阻塞性睡眠呼吸暂停手术在美国的实践模式:2019年
Jae Hoon Cho1, Christine Liu2, Ido Badash3
1Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University College of Medicine, Seoul, South Korea.
概括
2019年,患有阻塞性睡眠呼吸暂停 (OSA) 的美国成年人接受了约18,500次手术,其中低分泌神经刺激 (HNS) 更昂贵. 患者的年龄和种族影响了手术的类型和成本.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 显著影响公众健康.
- 手术干预是OSA的关键治疗方式.
- 了解程序量和成本对于医疗保健规划至关重要.
研究的目的:
- 确定2019年美国成人OSA气道手术的数量和设施成本/费用.
- 调查患者/设施特征与OSA手术程序类型和成本之间的关联.
主要方法:
- 采用全国性住院和门诊外科手术数据库 (NIS,NASS) 的2019年数据进行横截面研究.
- 对OSA手术程序的分析,包括口腔手术,下手术,下神经刺激 (HNS) 和上的推进.
- 奇平方测试和回归分析,以检查手术量,类型,成本以及相关的患者/设施因素.
主要成果:
- 2019年大约进行了18526次OSA手术,口腔手术是最常见的.
- 与其他OSA手术相比,低光神经刺激 (HNS) 程序的设施成本/费用较高.
- 老年患者 (≥40岁) 更有可能接受HNS,而年轻患者更倾向于 palatal 手术. 与白人患者相比,非白人患者患HNS的几率较低.
结论:
- 美国每年只有很小一部分 (0.03%-0.77%) 患有OSA的成年人使用手术治疗.
- 患者人口统计学 (年龄,种族) 和设施特征与所进行的OSA手术类型及其相关成本有关.
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