An Economic Evaluation of Home Versus Laboratory-Based Diagnosis of Obstructive Sleep Apnea.

ABSTRACT:

Study objectives

We conducted an economic analysis of the HomePAP study, a multicenter randomized clinical trial that compared home-based versus laboratory-based testing for the diagnosis and management of obstructive sleep apnea (OSA).

Design

A cost-minimization analysis from the payer and provider perspectives was performed, given that 3-mo clinical outcomes were equivalent.

Setting

Seven academic sleep centers.

Participants

There were 373 subjects at high risk for moderate to severe OSA.

Interventions

Subjects were randomized to either home-based limited channel portable monitoring followed by unattended autotitration with continuous positive airway pressure (CPAP), versus a traditional pathway of in-laboratory sleep study and CPAP titration.

Measu

SUBMITTER: Kim RD 

PROVIDER: S-EPMC4481018 | biostudies-literature | 2015 Jul

REPOSITORIES: biostudies-literature