Meir H. Kryger

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+/-

Sleep complaints and restless legs syndrome in adult type 2 diabetics

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

Low body stores of iron and restless legs syndrome: a correctable cause of insomnia in adolescents and teenagers

37.96+/-

Sleep in nondepressed patients with panic disorder: II. Polysomnographic assessment of sleep architecture and sleep continuity

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

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

111.22+/-31.35 in TC and by

Sleep Disorders in Chronic Airflow Obstruction

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

Reducing Motor-Vehicle Collisions, Costs, and Fatalities by Treating Obstructive Sleep Apnea Syndrome

20.96+/-

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

26.60 (p < .01) and NCU by

What Are Obstructive Sleep Apnea Patients Being Treated for Prior to This Diagnosis

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.