Factors associated with referrals for obstructive sleep apnea evaluation among community physicians

Natasha J. Williams, João V. Nunes, Ferdinand Zizi, Kola Okuyemi, Collins O. Airhihenbuwa, Gbenga Ogedegbe, Girardin Jean-Louis

Research output: Contribution to journalArticle

Abstract

Study Objectives: This study assessed knowledge and attitudes toward obstructive sleep apnea (OSA) among community physicians and explored factors that are associated with referrals for OSA evaluation. Methods: Medical students and residents collected data from a convenience sample of 105 physicians practicing at communitybased clinics in a large metropolitan area. Average age was 48 ± 14 years; 68% were male, 70% black, 24% white, and 6% identified as "other." Physicians completed the Obstructive Sleep Apnea Knowledge and Attitudes questionnaire. Results: The average year in physician practice was 18 ± 19 years. Of the sample, 90% reported providing care to black patients. The overall OSA referral rate made by physicians was 75%. OSA knowledge and attitudes scores ranged from 5 to 18 (mean = 14 ± 2) and from 7 to 20 (mean = 13 ± 3), respectively. OSA knowledge was associated with white race/ethnicity (rp = 0.26, p <0.05), fewer years in practice (rp = -0.38, p <0.01), patients inquiring about OSA (rp = 0.31, p <0.01), and number of OSA referrals made for OSA evaluation (rp = 0.30, p <0.01). Positive attitude toward OSA was associated with patients inquiring about OSA (rp = 0.20, p <0.05). Adjusting for OSA knowledge and attitudes showed that physicians whose patients inquired about OSA were nearly 10 times as likely to make a referral for OSA evaluation (OR = 9.38, 95% CI: 2.32-38.01, p <0.01). Conclusion: Independent of physicians' knowledge and attitudes toward obstructive sleep apnea, the likelihood of making a referral for obstructive sleep apnea evaluation was influenced by whether patients inquired about the condition.

Original languageEnglish (US)
Pages (from-to)23-26
Number of pages4
JournalJournal of Clinical Sleep Medicine
Volume11
Issue number1
DOIs
StatePublished - 2015

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Obstructive Sleep Apnea
Referral and Consultation
Physicians
Medical Students

Keywords

  • Attitudes
  • Community physician
  • Knowledge
  • Obstructive sleep apnea
  • Referral

ASJC Scopus subject areas

  • Clinical Neurology
  • Pulmonary and Respiratory Medicine
  • Neurology

Cite this

Factors associated with referrals for obstructive sleep apnea evaluation among community physicians. / Williams, Natasha J.; Nunes, João V.; Zizi, Ferdinand; Okuyemi, Kola; Airhihenbuwa, Collins O.; Ogedegbe, Gbenga; Jean-Louis, Girardin.

In: Journal of Clinical Sleep Medicine, Vol. 11, No. 1, 2015, p. 23-26.

Research output: Contribution to journalArticle

Williams, Natasha J. ; Nunes, João V. ; Zizi, Ferdinand ; Okuyemi, Kola ; Airhihenbuwa, Collins O. ; Ogedegbe, Gbenga ; Jean-Louis, Girardin. / Factors associated with referrals for obstructive sleep apnea evaluation among community physicians. In: Journal of Clinical Sleep Medicine. 2015 ; Vol. 11, No. 1. pp. 23-26.
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abstract = "Study Objectives: This study assessed knowledge and attitudes toward obstructive sleep apnea (OSA) among community physicians and explored factors that are associated with referrals for OSA evaluation. Methods: Medical students and residents collected data from a convenience sample of 105 physicians practicing at communitybased clinics in a large metropolitan area. Average age was 48 ± 14 years; 68{\%} were male, 70{\%} black, 24{\%} white, and 6{\%} identified as {"}other.{"} Physicians completed the Obstructive Sleep Apnea Knowledge and Attitudes questionnaire. Results: The average year in physician practice was 18 ± 19 years. Of the sample, 90{\%} reported providing care to black patients. The overall OSA referral rate made by physicians was 75{\%}. OSA knowledge and attitudes scores ranged from 5 to 18 (mean = 14 ± 2) and from 7 to 20 (mean = 13 ± 3), respectively. OSA knowledge was associated with white race/ethnicity (rp = 0.26, p <0.05), fewer years in practice (rp = -0.38, p <0.01), patients inquiring about OSA (rp = 0.31, p <0.01), and number of OSA referrals made for OSA evaluation (rp = 0.30, p <0.01). Positive attitude toward OSA was associated with patients inquiring about OSA (rp = 0.20, p <0.05). Adjusting for OSA knowledge and attitudes showed that physicians whose patients inquired about OSA were nearly 10 times as likely to make a referral for OSA evaluation (OR = 9.38, 95{\%} CI: 2.32-38.01, p <0.01). Conclusion: Independent of physicians' knowledge and attitudes toward obstructive sleep apnea, the likelihood of making a referral for obstructive sleep apnea evaluation was influenced by whether patients inquired about the condition.",
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AU - Williams, Natasha J.

