Public Insurance and Delay in Care for Sleep-Disordered Breathing

doi:10.1542/gr.33-6-70

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Source: Boss EF, Benke JR, Tunkel DE, et al. Public insurance and timing of polysomnography and surgical care for children with sleep-disordered breathing. JAMA Otolaryngol Head Neck Surg. 2015; 141( 2): 106– 111; doi: 10.1001/jamaoto.2014.3085OpenUrl CrossRef PubMed

PICO

Question: Among children with sleep-disordered breathing, how does the timing of polysomnography, surgery with adenotonsillectomy, and loss of follow-up compare between those with public insurance and those with private insurance?

Question type: Descriptive

Study design: Retrospective cohort

Investigators from Johns Hopkins sought to evaluate the impact of socioeconomic status (SES) on timing of polysomnography (PSG) and adenotonsillectomy (AT) in children with sleep-disordered breathing (SDB). Participants presenting to otolaryngology clinic for initial evaluation of SDB were eligible for inclusion. Participants were classified into 4 groups based on the clinical recommendation at the conclusion of their evaluation: (1) PSG, (2) surgery with AT, (3) watchful waiting, or (4) follow-up as needed.

Public insurance was used as a proxy …

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