Effectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome.
Identifieur interne : 000326 ( PubMed/Curation ); précédent : 000325; suivant : 000327Effectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome.
Auteurs : Juan F. Masa [Espagne] ; Jaime Corral ; Ricardo Pereira ; Joaquin Duran-Cantolla ; Marta Cabello ; Luis Hernández-Blasco ; Carmen Monasterio ; Alberto Alonso ; Eusebi Chiner ; Manuela Rubio ; Estefania Garcia-Ledesma ; Laura Cacelo ; Rosario Carpizo ; Lirios Sacristan ; Neus Salord ; Miguel Carrera ; José N. Sancho-Chust ; Cristina Embid ; Francisco-José Vázquez-Polo ; Miguel A. Negrín ; Jose M. MontserratSource :
- Thorax [ 1468-3296 ] ; 2011.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Coûts des soins de santé (), Femelle, Hospitalisation à domicile (économie), Humains, Jeune adulte, Mâle, Méthodes épidémiologiques, Polysomnographie (), Polysomnographie (économie), Sujet âgé, Syndromes d'apnées du sommeil (diagnostic), Syndromes d'apnées du sommeil (économie), Transports (), Transports (économie), Télémesure (), Télémesure (économie).
- MESH :
- diagnostic : Syndromes d'apnées du sommeil.
- économie : Hospitalisation à domicile, Polysomnographie, Syndromes d'apnées du sommeil, Transports, Télémesure.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse coût-bénéfice, Coûts des soins de santé, Femelle, Humains, Jeune adulte, Mâle, Méthodes épidémiologiques, Polysomnographie, Sujet âgé, Transports, Télémesure.
English descriptors
- KwdEn :
- Adolescent, Adult, Aged, Cost-Benefit Analysis, Epidemiologic Methods, Female, Health Care Costs (statistics & numerical data), Home Care Services, Hospital-Based (economics), Humans, Male, Middle Aged, Polysomnography (economics), Polysomnography (methods), Sleep Apnea Syndromes (diagnosis), Sleep Apnea Syndromes (economics), Telemetry (economics), Telemetry (methods), Transportation (economics), Transportation (methods), Young Adult.
- MESH :
- diagnosis : Sleep Apnea Syndromes.
- economics : Home Care Services, Hospital-Based, Polysomnography, Sleep Apnea Syndromes, Telemetry, Transportation.
- methods : Polysomnography, Telemetry, Transportation.
- statistics & numerical data : Health Care Costs.
- Adolescent, Adult, Aged, Cost-Benefit Analysis, Epidemiologic Methods, Female, Humans, Male, Middle Aged, Young Adult.
Abstract
Home respiratory polygraphy (HRP) may be a cost-effective alternative to polysomnography for the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS), but stronger evidence is needed. Normally, patients transport HRP equipment from the hospital to home and back, which may create difficulties for some patients.
DOI: 10.1136/thx.2010.152272
PubMed: 21602541
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pubmed:21602541Le document en format XML
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<term>Adult</term>
<term>Aged</term>
<term>Cost-Benefit Analysis</term>
<term>Epidemiologic Methods</term>
<term>Female</term>
<term>Health Care Costs (statistics & numerical data)</term>
<term>Home Care Services, Hospital-Based (economics)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Polysomnography (economics)</term>
<term>Polysomnography (methods)</term>
<term>Sleep Apnea Syndromes (diagnosis)</term>
<term>Sleep Apnea Syndromes (economics)</term>
<term>Telemetry (economics)</term>
<term>Telemetry (methods)</term>
<term>Transportation (economics)</term>
<term>Transportation (methods)</term>
<term>Young Adult</term>
</keywords>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse coût-bénéfice</term>
<term>Coûts des soins de santé ()</term>
<term>Femelle</term>
<term>Hospitalisation à domicile (économie)</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Méthodes épidémiologiques</term>
<term>Polysomnographie ()</term>
<term>Polysomnographie (économie)</term>
<term>Sujet âgé</term>
<term>Syndromes d'apnées du sommeil (diagnostic)</term>
<term>Syndromes d'apnées du sommeil (économie)</term>
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<term>Transports (économie)</term>
<term>Télémesure ()</term>
<term>Télémesure (économie)</term>
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<keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Home Care Services, Hospital-Based</term>
<term>Polysomnography</term>
<term>Sleep Apnea Syndromes</term>
<term>Telemetry</term>
<term>Transportation</term>
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<term>Telemetry</term>
<term>Transportation</term>
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<keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Hospitalisation à domicile</term>
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<term>Syndromes d'apnées du sommeil</term>
