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持续气道正压通气疗法与其他阻塞性睡眠呼吸暂停治疗方法的成本效益比较。

Cost-Effectiveness of Continuous Positive Airway Pressure Therapy Versus Other Treatments of Obstructive Sleep Apnea.

机构信息

Department of Medicine, Weill Cornell Medicine, New York, NY 10065, USA; NewYork-Presbyterian Brooklyn Methodist Hospital, Brooklyn, NY 11215, USA.

出版信息

Sleep Med Clin. 2022 Dec;17(4):559-567. doi: 10.1016/j.jsmc.2022.07.003. Epub 2022 Oct 9.

DOI:10.1016/j.jsmc.2022.07.003
PMID:36333075
Abstract

Obstructive sleep apnea (OSA) is a common disorder that is increasing in prevalence, both in the United States and worldwide. Continuous positive airway pressure (CPAP), the gold-standard treatment for OSA, is cost-effective from both a payer and societal perspective. Alternative treatments of OSA, including oral appliance therapy, various surgeries, and hypoglossal nerve stimulation have also been evaluated from a cost-effectiveness perspective although results are less consistent. Some studies directly compare these alternative therapies with CPAP. This review will discuss the available literature for cost-effectiveness analysis in the treatment of OSA.

摘要

阻塞性睡眠呼吸暂停(OSA)是一种常见疾病,无论是在美国还是在全球,其发病率都在不断上升。持续气道正压通气(CPAP)是 OSA 的金标准治疗方法,从支付者和社会角度来看,具有成本效益。OSA 的替代治疗方法,包括口腔矫治器治疗、各种手术和舌下神经刺激,也从成本效益的角度进行了评估,尽管结果不太一致。一些研究直接比较了这些替代疗法与 CPAP。本综述将讨论治疗 OSA 的成本效益分析的现有文献。

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Cost-Effectiveness of Continuous Positive Airway Pressure Therapy Versus Other Treatments of Obstructive Sleep Apnea.持续气道正压通气疗法与其他阻塞性睡眠呼吸暂停治疗方法的成本效益比较。
Sleep Med Clin. 2022 Dec;17(4):559-567. doi: 10.1016/j.jsmc.2022.07.003. Epub 2022 Oct 9.
2
Non-CPAP Therapies for Obstructive Sleep Apnea in Adults.成人阻塞性睡眠呼吸暂停的非 CPAP 治疗。
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Personalized multimodal management for severe obstructive sleep apnea in a patient intolerant of positive airway pressure with hypoglossal nerve stimulator and mandibular advancement device.舌下神经刺激器和下颌前伸装置联合治疗不能耐受正压通气的重度阻塞性睡眠呼吸暂停患者的个体化多模态管理。
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Mandibular Advancement Appliance for Obstructive Sleep Apnea Treatment.用于阻塞性睡眠呼吸暂停治疗的下颌前移矫治器
Adv Exp Med Biol. 2017;944:63-71. doi: 10.1007/5584_2016_61.
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Obstructive Sleep Apnea: Non-positive Airway Pressure Treatments.阻塞性睡眠呼吸暂停:非正压气道通气治疗。
Clin Geriatr Med. 2021 Aug;37(3):429-444. doi: 10.1016/j.cger.2021.04.005. Epub 2021 Jun 5.
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The Hypoglossal Nerve Stimulation as a Novel Therapy for Treating Obstructive Sleep Apnea-A Literature Review.舌下神经刺激作为一种治疗阻塞性睡眠呼吸暂停的新疗法:文献综述。
Int J Environ Res Public Health. 2021 Feb 9;18(4):1642. doi: 10.3390/ijerph18041642.
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Oral appliance versus continuous positive airway pressure in obstructive sleep apnea syndrome: a 2-year follow-up.口腔矫治器与持续气道正压通气治疗阻塞性睡眠呼吸暂停综合征:2 年随访。
Sleep. 2013 Sep 1;36(9):1289-96. doi: 10.5665/sleep.2948.
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A cost-effectiveness analysis of nasal surgery to increase continuous positive airway pressure adherence in sleep apnea patients with nasal obstruction.一项关于鼻手术对改善合并鼻阻塞的睡眠呼吸暂停患者持续气道正压通气依从性的成本效益分析。
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[Stimulation for sleep apnea : Targeting the hypoglossal nerve in the treatment of patients with OSA].[睡眠呼吸暂停的刺激:针对舌下神经治疗阻塞性睡眠呼吸暂停患者]
HNO. 2018 Sep;66(9):705-716. doi: 10.1007/s00106-018-0534-1.
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Mandibular Advancement Devices in Obstructive Sleep Apnea Patients Intolerant to Continuous Positive Airway Pressure Treatment.下颌前移装置治疗不能耐受持续气道正压通气治疗的阻塞性睡眠呼吸暂停患者。
Adv Exp Med Biol. 2019;1150:35-42. doi: 10.1007/5584_2018_275.

引用本文的文献

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Cost-effectiveness of CPAP treatment in a tax-funded healthcare system - a scoping review and suggestions for cost reduction of CPAP treatment.税收资助医疗体系中持续气道正压通气治疗的成本效益——一项范围综述及持续气道正压通气治疗成本降低建议
Eur Clin Respir J. 2025 Jun 19;12(1):2518663. doi: 10.1080/20018525.2025.2518663. eCollection 2025.
2
The 2-tier system of hypopnea scoring: a persistent ethical dilemma.低通气评分的两级系统:一个持续存在的伦理困境。
J Clin Sleep Med. 2024 Jun 1;20(6):1025-1026. doi: 10.5664/jcsm.11102.