Trends in sleep studies performed for Medicare beneficiaries

Chiao, Whitney; Durr, Megan L.

doi:10.1002/lary.26736

Cited by 18 publications

(17 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5 Further, the trend in sleep studies performed for Medicare beneficiaries also has increased by 9.1% since 2010. 19 Figure 2 shows the increase in the number of sleep studies from approximately 120K veterans in FY2015 to over 161K veterans in FY2018, a 34% increase. Interestingly, the increase was more pronounced for testing done within VAF.…”

Section: Discussionmentioning

confidence: 99%

Comparing VA and Community-Based Care: Trends in Sleep Studies Following the Veterans Choice Act

et al. 2020

View full text Add to dashboard Cite

BACKGROUND:To address concerns about access to care, the Veterans Access, Choice, and Accountability Act of 2014 was enacted to make care available in the community when Veterans Health Administration (VA) care was unavailable or not timely. This paper examined VA referrals for diagnostic sleep studies from federal fiscal year (FY) 2015-2018. DESIGN: Sleep studies completed between FY2015 and 2018 for Veterans tested within VA facilities (VAF) or referred to VA community care (VACC) providers were identified using VA administrative data files. Sleep studies were divided into laboratory and home studies. KEY RESULTS: The number of sleep studies conducted increased over time; the proportion of home studies increased in VAF (32 to 47%). Veterans were more likely to be referred for a sleep study to VACC if they lived in a rural or highly rural area (ORs = 1.47 and 1.55, respectively), and had public or public and private insurance (ORs = 2.01 and 1.35), and were less likely to be referred to VACC if they were age 65+ (OR = 0.72) and were in the highest utilization risk based on Nosos score (OR = 0.78). Regression analysis of sleep study type revealed that lab studies were much more likely for VACC referrals (OR = 3.16), for persons living in rural areas (OR = 1.21), with higher comorbidity scores (OR = 1.28) and for ages 44-54, 55 to 64, and 65+ (ORs = 1.12, 1.28, 1.45, respectively) compared to younger Veterans. Veterans with some or full VA copayments (ORs = 0.91 and 0.86, respectively), and overweight Veterans (OR = 0.94) were less likely to have lab studies. CONCLUSIONS: The number of sleep studies performed on Veterans increased from 2015 to 2018. Access to sleep studies improved through a combination of providing care through the Veteran Choice Program, predominantly used by rural Veterans, and increased use of home sleep studies by VA.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparing VA and Community-Based Care: Trends in Sleep Studies Following the Veterans Choice Act

et al. 2020

View full text Add to dashboard Cite

show abstract

“… 1 , 7 - 9 In attempts to shorten the waiting period and the cost of the OSAS diagnosis, alternative methods have been devised, such methods including the application of questionnaires, 10 - 13 the use of portable polysomnography equipment for carrying out the examination at home 1 , 14 , and the split-night test, which consists of diagnostic polysomnography and continuous positive airway pressure titration on the same night. 15 , 16 …”

Section: Introductionmentioning

confidence: 99%

Translation and cultural adaptation of the Sleep Apnea Clinical Score for use in Brazil

et al. 2020

View full text Add to dashboard Cite

“…A home sleep apnea test (HSAT) is one of the primary tests for sleep-related breathing disorders (SRBD) due to concerns over cost, patient convenience, and insurer policies. 1 The American Academy of Sleep Medicine (AASM) recommends an HSAT over polysomnography (PSG) in situations where a patient is at high risk for moderate to severe obstructive sleep apnea (OSA) and has no other significant concerns or comorbid conditions that might affect the accuracy of an HSAT. 2 Unfortunately, many insurers do not follow AASM policy, and as a result there is the potential to misclassify severity or misdiagnose SRBD.…”

Section: Introductionmentioning

confidence: 99%

The Value of a Well-Trained Ear: Incidental Detection of Catathrenia on Home Sleep Apnea Tests in Patients With Low Probability for Obstructive Sleep Apnea

Kazaglis

2018

Journal of Clinical Sleep Medicine

View full text Add to dashboard Cite

Catathrenia is a rare sleep-related breathing disorder marked by nocturnal groaning during prolonged exhalation. Home sleep apnea tests are growing in popularity, but no prior case reports exist documenting catathrenia detected by a home sleep apnea test. We report two cases of catathrenia incidentally detected in patients with low to intermediate risk of obstructive sleep apnea, in which diagnostic polysomnography was recommended but denied by insurers. Events were automatically scored as central apneas, leading to diagnostic uncertainty. The key to identification of catathrenia in both patients was combination of audio review of events, pattern of expiratory air trapping, and mismatch between central apnea flow signal attenuation and increased sound noted on audio amplitude signal. Diagnostic polysomnography was ordered in both cases for confirmation of diagnosis, leading to increased care costs. Keywords: catathrenia, central apnea, home sleep apnea test, parasomnia, sleep-related breathing disorder Citation: Kazaglis L. The value of a well-trained ear: incidental detection of catathrenia on home sleep apnea tests in patients with low probability for obstructive sleep apnea.

show abstract

Trends in sleep studies performed for Medicare beneficiaries

Abstract: 4. Laryngoscope, 127:2891-2896, 2017.

Cited by 18 publications

References 17 publications

Comparing VA and Community-Based Care: Trends in Sleep Studies Following the Veterans Choice Act

Comparing VA and Community-Based Care: Trends in Sleep Studies Following the Veterans Choice Act

Translation and cultural adaptation of the Sleep Apnea Clinical Score for use in Brazil

The Value of a Well-Trained Ear: Incidental Detection of Catathrenia on Home Sleep Apnea Tests in Patients With Low Probability for Obstructive Sleep Apnea

Contact Info

Product

Resources

About