{"id":2449,"date":"2021-06-18T00:00:00","date_gmt":"2021-06-18T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive-sleep-apnea-in-a-universal-access-health-care-system\/"},"modified":"2023-06-14T20:07:20","modified_gmt":"2023-06-15T00:07:20","slug":"geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive-sleep-apnea-in-a-universal-access-health-care-system","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive-sleep-apnea-in-a-universal-access-health-care-system\/","title":{"rendered":"Geographic disparities in performance of pediatric polysomnography to diagnose obstructive sleep apnea in a universal access healthcare system"},"content":{"rendered":"<p><strong>Background <\/strong>&#x2014; Diagnostic polysomnography (PSG) is recommended prior to adenotonsillectomy (AT) for children with obstructive sleep apnea (OSA) and certain high-risk characteristics, but resource limitations often prevent this practice.<\/p>\n<p><strong>Objective <\/strong>&#x2014; We performed a population-based assessment of children across Ontario, Canada to describe and quantify disparities in PSG.<\/p>\n<p><strong>Methods and Materials <\/strong>&#x2014; This retrospective cohort study was performed using provincial health administrative data held at ICES. We identified children 0&#x2013;10 years old who underwent PSG and AT between 2009 and 2018, and those with a PSG within 18 months prior to and\/or 12 months following AT. We calculated the odds of PSG prior to\/following AT after adjustment for demographics, medical comorbidities, geographic and socioeconomic characteristics. Our main predictor was driving time\/distance to the nearest pediatric sleep centre ascertained using spatial analysis and geographic information systems.<\/p>\n<p><strong>Results <\/strong>&#x2014; We identified 27,837 children &lt;10 years old who underwent AT for OSA in Ontario. Only 12.8% had a PSG within 18 months prior and 5.7% had a PSG within 12 months following AT. Shorter driving time\/distance, older age, male sex and certain comorbidities were associated with increased odds of PSG.<\/p>\n<p><strong>Conclusion <\/strong>&#x2014; Only a small proportion of children in our cohort underwent PSG prior to or following AT surgery despite universal access to healthcare. This study suggests a need to increase overall PSG access, particularly for those living distant from existing pediatric sleep centres. Future studies could determine if increased PSG testing in &#x2018;underserviced areas&#x2019; would reduce overall surgery rates and\/or improve health outcomes.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background &#x2014; Diagnostic polysomnography (PSG) is recommended prior to adenotonsillectomy (AT) for children with obstructive sleep apnea (OSA) and certain high-risk characteristics, but resource limitations often prevent this practice. Objective &#x2014; We performed a population-based assessment of children across Ontario, Canada to describe and quantify disparities in PSG. Methods and Materials &#x2014; This retrospective cohort [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[],"migration-helper-qa-sample-set":[],"class_list":["post-2449","journal_article","type-journal_article","status-publish","hentry"],"acf":{"citation":"Radhakrishna D, Knight B, Gozdyra P, Katz SL, Maclusky IB, Murto K, To TM. <em>Int J Pediatr Otorhinolaryngol<\/em>. 2021; 147:110803. Epub 2021 Jun 18.","source_url":"https:\/\/doi.org\/10.1016\/j.ijporl.2021.110803","ices_scientist":[1111,1331],"site":[6734],"research_program":[6746],"news_release":[],"journal_article":[],"atlas":[],"research_report":[],"infographic":[],"video":[],"downloads":null,"links":null,"sitecore_item_id":"F36F9691-F56C-4A3E-BF84-DE95DC48F3AE","sitecore_item_name":"Geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive","sitecore_field_values":"{\n  \"Title\": \"Geographic disparities in performance of pediatric polysomnography to diagnose obstructive sleep apnea in a universal access healthcare system\",\n  \"Short title\": \"Geographic disparities in performance \",\n  \"Summary\": \"This study aimed to performed a population-based assessment of children across Ontario, Canada to describe and quantify disparities in diagnostic polysomnography.\",\n  \"Citation\": \"<p>Radhakrishna D, Knight B, Gozdyra P, Katz SL, Maclusky IB, Murto K, To TM. <em>Int J Pediatr Otorhinolaryngol<\/em>. 