Katsuhisa Banno

Healthcare Utilization in Women with Obstructive Sleep Apnea Syndrome 2 Years After Diagnosis and Treatment

UNLABELLED SUBJECTIVE OBJECTIVES: To document healthcare utilization 2 years after diagnosis in women with obstructive sleep apnea syndrome (OSAS). DESIGN Retrospective observational cohort study. SETTING Tertiary university-based medical center. PATIENTS AND CONTROLS Four hundred and fourteen women with OSAS were matched with 1404 women from the general population who served as controls. INTERVENTIONS Patients were treated with continuous positive airway pressure (CPAP) or were recommended weight loss alone. MEASUREMENTS AND RESULTS There were 231 treatment compliant (TC) patients, 91 patients not using CPAP (NCU), and 92 patients who were only recommended weight loss (WL). In the entire group, there was increase in fees of

Restless legs syndrome in 218 patients: associated disorders

123.43+/-

Use of polysomnography with synchronized digital video recording to diagnose pediatric sleep breathing disorders

25.01 in the 2 years before diagnosis and a reduction of fees of

Sleep disorders in older people

37.96+/-

Differences between Men and Women in the Clinical Presentation of Patients Diagnosed with Obstructive Sleep Apnea Syndrome

21.35 in the 2 years after diagnosis (p < .0001). Physician claims increased in the 2 years before diagnosis by

Sleep apnea: Clinical investigations in humans

111.22+/-31.35 in TC and by

Utilization of Healthcare Resources in Obstructive Sleep Apnea Syndrome: a 5- Year Follow-Up Study in Men Using CPAP

152.77+/-59.55 in the NCU groups and then decreased in TC by

Expenditure on Health Care in Obese Women with and without Sleep Apnea

20.96+/-

Adaptive Servo-Ventilation in Patients With Idiopathic Cheyne-Stokes Breathing

26.60 (p < .01) and NCU by

Sleep-disordered breathing in patients with idiopathic cardiomyopathy.

72.20 +/-45.91 in the 2 years after diagnosis (p < .01). The fees in WL group did not change significantly. The number of clinic visits of the entire group increased in the 2 years before diagnosis by 2.32+/-0.43 and decreased over the next 2 years by 1.48+/-0.42 visits (p < .0001). There was an increase of clinic visits in the 3 subgroups in the 2 years before diagnosis (2.30+/-0.57 in TC, 2.55+/-0.99 in NCU, and 2.18+/-0.82 in WL groups) followed by a reduction of clinic visits over the next 2 years (1.56+/-0.55 fewer visits in TC [p < .0001], 1.70+/-0.90 in NCU [p < .01], and 1.04+/-0.90 in the WL group [p < .05] ). CONCLUSIONS Healthcare utilization in women with OSAS increased in the years before sleep-clinic evaluation and then decreased in the following 2 years.