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Cited by 138Obstructive Sleep Apnea ResearchHealth Systems, Economic Evaluations, Quality of LifeSleep and related disorders

The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.

Cost-Utility of Three Approaches to the Diagnosis of Sleep Apnea: Polysomnography, Home Testing, and Empirical Therapy

Chervin, Ronald D., Murman, Daniel L., Malow, Beth A., Totten, Vicken·1999·Annals of Internal Medicine
DOI 10.7326/0003-4819-130-6-199903160-00006
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Abstract

Background Obstructive sleep apnea syndrome (OSAS) is usually diagnosed with overnight polysomnography in a sleep laboratory. Home sleep studies can be performed at lower cost, but results are somewhat less reliable. Bedside diagnosis of OSAS without any testing has also been discussed. Objective To model the costs and utility of laboratory polysomnography, home study, and no testing during the 5 years after initial evaluation for OSAS. Design Cost-utility analysis. Data sources Published data. Target population Hypothetical cohort of persons suspected of having OSAS. Time horizon The 5 years after initial evaluation for OSAS. Perspective Societal. Intervention Nasal continuous positive airway pressure when OSAS was diagnosed. Measurements Quality of life, survival and charges (as proxies for costs) for each diagnostic method. Results of base-case analysis Under almost all modeled conditions, polysomnography provided maximal quality-adjusted life-years in the 5 years after the initial diagnostic evaluation. The incremental charges for polysomnography over home study or no testing were about $13,400 and $9200, respectively, per quality-adjusted life-year gained during this period. Results of sensitivity analysis Results were sensitive to the utility of treatment in the absence of OSAS. Conclusions The cost-utility of polysomnography instead of home study or no testing in the diagnosis of OSAS compares favorably with that of other procedures for which society judges the added u…

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Crossref · 10.7326/0003-4819-130-6-199903160-00006

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Research works printed but not linked: 22

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Metadata

Authors
Chervin, R. D., Murman, D. L., Malow, B. A., & Totten, V.
Affiliations
University of Michigan (US)
Corresponding author
Chervin, Ronald D.
ORCID
Venue
Annals of Internal Medicine
Publisher
American College of Physicians
Published
1999-03-16
Volume
130
Issue
6
Pages
496-505
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
DOI
10.7326/0003-4819-130-6-199903160-00006
OpenAlex
W2169973576
Cited by
138
References
2
Citations by year
2026: 3 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 1 · 2021: 6 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 6 · 2016: 4 · 2015: 6 · 2014: 8 · 2013: 8 · 2012: 5
FWCI
2.91
Type
journal article
Language
en
Open access
closed
Licence
www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations
  • Annals of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords
obstructive sleep apnea, sleep apnea diagnosis, polysomnography, home sleep testing, empirical treatment, continuous positive airway pressure, quality-adjusted life years, cost-utility analysis, diagnostic testing costs, quality of life
MeSH terms
Cost-Benefit Analysis, Decision Trees, Humans, Monitoring, Physiologic, Positive-Pressure Respiration, Sensitivity and Specificity, Sleep Apnea Syndromes, Polysomnography, Quality-Adjusted Life Years

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