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Cost-effectiveness strategies in OSAS management: a short review
D M Toraldo1, D Passali2, A Sanna3
1Hospital Rehabilitation, Dept Cardio-Respiratory Care Unit, "V Fazzi", ASL Lecce, Italy.
Summary
Obstructive sleep apnoea (OSAS) is a common condition impacting quality of life and mortality. While Home Sleep Testing (HST) offers a cost-effective approach for uncomplicated cases, Polysomnography (PSG) remains crucial for patients with comorbidities.
Area of Science:
- Medical Science
- Public Health
- Health Economics
Background:
- Obstructive sleep apnoea (OSAS) is a prevalent, underdiagnosed chronic condition in adults.
- OSAS significantly impacts quality of life and increases mortality, posing a growing social challenge.
- The cost-effectiveness of diagnostic and therapeutic strategies is critical due to increasing demand for objective testing.
Purpose of the Study:
- To review diagnostic and treatment strategies for OSAS.
- To analyze epidemiological factors, costs, and social benefits associated with OSAS management.
- To evaluate the role of different diagnostic methods in OSAS management.
Main Methods:
- Review of current literature on OSAS diagnosis and treatment.
- Discussion of cost-effectiveness in relation to diagnostic modalities.
- Comparison of Home Sleep Testing (HST) and Polysomnography (PSG) for OSAS diagnosis.
Main Results:
- Home Sleep Testing (HST) is suitable for OSAS patients without comorbidities, offering a simplified and less expensive diagnostic option.
- Polysomnography (PSG) is the gold standard for diagnosing OSAS in patients with comorbidities.
- Improper selection of patients for HST can lead to misdiagnosis.
Conclusions:
- OSAS management requires a balanced approach considering cost-effectiveness, clinical factors, and social benefits.
- Diagnostic strategies for OSAS should be tailored to patient comorbidities.
- Further long-term prospective studies are needed to compare the cost-effectiveness and outcomes of hospital-based versus home-care models for OSAS treatment.
Keywords:
Cost-effectivenessHome sleep testingObstructive sleep apnoea syndromePolysomnographyQuality of LifeTeleserviceMore Related Videos
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