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The economic impact of obstructive sleep apnea.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Tarasiuk, Ariel Reuveni, Haim
Spatial Coverage	Israel
Description	Country affiliation: Israel Author Affiliation: Tarasiuk A ( aFaculty of Health Sciences, Sleep-Wake Disorders Unit, Soroka University Medical Center and Department of Physiology bFaculty of Health Sciences, Department of Health Systems Management and Department of Pediatrics, Ben-Gurion University of the Negev, Beer-Sheva, Israel.)
Abstract	PURPOSE OF REVIEW: Obstructive sleep apnea (OSA) has a substantial economic impact on healthcare systems. We reviewed parameters affecting healthcare costs (race, low education, and socioeconomic status) on OSA comorbidity, and costs and the effect of OSA treatment on medical costs. RECENT FINDINGS: OSA is associated with increased cardiovascular disease (CVD) morbidity and substantially increased medical costs. Risk for OSA and resulting CVD are associated with obesity, tobacco smoking, black race, and low socioeconomic status; all these are associated with poor continuous positive airway pressure (CPAP) adherence. Healthcare costs are not normally distributed, that is, the costliest and the sickest upper third of patients consume 65-82% of all medical costs. Only a limited number of studies have explored the effect of CPAP on medical costs. SUMMARY: Costs of untreated OSA may double the medical expenses mainly because of CVD. Identifying the costliest, sickest upper third of OSA patients will reduce expenses to healthcare systems. Studies exploring the effect of CPAP on medical costs are essential. In addition, tailoring intervention programs to reduce barriers to adherence have the potential to improve CPAP treatment, specially in at-risk populations that are sicker and consume more healthcare costs.
File Format	HTM / HTML
ISSN	10705287
Issue Number	6
Volume Number	19
e-ISSN	15316971
Journal	Current Opinion in Pulmonary Medicine
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2013-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pulmonary Medicine Cardiovascular Diseases Economics Continuous Positive Airway Pressure Health Care Costs Obesity Public Health Sleep Apnea, Obstructive Smoking Adult Aged Epidemiology Prevention & Control Educational Status Female Humans Israel Male Middle Aged Patient Compliance Risk Factors Therapy Social Class Journal Article Research Support, Non-u.s. Gov't Review
Content Type	Text
Resource Type	Article
Subject	Pulmonary and Respiratory Medicine

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