Table 1.
Patient characteristics at the time of first OSA diagnosis in 2017 by insurance provider
| All | Commercial | Medicaid | p-value+ | ||
|---|---|---|---|---|---|
| n=31,787 | n=12,965 | n=18,822 | |||
| n | % | % | % | ||
| Age group | <0.001 | ||||
| 2–5 years | 11860 | 37.3 | 40.2 | 35.4 | |
| 6–11 years | 13264 | 41.7 | 38.0 | 44.3 | |
| 12–17 years | 6663 | 21.0 | 21.8 | 20.4 | |
| Age, Mean (SD) | 7.8 | (4.2) | 7.7 (4.4) | 7.8 (4.1) | 0.003 |
| Gender | <0.001 | ||||
| Male | 16935 | 53.3 | 54.7 | 52.3 | |
| Female | 14852 | 46.7 | 45.3 | 47.7 | |
| Race and ethnicitya | -- | ||||
| Hispanic/Latinx | -- | -- | -- | 8.1 | |
| Non-Hispanic/Latinx Black | -- | -- | -- | 35.2 | |
| Non-Hispanic/Latinx White | -- | -- | -- | 53.8 | |
| Other | -- | -- | -- | 2.9 | |
| Obesity | 1600 | 5.0 | 3.4 | 6.2 | <0.001 |
| Complex chronic conditions | |||||
| Cardiovascular | 239 | 0. 8 | 0.7 | 0.8 | 0.17 |
| Neuromuscular | 782 | 2.5 | 2.2 | 2.7 | 0.003 |
| Congenital or genetic | 571 | 1.8 | 1.7 | 1.8 | 0.50 |
| Technology dependence | 262 | 0.8 | 0.6 | 1.0 | <0.001 |
| Gastrointestinal | 212 | 0.7 | 0.5 | 0.8 | <0.001 |
| Hematology or immunology | 186 | 0.6 | 0.4 | 0.7 | <0.001 |
| Malignancy | 74 | 0.2 | 0.2 | 0.2 | 0.97 |
| Metabolic | 227 | 0.7 | 0.6 | 0.8 | 0.008 |
| Renal | 51 | 0.2 | 0.1 | 0.2 | 0.28 |
| Respiratory | 222 | 0.7 | 0.5 | 0.9 | <0.001 |
| Neonatal | 56 | 0.2 | 0.1 | 0.2 | 0.007 |
| Transplant | 4 | 0.01 | 0.01 | 0.02 | 0.65 |
| Any conditions above | 2075 | 6.5 | 5.7 | 7.1 | <0.001 |
| Total number (Mean, SD) | 0.09 | (0.40) | 0.07 (0.36) | 0.10 (0.43) | <0.001 |
| Regiona | -- | ||||
| Northeast | -- | -- | 21.1 | -- | |
| North Central | -- | -- | 22.4 | -- | |
| South | -- | -- | 39.6 | -- | |
| West | -- | -- | 16.4 | -- | |
| Unknown | -- | -- | 0.4 | -- | |
| Visit with OSA diagnosis in 2017b | <0.001 | ||||
| At polysomnography | 2121 | 6.7 | 7.6 | 6.1 | |
| Pulmonary visit | 651 | 2.0 | 2.8 | 1.5 | |
| Otolaryngology visit | 7655 | 24.1 | 33.9 | 17.3 | |
| Primary care visit | 3528 | 11.1 | 14.1 | 9.0 | |
| Other outpatient specialty or non-specialty care visit | 17061 | 53.7 | 39.8 | 63.3 | |
| Other inpatient/hospital visit | 648 | 2.0 | 1.7 | 2.3 | |
| Provider or visit type unknown | 128 | 0.4 | 0.2 | 0.5 | |
a
Race and ethnicity were available for Medicaid only, and US region was available for commercial only.
b
Visit with OSA diagnosis was defined by the order of categories listed above, as these categories were not mutually exclusive. For example, 271 patients in the polysomnography category had primary care visits on the same day.
+
Chi-squared tests and t-test.