0779 Describing the OSA Patient Journey from Testing to PAP Treatment
نویسندگان
چکیده
Abstract Introduction Patients diagnosed with obstructive sleep apnea (OSA) and prescribed positive airway pressure (PAP) therapy for treatment may have differences in experience based on insurance provider, sex, age, or comorbidity status. This retrospective, real-world analysis investigated the factors that impact patient’s OSA journey from initial test to starting PAP therapy. Methods De-identified US administrative claims data patients who had a claim were used this analysis. Age, coverage characterized at time of first test. Comorbidity status was evaluated year prior by assessing ICD-9/10 codes associated healthcare encounters. protocol submitted an Institutional Review Board determined be exempt oversight. Results In population 1,912,381 patients, 46.6% female mean age 51.0 years. Insurance 70.6% commercial, 19.9% Medicaid, 9.5% Medicare Advantage. Four comorbid cohorts including those hypertension (52.2%), type 2 diabetes (21.7%), COPD (9.7%), atrial fibrillation (5.9%). Time receiving device 7 days longer females than males (median 49 vs 42 days). Regardless (polysomnography (PSG), home (HST)), commercial received faster 41 days, Medicaid 61 Advantage 50 comparison without respective comorbidity, only group noticeable increase 54 vs. 43 without). No observed across categories. For titration, it occurred median 23 after PSG 34 HST. Consequently, two fastest pathways split night titration HST titration. Conclusion retrospective study identified length takes setting get Depending demographic can vary 1-2 months, delaying start treatment. Support (If Any) ResMed
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ژورنال
عنوان ژورنال: Sleep
سال: 2022
ISSN: ['0302-5128']
DOI: https://doi.org/10.1093/sleep/zsac079.775