在5个常见的医学疾病子组中,伴随性失眠的经济负担
Emerson M Wickwire1,2, Timothy R Juday3, Mona Kelkar4
1Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland.
概括
伴随性失眠会显著增加2型糖尿病,癌症,更年期,骨质疏松症和阿尔茨海默病患者的医疗费用和资源使用. 治疗和未治疗的失眠都会导致这种经济负担.
科学领域:
- 卫生经济学 卫生经济学
- 睡眠医学 睡眠医学
- 伴发病性研究 研究.
背景情况:
- 失眠经常与其他疾病同时发生,约占病例的85%.
- 虽然被认为是一种独立的疾病,但失眠与常见疾病并发症的经济影响还未得到充分研究.
- 这项研究探讨了2型糖尿病,癌症,更年期,骨质疏松症,阿尔茨海默病和相关痴呆症患者失眠的经济负担.
研究的目的:
- 在五个常见的医学疾病亚组中确定并发性失眠的经济负担.
- 为了比较患有并发性失眠症和没有并发性失眠症的患者之间的医疗保健资源利用率和成本.
- 在这些患者群体中评估治疗和未治疗失眠的经济影响.
主要方法:
- 使用IBM MarketScan索赔数据 (2014-2019) 进行的回顾性队列研究.
- 使用ICD诊断码定义的失眠和并发性疾病组.
- 为每个疾病分组创建了四个队列:治疗失眠,未治疗失眠,失眠 (任何) 和非睡眠障碍控制.
主要成果:
- 与各种服务点的非睡眠障碍对照组相比,患有并发性失眠的患者在调整后的医疗保健资源利用率和成本上显著提高.
- 与未经治疗的失眠患者相比,受治疗的失眠患者在调整后的医疗资源利用率和医疗费用通常要高.
- 伴发性失眠患者的样本大小从3015 (ADRD) 到23168 (T2DM) 之间.
结论:
- 未经治疗和经过治疗的并发性失眠症都与医疗保健利用率和成本的增加有关.
- 这些发现凸显了失眠给患有共同并发疾病的患者带来的巨大经济负担.
- 解决伴随性失眠症对于管理医疗保健资源利用和成本至关重要.
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