| Societal costs of obstructive sleep apnoea syndrome. | |
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MedLine Citation:
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PMID: 20927153 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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AIM: To estimate the societal costs of obstructive sleep apnoea syndrome (OSAS) in New Zealand and develop a simulation tool to evaluate treatment options. METHOD: Treatment profiles, availability, uptake, and costs were based on services in the Wellington Region, and were used to develop a decision analytic model with micro costing of each potential outcome. Sensitivity analyses were conducted with 10,000 Monte Carlo simulations randomly varying each model parameter between high and low estimates. RESULTS: Total annual societal costs of OSAS for New Zealanders aged 30-60 years were estimated at $40 million (range $33-$90 million) or $419 per case, with accidents being the major contributor. This included 58% direct medical, 13% direct non-medical, 25% indirect, and 3% intangible costs. The estimated incremental net cost of treating OSAS was $389 per case treated (range $338-$427). The estimated incremental net direct medical cost per quality of life year (QALY) gained was $94 (range $56-$310). CONCLUSION: The estimated incremental direct medical cost per QALY gained by OSAS treatment is well below the average QALY cost ($6865) for drugs selected by PHARMAC to receive government subsidy for use in the healthcare system. Thus, the analysis strongly supports the cost effectiveness of OSAS treatment. |
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Authors:
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Philippa Gander; Guy Scott; Kara Mihaere; Helen Scott |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-08-27 |
Journal Detail:
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Title: The New Zealand medical journal Volume: 123 ISSN: 1175-8716 ISO Abbreviation: N. Z. Med. J. Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-10-07 Completed Date: 2010-10-29 Revised Date: 2011-04-06 |
Medline Journal Info:
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Nlm Unique ID: 0401067 Medline TA: N Z Med J Country: New Zealand |
Other Details:
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Languages: eng Pagination: 13-23 Citation Subset: IM |
Affiliation:
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Sleep/Wake Research Centre, Research School of Public Health, Massey University, Private Box 756 Wellington, New Zealand. swrc@massey.ac.nz |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accidents, Occupational
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economics,
statistics & numerical data Accidents, Traffic / economics, statistics & numerical data Adult Cardiovascular Diseases / economics, epidemiology Cost of Illness Cost-Benefit Analysis Decision Support Techniques Diabetes Mellitus / economics, epidemiology Health Care Costs Humans Middle Aged Monte Carlo Method New Zealand / epidemiology Quality-Adjusted Life Years Risk Assessment Sleep Apnea, Obstructive / economics*, epidemiology |
| Comments/Corrections | |
Comment In:
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N Z Med J. 2010 Aug 27;123(1321):6-8
[PMID:
20927151
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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