Ambulatory models of care for obstructive sleep apnoea: Diagnosis and management.

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    24 Citations (Scopus)

    Abstract

    The high prevalence of obstructive sleep apnoea (OSA) and increasing awareness of its potential health consequences has placed significant pressure on laboratory-based sleep services leading to growing waiting lists and delays in diagnosis and treatment. Consequently, there has been increasing interest in the use of simplified, ambulatory models of care involving clinical prediction tools, portable sleep monitoring and home autotitrating continuous positive airway pressure. Researchers are also exploring the potential role for a wider range of health-care providers, including trained nurses and general practitioners, in the primary management of OSA. Recent randomized, controlled studies evaluating the clinical effectiveness of ambulatory management strategies versus traditional laboratory-based care for patients with OSA have consistently demonstrated that comparable patient outcomes can be achieved. The cost-effectiveness of these strategies is currently being debated, and further research examining the long-term economic implications of ambulatory models of care is needed.

    Original languageEnglish
    Pages (from-to)605-615
    Number of pages11
    JournalRespirology
    Volume18
    Issue number4
    DOIs
    Publication statusPublished - 2013

    Keywords

    • ambulatory care
    • continuous positive airway pressure
    • cost-effectiveness
    • obstructive sleep apnoea
    • polysomnography

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