PMID: 25751031Mar 10, 2015Paper

Improvement in obstructive sleep apnea diagnosis and management wait times: A retrospective analysis of home management pathway for obstructive sleep apnea

Canadian Respiratory Journal : Journal of the Canadian Thoracic Society
Samuel Alan StewartDavid Cotton

Abstract

Obstructive sleep apnea is a common condition within the Canadian population. The current gold standard for diagnosis and management of patients is in-laboratory (in-lab) polysomnography; however, the limited availability of testing options for patients has led to long wait times and increased disease burden within the population. The Sleep Research Laboratory in Saskatoon (Saskatchewan) implemented a home management program to run in parallel with the in-lab system several years ago in an effort to increase their capacity and reduce wait times. The present study was a retrospective analysis of all patients referred to the program between 2009 and 2012. The home management system has improved wait times by diagnosing and managing up to one-half of the referred patient population, reducing the wait for in-lab treatment from a median of 152 days in 2009 to 92 days in 2012 (P<0.0001). Moving forward, home management can provide a viable alternative to in-lab testing for patients who meet strict entry criteria, reducing the in-lab workload and, ultimately, reducing wait times.

Citations

Aug 10, 2017·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Samuel Alan StewartRobert Skomro
Jan 30, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Lucas M DonovanBrian N Palen
Mar 16, 2019·European Respiratory Review : an Official Journal of the European Respiratory Society·Marie Bruyneel
Jun 20, 2017·The Laryngoscope·Whitney Chiao, Megan L Durr
Nov 10, 2020·Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine·Ching Li Chai-CoetzerR Doug McEvoy
Oct 23, 2019·Chest·Lucas M DonovanVishesh K Kapur

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