2021; 147:110803. Epub 2021 Jun 18. DOI: <a href=\"https:\/\/doi.org\/10.1016\/j.ijporl.2021.110803\" title=\"Opens external link\">https:\/\/doi.org\/10.1016\/j.ijporl.2021.110803<\/a><\/p>\",\n  \"Abstract\": \"<p><strong>Background <\/strong>&mdash; Diagnostic polysomnography (PSG) is recommended prior to adenotonsillectomy (AT) for children with obstructive sleep apnea (OSA) and certain high-risk characteristics, but resource limitations often prevent this practice.<\/p>n<p><strong>Objective <\/strong>&mdash; We performed a population-based assessment of children across Ontario, Canada to describe and quantify disparities in PSG.<\/p>n<p><strong>Methods and Materials <\/strong>&mdash; This retrospective cohort study was performed using provincial health administrative data held at ICES. We identified children 0&ndash;10 years old who underwent PSG and AT between 2009 and 2018, and those with a PSG within 18 months prior to and\/or 12 months following AT. We calculated the odds of PSG prior to\/following AT after adjustment for demographics, medical comorbidities, geographic and socioeconomic characteristics. Our main predictor was driving time\/distance to the nearest pediatric sleep centre ascertained using spatial analysis and geographic information systems.<\/p>n<p><strong>Results <\/strong>&mdash; We identified 27,837 children &lt;10 years old who underwent AT for OSA in Ontario. Only 12.8% had a PSG within 18 months prior and 5.7% had a PSG within 12 months following AT. Shorter driving time\/distance, older age, male sex and certain comorbidities were associated with increased odds of PSG.<\/p>n<p><strong>Conclusion <\/strong>&mdash; Only a small proportion of children in our cohort underwent PSG prior to or following AT surgery despite universal access to healthcare. This study suggests a need to increase overall PSG access, particularly for those living distant from existing pediatric sleep centres. Future studies could determine if increased PSG testing in &lsquo;underserviced areas&rsquo; would reduce overall surgery rates and\/or improve health outcomes.<\/p>\",\n  \"Research Programs\": \"{CFE36C89-C969-4C23-B5E4-1BA9E5BDC273}\",\n  \"ICES Locations\": \"{0AD77E2C-C883-4E93-8B9A-40B82D50E3A5}\",\n  \"ICES Scientists\": \"{198CB764-0CEA-499E-A508-1CAAAD283C90}|{620A20F8-9087-45E1-9A3D-F7DB8078E180}\",\n  \"Posted Date\": \"20210618T000000\",\n  \"Show on Publications Landing Page\": \"1\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2021\/June\/Geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Geographic disparities in performance of pediatric polysomnography to diagnose obstructive sleep apnea in a universal access healthcare system<\/title>\n<meta name=\"description\" content=\"Background &#x2014; Diagnostic polysomnography (PSG) is recommended prior to adenotonsillectomy (AT) for children with obstructive sleep apnea (OSA) and\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive-sleep-apnea-in-a-universal-access-health-care-system\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Geographic disparities in performance of pediatric polysomnography to diagnose obstructive sleep apnea in a universal access healthcare system\" \/>\n<meta property=\"og:description\" content=\"Background &#x2014; Diagnostic polysomnography (PSG) is recommended prior to adenotonsillectomy (AT) for children with obstructive sleep apnea (OSA) and\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive-sleep-apnea-in-a-universal-access-health-care-system\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-06-15T00:07:20+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive-sleep-apnea-in-a-universal-access-health-care-system\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/geographic-disparities-in-performance-of-pediatric-polysomnography-to-diagnose-obstructive-sleep-apnea-in-a-universal-access-health-care-system\\\/\",\"name\":\"ICES | Geographic disparities in performance of pediatric polysomnography to diagnose obstructive sleep apnea in a universal access healthcare system\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2021-06-18T04:00:00+00:00\",\"dateModified\":\"2023-06-15T00:07:20+00:00\",\"description\":\"Background &#x2014; 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