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Children with low socioeconomic status have increased risk for sleep-disordered breathing (SDB). Boss and associates evaluated 136 children for SDB in a 3-week period, 62 with public insurance. A sleep study was recommended for approximately half the children in each insurance category. After the recommendation, more privately insured than publicly insured patients were lost to follow-up. Both the performance of the sleep study and the adenotonsillectomy took longer to perform in the publicly insured group. The authors concluded that requiring sleep studies may be a deterrent for the care of children with SDB, especially those with public assistance.
Highlights. JAMA Otolaryngol Head Neck Surg. 2015;141(2):99. doi:10.1001/jamaoto.2014.2137