{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T20:49:24Z","timestamp":1790282964445,"version":"4.1.0"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We previously found that financial concerns negatively affect the quality of life of families of children with persistent obstructive sleep apnea (OSA) after tonsillectomy. The goal is to quantify the financial impact on families of children with persistent OSA and assess contributing factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional survey study with comparison group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Upper airway center at a tertiary pediatric hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Participants included consecutive children with persistent OSA from September to October 2017. Healthy children seen in a general otolaryngology clinic served as controls. Families of both groups completed the Family Impact Questionnaire and the modified Comprehensive Score for Financial Toxicity (COST).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Families of the 50 patients (25 study and 25 control) completed the surveys: the mean age was 6.4 years (95% CI, 5.0\u20107.8), and 19 (38%) were female. There were no differences in age, sex, race, or insurance status between groups (\n                      <jats:italic>P<\/jats:italic>\n                      &gt;. 05). The mean apnea\u2010hypopnea index for the study group was 7.9 events\/h (range, 5.5\u201010.3), and 40% (10\/25) had Down syndrome. Positive airway pressure and\/or oxygen were used by 72% (18\/25). The Comprehensive Score for Financial Toxicity for study patients (21.9; 95% CI, 14.8\u201026.0) was significantly lower than for controls (30.2; 95% CI, 26.6\u201030.8;\n                      <jats:italic>P<\/jats:italic>\n                      =. 003), reflecting elevated financial toxicity. Study families reported greater financial impact on the Family Impact Questionnaire (8.4; 95% CI, 6.1\u201010.7) versus controls (3.6; 95% CI, 1.8\u20105.4;\n                      <jats:italic>P<\/jats:italic>\n                      =. 002); concerns regarding missed days of work and school were common (30.7%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Families of children with persistent OSA reported a high financial burden related to their children\u2019s disease and were more likely to report financial toxicity than families of controls. Concern regarding missed work and school associated with appointments and treatment was a significant factor.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0194599820986566","type":"journal-article","created":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T11:33:03Z","timestamp":1611055983000},"page":"483-489","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Persistent Obstructive Sleep Apnea Burden on Family Finances and Quality of Life"],"prefix":"10.1002","volume":"165","author":[{"given":"Mathieu","family":"Bergeron","sequence":"first","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Sainte\u2010Justine Hospital Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacey L.","family":"Ishman","sequence":"additional","affiliation":[{"name":"Division of Pediatric Otolaryngology\u2013Head and Neck Surgery Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"},{"name":"Division of Pulmonary Medicine Cincinnati Children\u2019s Hospital Medical Center Cincinnati Ohio USA"},{"name":"Department of Otolaryngology\u2013Head and Neck Surgery College of Medicine University of Cincinnati Cincinnati Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-200106000-00002"},{"key":"e_1_2_9_3_1","first-page":"119","article-title":"Public insurance eligibility and enrollment for special health care needs children","volume":"26","author":"Davidoff A","year":"2004","journal-title":"Health Care Financ Rev"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc13-1997"},{"key":"e_1_2_9_5_1","unstructured":"Organization for Economic Co\u2010operation and Development.Health status statistics. 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