Tolley Health Economics, Buxton, United Kingdom.
Jazz Pharmaceuticals, Oxford, United Kingdom.
J Clin Sleep Med. 2022 Sep 1;18(9):2237-2246. doi: 10.5664/jcsm.10092.
This study aimed to quantify the impact of excessive daytime sleepiness (EDS) on patient and patient's partner health-related quality of life in the form of utility values typically used in health economic evaluations.
A time trade-off study was conducted in a UK general population sample (representing a societal perspective) to elicit utility values, measured on a 0 to 1 scale, for health states with varying obstructive sleep apnea-associated EDS severity. In a time trade-off study, health states are described, and participants "trade off" time in a specific higher severity state for a shorter amount of time in full health.
Overall, the sample consisted of 104 participants, who were interviewed and took part in the time trade-off exercise to elicit utility values for patient and partner residual EDS health states. The average utility score declined with increasing obstructive sleep apnea-associated EDS severity for both patient (no EDS, 0.926; mild EDS, 0.794; moderate EDS, 0.614; severe EDS, 0.546) and partner (no EDS, 0.955; mild EDS, 0.882; moderate EDS, 0.751; severe EDS, 0.670) health states.
These results demonstrate the high impact that EDS in obstructive sleep apnea is estimated to have on patient and partner health-related quality of life.
Tolley K, Noble-Longster J, Mettam S, et al. Exploring the impact of excessive daytime sleepiness caused by obstructive sleep apnea on patient and partner quality of life: a time trade-off utility study in the UK general public. . 2022;18(9):2237-2246.
本研究旨在量化日间嗜睡(EDS)对患者及其伴侣健康相关生活质量的影响,采用健康经济学评估中常用的效用值形式。
在英国普通人群样本中进行时间权衡研究(代表社会视角),以得出具有不同阻塞性睡眠呼吸暂停相关 EDS 严重程度的健康状态的效用值,这些值用 0 到 1 的标度来衡量。在时间权衡研究中,健康状态被描述,参与者“权衡”在特定更高严重程度状态下的时间,以换取在完全健康状态下的较短时间。
总体而言,该样本由 104 名参与者组成,他们接受了访谈并参与了时间权衡练习,以得出患者和伴侣残留 EDS 健康状态的效用值。对于患者(无 EDS,0.926;轻度 EDS,0.794;中度 EDS,0.614;重度 EDS,0.546)和伴侣(无 EDS,0.955;轻度 EDS,0.882;中度 EDS,0.751;重度 EDS,0.670)健康状态,随着阻塞性睡眠呼吸暂停相关 EDS 严重程度的增加,平均效用评分下降。
这些结果表明,EDS 在阻塞性睡眠呼吸暂停中估计对患者和伴侣健康相关生活质量有很大影响。
Tolley K, Noble-Longster J, Mettam S, et al. 探索阻塞性睡眠呼吸暂停引起的日间嗜睡对患者和伴侣生活质量的影响:英国普通人群中的时间权衡效用研究。 2022;18(9):2237-2246.