Healthcare resource utilisation and costs in patients with treated obstructive sleep apnea - Archive ouverte HAL
Article Dans Une Revue Journal of Sleep Research Année : 2023

Healthcare resource utilisation and costs in patients with treated obstructive sleep apnea

Kimberly Sterling
Naomi Alpert
Peter Cistulli
Jean‐louis Pépin
Hypoxie et PhysioPathologie
Suyog More
Kate Cole
Atul Malhotra

Résumé

SummaryObstructive sleep apnea (OSA) is a highly prevalent yet underdiagnosed disease that creates a large economic burden on the United States healthcare system. In this retrospective study, we tested the hypothesis that adherence to positive airway pressure (PAP) therapy, the ‘gold standard’ treatment for OSA, is associated with reduced healthcare resource utilisation and costs. We linked de‐identified payer‐sourced medical claims and objective PAP usage data for patients newly diagnosed with OSA. Inverse probability of treatment weighting was used to create balanced groups of patients who were either adherent, intermediately adherent, or non‐adherent to PAP therapy. From a sample of 179,542 patients (average age 52.5 years, 61% male), 37% were adherent, 40% intermediate, and 23% non‐adherent. During the first year, PAP adherence was significantly associated with fewer emergency room visits (mean [SD] adherent: 0.39 [1.20] versus intermediate: 0.47 [1.30], p < 0.001; versus non‐adherent: 0.54 [1.44], p < 0.001), all‐cause hospitalisations (mean [SD] adherent: 0.09 [0.43] versus intermediate: 0.12 [0.51], p < 0.001; versus non‐adherent: 0.13 [0.55], p < 0.001), and lower total costs (mean [SD] adherent $5874 [8045] versus intermediate $6523 [9759], p < 0.001; versus non‐adherent $6355 [10,517], p < 0.001). Results were similar in the second year of PAP use. These results provide additional evidence from a large, diverse sample to support the diagnosis and treatment of OSA and encourage long‐term adherence to PAP therapy.

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Sciences du Vivant [q-bio]

Danielle SALAS  : Connectez-vous pour contacter le contributeur

https://hal.science/hal-04347667

Soumis le : vendredi 15 décembre 2023-17:17:43

Dernière modification le : mercredi 18 décembre 2024-09:29:19

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Dates et versions

hal-04347667 , version 1 (15-12-2023)

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Kimberly Sterling, Naomi Alpert, Peter Cistulli, Jean‐louis Pépin, Suyog More, et al.. Healthcare resource utilisation and costs in patients with treated obstructive sleep apnea. Journal of Sleep Research, In press, ⟨10.1111/jsr.14099⟩. ⟨hal-04347667⟩

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