2004 年至 2020 年美国阻塞性睡眠呼吸暂停手术方法的人口统计学概况：一项描述性研究。

IF 2.1 4区医学 Q3 CLINICAL NEUROLOGY

Sleep and Breathing Pub Date : 2024-12-15 DOI:10.1007/s11325-024-03197-9

Thomaz A Fleury Curado, Mohamed Abdelwahab, Allen Huang, Flavio T P Oliveira, Ahmed El Abany, Lucas Diniz, Patrícia Dos Santos Cé, N Scott Howard, Sandro Marques, Robson Capasso

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引用次数: 0

摘要

研究目的本研究旨在利用一个全面的专有医疗保健数据库，对全国不同人群中用于治疗阻塞性睡眠呼吸暂停（OSA）的外科手术的数量、类型和趋势进行评估：这项描述性观察研究分析了 Optum Clinformatics® Data Mart 数据库中的纵向数据，时间跨度为 2004 年 1 月至 2020 年 12 月。研究对象包括确诊为 OSA 的 18 至 89 岁男女患者。这些患者要么接受了持续气道正压（CPAP）治疗，要么接受了手术干预：在整个研究期间，共有 1,250,273 人被确诊为 OSA。确诊时的平均年龄为 62 岁（SD = 16），男性占 62.3%，75% 的患者为白种人。最常用的 OSA 手术方法是悬雍垂腭咽成形术（UPPP）。然而，植入式舌下神经刺激器在老年患者中使用得更为普遍：这项研究为了解全国不同人群中用于治疗 OSA 的外科手术的流行率和特点提供了重要依据。研究结果强调了了解手术干预模式和趋势对加强患者护理和提高治疗效果的重要意义。

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Demographic profile of surgical approaches to obstructive sleep apnea in the United States from 2004 to 2020: a descriptive study.

Objectives: This study aims to evaluate the quantity, types, and trends of surgical procedures used to treat obstructive sleep apnea (OSA) within a diverse national population, utilizing a comprehensive proprietary healthcare database.

Methods: This descriptive observational study analyzed longitudinal data from the Optum Clinformatics® Data Mart databases, covering the period from January 2004 to December 2020. The study included patients aged 18 to 89 years, both male and female, with a confirmed diagnosis of OSA. These patients were either treated with continuous positive airway pressure (CPAP) or underwent surgical interventions.

Results: Throughout the study period, 1,250,273 individuals were diagnosed with OSA. The average age at diagnosis was 62 years (SD = 16), with a male predominance of 62.3%, and 75% of the patients were identified as Caucasian. The most frequently performed surgical procedure for OSA was Uvulopalatopharyngoplasty (UPPP). However, the implantable hypoglossal nerve stimulator was more commonly utilized among older patients.

Conclusions: This study provides essential insights into the prevalence and characteristics of surgical procedures used in OSA treatment across a diverse national population. The findings underscore the significance of understanding surgical intervention patterns and trends to enhance patient care and outcomes.

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来源期刊

Sleep and Breathing 医学-呼吸系统

CiteScore

5.20

自引率

4.00%

发文量

222

审稿时长

3-8 weeks

期刊介绍： The journal Sleep and Breathing aims to reflect the state of the art in the international science and practice of sleep medicine. The journal is based on the recognition that management of sleep disorders requires a multi-disciplinary approach and diverse perspectives. The initial focus of Sleep and Breathing is on timely and original studies that collect, intervene, or otherwise inform all clinicians and scientists in medicine, dentistry and oral surgery, otolaryngology, and epidemiology on the management of the upper airway during sleep. Furthermore, Sleep and Breathing endeavors to bring readers cutting edge information about all evolving aspects of common sleep disorders or disruptions, such as insomnia and shift work. The journal includes not only patient studies, but also studies that emphasize the principles of physiology and pathophysiology or illustrate potentially novel approaches to diagnosis and treatment. In addition, the journal features articles that describe patient-oriented and cost-benefit health outcomes research. Thus, with peer review by an international Editorial Board and prompt English-language publication, Sleep and Breathing provides rapid dissemination of clinical and clinically related scientific information. But it also does more: it is dedicated to making the most important developments in sleep disordered breathing easily accessible to clinicians who are treating sleep apnea by presenting well-chosen, well-written, and highly organized information that is useful for patient care.