The economic consequences of snoring, obstructive sleep apnea and obesity hypoventilation syndrome
P. Jennum, J. Kjelberg (Copenhagen, Denmark)
Source: Annual Congress 2009 - Socio-economic and epidemiological aspects of sleep apnoea
Session: Socio-economic and epidemiological aspects of sleep apnoea
Session type: Thematic Poster Session
Number: 3663
Disease area: Sleep and breathing disorders
Abstract Background: Sleep related breathing disorders (SBD) causes socioeconomical burden due to serious and negative effects on health-, social-, education-, and work-related issues, but no studies to date have addressed the total factual indirect and direct costs of SDB.Methods: All Danish patients were extracted from the Danish National Patient Registry (1997-2006), with a diagnosis of snoring (N=12092), obstructive sleep apnea (OSA, N=19438), and obesity hypoventilation syndrome (OHS, N=755) were identified and compared to four age-, gender and social matched controls randomly chosen from the Danish Civil Registration System Statistics. The annual direct and indirect health costs, including labor supply and social transfer payments (income derived from state coffers, such as subsistence allowances, pensions, social security, social assistance, etc.). Direct costs included frequencies and costs of hospitalizations and weighted outpatient use, according to DRG values, and outpatient costs based on data from The Danish Ministry of Health. The use of and costs of drugs were extracted from the Danish Medicines Agency, the frequencies and costs from primary sectors were extracted from The National Health Security, and indirect costs from income data derived from the Coherent Social Statistics.Results: Patients with snoring, OSA and OHS had progresssive and significantly higher rates of health-related contacts, medication use, health-related expenses, higher unemployment and lower incomes rates than controls. Analysis of treatment showed no effect of surgery, but reduced morbidity in the CPAP treated group.Conclusions : SDB patients present a significant health related burden.
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P. Jennum, J. Kjelberg (Copenhagen, Denmark). The economic consequences of snoring, obstructive sleep apnea and obesity hypoventilation syndrome. Eur Respir J 2009; 34: Suppl. 53, 3663
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