{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:00:29Z","timestamp":1777532429861,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T00:00:00Z","timestamp":1772236800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chron Respir Dis"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health inequalities affect many respiratory diseases. However, little is known about the extent or impact amongst patients treated with home non-invasive ventilation (NIV). This study explored health inequalities faced by these patients and associations with respiratory healthcare burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort study was conducted on patients actively receiving home-NIV treatment. Data on patient demographics, hospital healthcare burden and NIV adherence was collected between 4 October 2021 to 4 October 2023, and their relationships were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      187 patients met the inclusion criteria. Total hospital bed days was higher in females than in males, (11.7 \u00b1 27.0\u00a0days vs 5.2 \u00b1 12.5\u00a0days,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.039), and increasing age was positively associated with higher number of respiratory-related hospital admissions (r = 0.146,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.048). There was a weak correlation between deprivation rank and number of NIV care appointments missed (r = \u22120.163,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.031). A higher BMI (&gt;40\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) was associated with lower daily home-NIV use (68.7% \u00b1 4.9% vs 83.0% \u00b1 3.1% nights NIV used,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.012).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients with higher BMI had lower NIV adherence, females required more hospital bed days, older patients had more hospital admissions, and more deprived patients missed more hospital appointments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14799731261425236","type":"journal-article","created":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T12:33:51Z","timestamp":1772282031000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploration of health inequalities in patients treated with home non-invasive ventilation - Associations with respiratory healthcare burden"],"prefix":"10.1177","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4571-2703","authenticated-orcid":false,"given":"Wiktoria N.","family":"Milczanowska","sequence":"first","affiliation":[{"name":"King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2343-4797","authenticated-orcid":false,"given":"Achaya","family":"Rajkumar","sequence":"additional","affiliation":[{"name":"King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3627-003X","authenticated-orcid":false,"given":"Nicholas J.","family":"Williamson","sequence":"additional","affiliation":[{"name":"King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9707-4283","authenticated-orcid":false,"given":"Oluwadamilare","family":"Falade","sequence":"additional","affiliation":[{"name":"King\u2019s College London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Elliott","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amit S.","family":"Patel","sequence":"additional","affiliation":[{"name":"King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai K.","family":"Lee","sequence":"additional","affiliation":[{"name":"King\u2019s College London, London, UK"},{"name":"King\u2019s College Hospital NHS Foundation Trust, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,28]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.101936"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","unstructured":"D\u2019cruz RF Kaltsakas G Suh ES et al. Quality of life in patients with chronic respiratory failure on home mechanical ventilation. Eur Respir Rev; 32: 220237. DOI: 10.1183\/16000617.0237-2022.","DOI":"10.1183\/16000617.0237-2022"},{"key":"e_1_3_7_4_2","volume-title":"Tackling health inequality for chronic respiratory failure: home ventilation outreach","author":"Lee K","year":"2023","unstructured":"Lee K, Smith L-J, Ellio L, et al. Tackling health inequality for chronic respiratory failure: home ventilation outreach. Q Exchange, 2023. https:\/\/exchange.q.health.org.uk\/idea\/2023\/tackling-health-inequality-for-chronic-respiratory-failure-home-ventilation-outreach\/."},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(20)30308-8"},{"key":"e_1_3_7_6_2","unstructured":"The King\u2019s Fund. Health inequalities in a nutshell | the King\u2019s fund. https:\/\/www.kingsfund.org.uk\/insight-and-analysis\/data-and-charts\/health-inequalities-nutshell#further-reading (2024) (accessed 29 August 2025)."},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2019.03.023"},{"key":"e_1_3_7_8_2","unstructured":"The NHS. The NHS long term plan. https:\/\/www.longtermplan.nhs.uk (2019) 39-43 66-68. ( accessed 29 September 2023)."},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1177\/02692163231192130"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_3_7_11_2","unstructured":"GOV.UK. List of ethnic groups. https:\/\/www.ethnicity-facts-figures.service.gov.uk\/style-guide\/ethnic-groups (2023) (accessed 3 December 2023)."},{"key":"e_1_3_7_12_2","unstructured":"GOV.UK. English indices of deprivation 2019. https:\/\/www.gov.uk\/government\/statistics\/english-indices-of-deprivation-2019 (2019) (accessed 17 June 2025)."},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2021.04.012"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.3390\/HEALTHCARE11010065"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e32508"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1159\/000317138"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl-2016-208501"},{"key":"e_1_3_7_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12185866"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9400"},{"key":"e_1_3_7_20_2","unstructured":"Morris S Hill S Brugha T et al. Adult Psychiatric Morbidity Survey: Survey of Mental Health and Wellbeing England 2023\/4. NHS England. https:\/\/doi.org\/10.13140\/RG.2.2.24367.39840. (2025) (accessed 29 August 2025)."},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.8476"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00408-022-00557-8"},{"key":"e_1_3_7_23_2","unstructured":"Office for National Statistics. Ethnic group classifications: census 2021 - office for national statistics. https:\/\/www.ons.gov.uk\/census\/census2021dictionary\/variablesbytopic\/ethnicgroupnationalidentitylanguageandreligionvariablescensus2021\/ethnicgroup\/classifications (2023) (accessed 29 August 2025)."},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/014107680710000102"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.05.00066704"}],"container-title":["Chronic Respiratory Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14799731261425236","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/14799731261425236","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/14799731261425236","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:48:32Z","timestamp":1777394912000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/14799731261425236"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,28]]},"references-count":24,"alternative-id":["10.1177\/14799731261425236"],"URL":"https:\/\/doi.org\/10.1177\/14799731261425236","relation":{},"ISSN":["1479-9731","1479-9731"],"issn-type":[{"value":"1479-9731","type":"print"},{"value":"1479-9731","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,28]]},"article-number":"14799731261425236"}}