ056041489

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allfields	10.1183/23120541.00141-2020 doi (DE-627)DOAJ056041489 (DE-599)DOAJbe5a2fc2e0d342d29c20f8c8e3c92786 DE-627 ger DE-627 rakwb eng Jennifer Corrigan verfasserin aut An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine R Imhokhai Ogah verfasserin aut Ada Ip-Buting verfasserin aut Heather Sharpe verfasserin aut Cheryl R. Laratta verfasserin aut Peter Peller verfasserin aut Willis H. Tsai verfasserin aut Sachin R. Pendharkar verfasserin aut In ERJ Open Research European Respiratory Society, 2015 6(2020), 4 (DE-627)830141227 (DE-600)2827830-6 23120541 nnns volume:6 year:2020 number:4 https://doi.org/10.1183/23120541.00141-2020 kostenfrei https://doaj.org/article/be5a2fc2e0d342d29c20f8c8e3c92786 kostenfrei http://openres.ersjournals.com/content/6/4/00141-2020.full kostenfrei https://doaj.org/toc/2312-0541 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 4
spelling	10.1183/23120541.00141-2020 doi (DE-627)DOAJ056041489 (DE-599)DOAJbe5a2fc2e0d342d29c20f8c8e3c92786 DE-627 ger DE-627 rakwb eng Jennifer Corrigan verfasserin aut An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine R Imhokhai Ogah verfasserin aut Ada Ip-Buting verfasserin aut Heather Sharpe verfasserin aut Cheryl R. Laratta verfasserin aut Peter Peller verfasserin aut Willis H. Tsai verfasserin aut Sachin R. Pendharkar verfasserin aut In ERJ Open Research European Respiratory Society, 2015 6(2020), 4 (DE-627)830141227 (DE-600)2827830-6 23120541 nnns volume:6 year:2020 number:4 https://doi.org/10.1183/23120541.00141-2020 kostenfrei https://doaj.org/article/be5a2fc2e0d342d29c20f8c8e3c92786 kostenfrei http://openres.ersjournals.com/content/6/4/00141-2020.full kostenfrei https://doaj.org/toc/2312-0541 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 4
allfields_unstemmed	10.1183/23120541.00141-2020 doi (DE-627)DOAJ056041489 (DE-599)DOAJbe5a2fc2e0d342d29c20f8c8e3c92786 DE-627 ger DE-627 rakwb eng Jennifer Corrigan verfasserin aut An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine R Imhokhai Ogah verfasserin aut Ada Ip-Buting verfasserin aut Heather Sharpe verfasserin aut Cheryl R. Laratta verfasserin aut Peter Peller verfasserin aut Willis H. Tsai verfasserin aut Sachin R. Pendharkar verfasserin aut In ERJ Open Research European Respiratory Society, 2015 6(2020), 4 (DE-627)830141227 (DE-600)2827830-6 23120541 nnns volume:6 year:2020 number:4 https://doi.org/10.1183/23120541.00141-2020 kostenfrei https://doaj.org/article/be5a2fc2e0d342d29c20f8c8e3c92786 kostenfrei http://openres.ersjournals.com/content/6/4/00141-2020.full kostenfrei https://doaj.org/toc/2312-0541 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 4
allfieldsGer	10.1183/23120541.00141-2020 doi (DE-627)DOAJ056041489 (DE-599)DOAJbe5a2fc2e0d342d29c20f8c8e3c92786 DE-627 ger DE-627 rakwb eng Jennifer Corrigan verfasserin aut An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine R Imhokhai Ogah verfasserin aut Ada Ip-Buting verfasserin aut Heather Sharpe verfasserin aut Cheryl R. Laratta verfasserin aut Peter Peller verfasserin aut Willis H. Tsai verfasserin aut Sachin R. Pendharkar verfasserin aut In ERJ Open Research European Respiratory Society, 2015 6(2020), 4 (DE-627)830141227 (DE-600)2827830-6 23120541 nnns volume:6 year:2020 number:4 https://doi.org/10.1183/23120541.00141-2020 kostenfrei https://doaj.org/article/be5a2fc2e0d342d29c20f8c8e3c92786 kostenfrei http://openres.ersjournals.com/content/6/4/00141-2020.full kostenfrei https://doaj.org/toc/2312-0541 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 4
allfieldsSound	10.1183/23120541.00141-2020 doi (DE-627)DOAJ056041489 (DE-599)DOAJbe5a2fc2e0d342d29c20f8c8e3c92786 DE-627 ger DE-627 rakwb eng Jennifer Corrigan verfasserin aut An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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. Medicine R Imhokhai Ogah verfasserin aut Ada Ip-Buting verfasserin aut Heather Sharpe verfasserin aut Cheryl R. Laratta verfasserin aut Peter Peller verfasserin aut Willis H. Tsai verfasserin aut Sachin R. Pendharkar verfasserin aut In ERJ Open Research European Respiratory Society, 2015 6(2020), 4 (DE-627)830141227 (DE-600)2827830-6 23120541 nnns volume:6 year:2020 number:4 https://doi.org/10.1183/23120541.00141-2020 kostenfrei https://doaj.org/article/be5a2fc2e0d342d29c20f8c8e3c92786 kostenfrei http://openres.ersjournals.com/content/6/4/00141-2020.full kostenfrei https://doaj.org/toc/2312-0541 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 6 2020 4
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authorswithroles_txt_mv	Jennifer Corrigan @@aut@@ Imhokhai Ogah @@aut@@ Ada Ip-Buting @@aut@@ Heather Sharpe @@aut@@ Cheryl R. Laratta @@aut@@ Peter Peller @@aut@@ Willis H. Tsai @@aut@@ Sachin R. Pendharkar @@aut@@
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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. 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title	An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
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title_full	An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
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title_sort	evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
title_auth	An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
abstract	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.
abstractGer	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.
abstract_unstemmed	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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title_short	An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study
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An evaluation of rural–urban disparities in treatment outcomes for obstructive sleep apnoea: study protocol for a prospective cohort study

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