AU - Nunes, João V.

AU - Zizi, Ferdinand

AU - Okuyemi, Kola

AU - Airhihenbuwa, Collins O.

AU - Ogedegbe, Gbenga

AU - Jean-Louis, Girardin

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N2 - Study Objectives: This study assessed knowledge and attitudes toward obstructive sleep apnea (OSA) among community physicians and explored factors that are associated with referrals for OSA evaluation. Methods: Medical students and residents collected data from a convenience sample of 105 physicians practicing at communitybased clinics in a large metropolitan area. Average age was 48 ± 14 years; 68% were male, 70% black, 24% white, and 6% identified as "other." Physicians completed the Obstructive Sleep Apnea Knowledge and Attitudes questionnaire. Results: The average year in physician practice was 18 ± 19 years. Of the sample, 90% reported providing care to black patients. The overall OSA referral rate made by physicians was 75%. OSA knowledge and attitudes scores ranged from 5 to 18 (mean = 14 ± 2) and from 7 to 20 (mean = 13 ± 3), respectively. OSA knowledge was associated with white race/ethnicity (rp = 0.26, p <0.05), fewer years in practice (rp = -0.38, p <0.01), patients inquiring about OSA (rp = 0.31, p <0.01), and number of OSA referrals made for OSA evaluation (rp = 0.30, p <0.01). Positive attitude toward OSA was associated with patients inquiring about OSA (rp = 0.20, p <0.05). Adjusting for OSA knowledge and attitudes showed that physicians whose patients inquired about OSA were nearly 10 times as likely to make a referral for OSA evaluation (OR = 9.38, 95% CI: 2.32-38.01, p <0.01). Conclusion: Independent of physicians' knowledge and attitudes toward obstructive sleep apnea, the likelihood of making a referral for obstructive sleep apnea evaluation was influenced by whether patients inquired about the condition.

AB - Study Objectives: This study assessed knowledge and attitudes toward obstructive sleep apnea (OSA) among community physicians and explored factors that are associated with referrals for OSA evaluation. Methods: Medical students and residents collected data from a convenience sample of 105 physicians practicing at communitybased clinics in a large metropolitan area. Average age was 48 ± 14 years; 68% were male, 70% black, 24% white, and 6% identified as "other." Physicians completed the Obstructive Sleep Apnea Knowledge and Attitudes questionnaire. Results: The average year in physician practice was 18 ± 19 years. Of the sample, 90% reported providing care to black patients. The overall OSA referral rate made by physicians was 75%. OSA knowledge and attitudes scores ranged from 5 to 18 (mean = 14 ± 2) and from 7 to 20 (mean = 13 ± 3), respectively. OSA knowledge was associated with white race/ethnicity (rp = 0.26, p <0.05), fewer years in practice (rp = -0.38, p <0.01), patients inquiring about OSA (rp = 0.31, p <0.01), and number of OSA referrals made for OSA evaluation (rp = 0.30, p <0.01). Positive attitude toward OSA was associated with patients inquiring about OSA (rp = 0.20, p <0.05). Adjusting for OSA knowledge and attitudes showed that physicians whose patients inquired about OSA were nearly 10 times as likely to make a referral for OSA evaluation (OR = 9.38, 95% CI: 2.32-38.01, p <0.01). Conclusion: Independent of physicians' knowledge and attitudes toward obstructive sleep apnea, the likelihood of making a referral for obstructive sleep apnea evaluation was influenced by whether patients inquired about the condition.

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KW - Knowledge

KW - Obstructive sleep apnea

KW - Referral

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