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Enhancing Obstructive Sleep Apnea Screening and Nocturia Treatment: A Quality Improvement Study.

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Screening for obstructive sleep apnea (OSA) in urogynecology patients with nocturia is feasible and identifies a high prevalence of OSA. Treatment improved nocturia symptoms, highlighting the need for better adherence and access to care.

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Area of Science:

  • Urogynecology
  • Sleep Medicine
  • Public Health

Background:

  • Obstructive sleep apnea (OSA) is frequently undiagnosed in urogynecology patients experiencing nocturia.
  • Treating OSA can potentially alleviate nocturia symptoms.

Purpose of the Study:

  • To evaluate the impact of universal obstructive sleep apnea (OSA) screening in a urogynecology clinic.
  • To assess screening rates, OSA prevalence in patients with nocturia, and symptom improvement post-treatment.

Main Methods:

  • An observational quality improvement study was conducted at a urogynecology clinic.
  • The STOP-BANG questionnaire was used for universal screening of new patients with nocturia.
  • Data collected included screening rates, sleep study completion, OSA diagnosis, treatment adherence, and symptom changes.

Main Results:

  • Eighty-seven percent of eligible patients were screened, with increasing rates over 18 months.
  • 20.2% of screened patients tested positive for OSA, with 80.6% ultimately diagnosed.
  • Despite low treatment adherence, patients using treatment reported symptom improvement.

Conclusions:

  • Implementing OSA screening in urogynecology clinics is effective for addressing nocturia.
  • Multidisciplinary approaches and systems-level changes are crucial for improving OSA testing and treatment adherence, addressing access barriers.