| Elevated economic burden in obstructive lung disease patients with concomitant sleep apnea syndrome. | |
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MedLine Citation:
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PMID: 19484281 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The purpose of this study is to examine the incremental economic burden of sleep apnea syndrome (SAS) among individuals with concomitant asthma, chronic obstructive pulmonary disease (COPD), or both (i.e., asthma/COPD). METHODS: Maryland Medicaid claims data were used to identify beneficiaries with asthma (n = 3,072), COPD (n = 3,455), or both (n = 2,604). We compared patient's baseline characteristics by SAS and stratified the analyses by disease cohort to examine the effect of SAS on medical utilization and cost. RESULTS: SAS was more prevalent among beneficiaries with asthma/COPD (6.72%) than beneficiaries with COPD alone (2.87%) or asthma alone (2.15%). Asthma/COPD and COPD beneficiaries with SAS had more medical service claims (p < 0.001) and higher medical cost than beneficiaries without SAS: $5,773 and $4,155 in excess costs among asthma/COPD (p = 0.037) and COPD patients (p = 0.035), respectively. Medical utilization and cost did not differ by SAS in asthma patients (p = 0.567). CONCLUSIONS: SAS may add additional economic burden on beneficiaries who already have COPD or asthma/COPD. |
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Authors:
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Fadia T Shaya; Pei-Jung Lin; Mohammad H Aljawadi; Steven M Scharf |
Publication Detail:
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Type: Journal Article Date: 2009-05-30 |
Journal Detail:
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Title: Sleep & breathing = Schlaf & Atmung Volume: 13 ISSN: 1522-1709 ISO Abbreviation: Sleep Breath Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-20 Completed Date: 2010-01-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9804161 Medline TA: Sleep Breath Country: Germany |
Other Details:
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Languages: eng Pagination: 317-23 Citation Subset: IM |
Affiliation:
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Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, MD, 21201, USA. fshaya@rx.umaryland.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Asthma / complications, economics*, therapy Cohort Studies Comorbidity Female Health Care Costs / statistics & numerical data* Humans Male Managed Care Programs / economics, utilization Maryland Medicaid / economics Middle Aged Pulmonary Disease, Chronic Obstructive / complications, economics*, therapy Sleep Apnea, Obstructive / complications, economics*, therapy United States Utilization Review |
| Comments/Corrections | |
Comment In:
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Sleep Breath. 2009 Nov;13(4):315-6
[PMID:
19484282
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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