Factors associated with undiagnosed obstructive sleep apnoea among hypertensive patients: A multisite cross-sectional survey study in Taiwan

Background/aims Obstructive sleep apnoea is a public health problem that remains under recognised. Despite obstructive sleep apnoea being associated with the incidence and progression of heart failure, clinician awareness is lacking within and across clinical specialities. This study aimed to evaluate heart failure clinicians' knowledge, attitudes and clinical practice in the diagnosis and treatment of obstructive sleep apnoea. Methods This study used a web-based, cross-sectional survey, using the modified Obstructive Sleep Apnoea Knowledge and Attitudes questionnaire among heart failure clinicians in the UK. Results The survey was completed by 102 heart failure clinicians. Out of a possible score of 37, the median knowledge scores were 29 (78%; interquartile range 26–31), 26 (70%; interquartile range 22–28) and 18 (49%; interquartile range 16.5–23.5) for doctors, nurses and pharmacists, respectively. The majority of doctors and nurses felt that obstructive sleep apnoea was important; however, confidence in the identification and management of obstructive sleep apnoea was low across all three groups of clinicians. Conclusions There is a knowledge deficit regarding the diagnosis and treatment of obstructive sleep apnoea among heart failure clinicians.

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Prevalence of glaucoma in patients with obstructive sleep apnoea—a cross-sectional case-series

Eye ◽

10.1038/sj.eye.6702846 ◽

2007 ◽

Vol 22 (9) ◽

pp. 1105-1109 ◽

Cited By ~ 59

Author(s):

R E Bendel ◽

J Kaplan ◽

M Heckman ◽

P A Fredrickson ◽

S-C Lin

Keyword(s):

Obstructive Sleep Apnoea ◽

Case Series ◽

Sleep Apnoea ◽

Cross Sectional ◽

Obstructive Sleep

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Factors associated with undiagnosed obstructive sleep apnoea in hypertensive primary care patients

Scandinavian Journal of Primary Health Care ◽

10.3109/02813432.2012.675563 ◽

2012 ◽

Vol 30 (2) ◽

pp. 107-113 ◽

Cited By ~ 15

Author(s):

Anders Broström ◽

Ola Sunnergren ◽

Kristofer Årestedt ◽

Peter Johansson ◽

Martin Ulander ◽

...

Keyword(s):

Primary Care ◽

Obstructive Sleep Apnoea ◽

Sleep Apnoea ◽

Factors Associated ◽

Obstructive Sleep ◽

Primary Care Patients

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Effects of continuous positive airway pressure on blood pressure in hypertensive patients with obstructive sleep apnoea

Journal of Hypertension ◽

10.1097/hjh.0000000000000377 ◽

2014 ◽

Vol 32 (11) ◽

pp. 2279-2280

Author(s):

Alexandros Kasiakogias ◽

Costas Tsioufis ◽

Costas Thomopoulos ◽

Dimitrios Tousoulis

Keyword(s):

Blood Pressure ◽

Continuous Positive Airway Pressure ◽

Obstructive Sleep Apnoea ◽

Airway Pressure ◽

Positive Airway Pressure ◽

Sleep Apnoea ◽

Hypertensive Patients ◽

Obstructive Sleep

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Self-reported sleepiness and not the apnoea hypopnoea index is the best predictor of sleepiness-related accidents in obstructive sleep apnoea

Scientific Reports ◽

10.1038/s41598-020-72430-8 ◽

2020 ◽

Vol 10 (1) ◽

Author(s):

P. Philip ◽

S. Bailly ◽

M. Benmerad ◽

J. A. Micoulaud-Franchi ◽

Y. Grillet ◽

...

