Sleep disorders value $ 94.9 billion every year, a examine discovered

Sleep disorders were found to be associated with significantly higher health care utilization and costs, which cost the United States $ 94.9 each year.

According to study results published in the Journal of Clinical Sleep Medicine, sleep disorders can increase the risk of health care utilization, with more than $ 90 in health care costs linked to sleep-related problems in the United States each year.

Given the increasing prevalence of sleep disorders such as obstructive sleep apnea (OSA) and insomnia, study author Phillip Huyett, MD, of Massachusetts Eye and Ear at Harvard Medical School said in an email exchange with the American Journal of Managed Care® (AJMC® ) that the shortage of sleep physicians has led many general practitioners, pulmonologists, psychiatrists, neurologists, and other specialists to initiate the investigation and treatment of these disorders.

“Areas of improvement include training additional sleep medicine doctors and / or adding more sleep awareness education to training programs for other specialties,” noted Huyett.

Recently, the cost of dealing with these conditions has also increased significantly. In fact, previous on Medicare beneficiaries with untreated OSA showed that health care coverage for these populations increased in the year prior to their diagnosis, with total average (SD) annual costs of $ 19,566 observed during that time.

To determine the overall diagnostic prevalence of sleep disorders and how these issues affect health system costs, Huyett and fellow student Neil Bhattacharyya, MD, MA, used FACS, also from Massachusetts Eye and Ear, the International Classification of Diseases, 10 revisions – (ICD-10) diagnostic codes for assessing these associations in people with and without sleep disorders.

Participants with a sleep disorder diagnosis within the medical condition record of the Medical Expenditure Panel Survey (MEPS) 2018 were compared with similar patients without sleep disorder according to the ICD-10 diagnostic codes with regard to the use and costs of health care (raw n = 22,186 persons within the MEPS record , which represents an adult population of 242.5 million).

A sleep disorder was found in 5.6% of the study cohort.

“When this sample estimate is applied to the 2010 US Census for ages 18+, the projected value becomes 13.6 [0.6] Millions of people in the United States have at least one sleep disorder, ”the authors found.

Those with insomnia were more likely to be non-Hispanic, whites and women, with public insurance and higher Charlson Comorbidity Index scores.

After adjusting for demographics and comorbidities, multivariate analyzes showed that adults with insomnia were more likely to take average (SD) visits to the doctor (16, 3). [0.8] against 8.7 [0.3]; P <0.001, visits to the emergency room (0.52.) [0.03] versus 0.37 [0.0]; P <0.001) and ordinances (39.7 [1.2] versus 21.9 [0.4]; P <0.001) compared to those without sleep disorders.

In addition, the incremental mean health care costs for people with insomnia were higher for each use than without (P <0.001 for all):

  • Total Healthcare Spending: Mean Difference $ 6,975 ($ 800)
  • Total Office Spend: Mean Difference $ 1,694 ($ 277)
  • Total Prescriptions Spend: Mean Difference, $ 2574 ($ 364)
  • Total Prescription Self-Expenditure: Mean Difference $ 195 ($ 32)

“While the data cannot answer this directly, it stands to reason that early detection and treatment of sleep disorders would reduce associated health care costs in the long term,” said Huyett. “This has been demonstrated in some very specific examples, such as treating OSA with positive airway pressure therapy, which reduces the need for revision cardiac ablation in patients with atrial fibrillation.”

Based on the incremental health care costs observed for sleep disorders, the health care cost of $ 94.9 has been estimated for the entire US population, which is almost certainly an underestimate.

Regarding the study results, Bhattacharyya said in an email exchange with AJMC® that people with insomnia had increased their Charlson Comorbidity Index scores more than double that of those without insomnia, suggesting that prior treatment for these conditions may have the Might prevent development from comorbidities like heart failure and heart attack.

“A decrease in comorbidities related to sleep disorders would likely also have a huge cost advantage,” said Bhattacharyya.

relation

Huyett P, Bhattacharyya N. Incremental health care utilization and expenditure on sleep disorders in the United States. J Clin Sleep Med. Published online May 4, 2021. doi: 10.5664 / jcsm.9392

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