Keyword(s):

Obstructive Sleep Apnoea ◽

Traffic Accidents ◽

Sleep Apnoea ◽

Near Miss ◽

Cross Sectional ◽

Periodic Leg Movements ◽

Obstructive Sleep ◽

History Of ◽

Respiratory Polygraphy ◽

Sectional Analysis

Abstract To evaluate the value of apnoea + hypopnoea index versus self-reported sleepiness at the wheel in anticipating the risk of sleepiness-related accidents in patients referred for obstructive sleep apnoea. A cross-sectional analysis of the French national obstructive sleep apnoea registry. 58,815 subjects referred for a suspicion of obstructive sleep apnoea were investigated by specific items addressing sleepiness at the wheel and sleepiness-related accidents. Apnoea + hypopnoea index was evaluated with a respiratory polygraphy or full polysomnography. Subjects had a median age of 55.6 years [45.3; 64.6], 65% were men, with a median apnoea + hypopnoea index of 22 [8; 39] events/h. Median Epworth sleepiness scale score was 9 [6; 13], 35% of the patients reported sleepiness at the wheel (n = 20,310), 8% (n = 4,588) reported a near-miss accident and 2% (n = 1,313) reported a sleepiness-related accident. Patients reporting sleepiness at the wheel whatever their obstructive sleep apnoea status and severity exhibited a tenfold higher risk of sleepiness-related accidents. In multivariate analysis, other predictors for sleepiness-related accidents were: male gender, ESS, history of previous near-miss accidents, restless leg syndrome/periodic leg movements, complaints of memory dysfunction and nocturnal sweating. Sleep apnoea per se was not an independent contributor. Self-reported sleepiness at the wheel is a better predictor of sleepiness-related traffic accidents than apnoea + hypopnoea index.

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Prognostic understanding in advanced genitourinary cancer and its association with clinical characteristics.

Journal of Clinical Oncology ◽

10.1200/jco.2020.38.6_suppl.665 ◽

2020 ◽

Vol 38 (6_suppl) ◽

pp. 665-665

Author(s):

Cristiane Decat Bergerot ◽

Errol James Philip ◽

Paulo Gustavo Bergerot ◽

Nicholas Salgia ◽

Meghan Salgia ◽

...

Keyword(s):

Older Age ◽

Survey Study ◽

Clinical Factors ◽

Model Of Care ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Factors Associated ◽

Target Populations ◽

Targeted Treatments ◽

Decision Making Model

665 Background: Despite promotion of a shared decision-making model of care in oncology, studies suggest that many patients with advanced cancer still possess inaccurate perceptions of their prognosis. Such inaccuracies can influence treatment choices, patient satisfaction and care planning. Novel immunotherapies and targeted treatments, which can yield exceptional responses in a small proportion of patients, are making the difficult task of discussing prognosis with patients even more challenging. We sought to identify clinical factors associated with expectations of cure. Methods: A cross-sectional survey study was conducted among patients diagnosed with incurable genitourinary cancers. Patients’ expectations of cure were assessed based on 4 quartiles: (1) cure is very likely and is in the range of 76 to 100% certainty, (2) cure is likely and is in the range of 51 to 75% certainty, (3) cure is possible but not likely and is in the range of 26 to 50% certainty, and (4) cure is not at all likely and is in the range of 0 to 25% certainty. Linear regression was used to identify clinical factors associated with such expectations. Results: A total of 145 patients were enrolled in the study from July 2017 to September 2019. Most patients were male (76%), white (70%), married (81%) and well-educated (76%). Patients were diagnosed with advanced kidney (66%), bladder (20%) or prostate (14%) cancers. A high proportion of patients (73%) were receiving first or second line (1L/2L) therapy; predominantly immunotherapy (53%) and targeted therapy (24%). Overall, 47% had an inaccurate expectation of cure (in the range of 26 to 100%). Inaccurate expectations of cure were associated with older age (P=0.04) and were also more likely to be reported among patients receiving 1L/2L compared to those receiving later courses of therapy (P=0.009). Conclusions: Our findings highlight the high proportion of patients harboring inaccurate perceptions regarding prognosis, more pronounced with older age and within the first two lines of therapy for metastatic disease. These groups may be ideal target populations for more extensive counseling around prognosis.

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