<term>Transports</term>
<term>Télémesure</term>
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<term>Adult</term>
<term>Aged</term>
<term>Cost-Benefit Analysis</term>
<term>Epidemiologic Methods</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Young Adult</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse coût-bénéfice</term>
<term>Coûts des soins de santé</term>
<term>Femelle</term>
<term>Humains</term>
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<term>Méthodes épidémiologiques</term>
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<front><div type="abstract" xml:lang="en">Home respiratory polygraphy (HRP) may be a cost-effective alternative to polysomnography for the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS), but stronger evidence is needed. Normally, patients transport HRP equipment from the hospital to home and back, which may create difficulties for some patients.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21602541</PMID>
<DateCreated><Year>2011</Year>
<Month>06</Month>
<Day>17</Day>
</DateCreated>
<DateCompleted><Year>2011</Year>
<Month>08</Month>
<Day>24</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1468-3296</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>66</Volume>
<Issue>7</Issue>
<PubDate><Year>2011</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Thorax</Title>
<ISOAbbreviation>Thorax</ISOAbbreviation>
</Journal>
<ArticleTitle>Effectiveness of home respiratory polygraphy for the diagnosis of sleep apnoea and hypopnoea syndrome.</ArticleTitle>
<Pagination><MedlinePgn>567-73</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1136/thx.2010.152272</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Home respiratory polygraphy (HRP) may be a cost-effective alternative to polysomnography for the diagnosis of sleep apnoea-hypopnoea syndrome (SAHS), but stronger evidence is needed. Normally, patients transport HRP equipment from the hospital to home and back, which may create difficulties for some patients.</AbstractText>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine both the diagnostic efficacy and cost of HRP (with and without a transportation service moving the device and telematic transmission of data) in a large sample compared with in-hospital polysomnography.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Patients suspected of having SAHS were included in a multicentre study (eight hospitals). They were assigned to home and hospital protocols in random order. Receiver operating characteristic curves were constructed for manual respiratory polygraphy scoring protocol and different polysomnographic cut-off points. Diagnostic efficacies for several polysomnographic cut-off points were explored and costs for two equally effective alternatives were calculated.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Of 366 randomised patients, 348 completed the protocol. The best receiver operating characteristic curve was obtained with a polysomnographic cut-off of the apnoea-hypopnoea index (AHI)≥5. The sensitive HRP AHI cut-off point (<5) had a sensitivity of 96%, a specificity of 57% and a negative likelihood ratio (LR) of 0.07; the specific cut-off (>10) had a sensitivity of 87%, a specificity of 86% and a positive LR of 6.25. The cost of HRP was half that of polysomnography. Telematic transmission costs were similar if the patients' costs were taken in to account.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">HRP is an alternative to polysomnography in patients with suspected SAHS. Telematic procedures may help patients with limited mobility and those who live a long way from the sleep centre.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Masa</LastName>
<ForeName>Juan F</ForeName>
<Initials>JF</Initials>
<AffiliationInfo><Affiliation>San Pedro de Alcántara Hospital, Pablo Naranjo s/n, Cáceres 10003, Spain. fmasa@separ.es</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Corral</LastName>
<ForeName>Jaime</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Pereira</LastName>
<ForeName>Ricardo</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Duran-Cantolla</LastName>
<ForeName>Joaquin</ForeName>
<Initials>J</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cabello</LastName>
<ForeName>Marta</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Hernández-Blasco</LastName>
<ForeName>Luis</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Monasterio</LastName>
<ForeName>Carmen</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Alonso</LastName>
<ForeName>Alberto</ForeName>
<Initials>A</Initials>
</Author>
<Author ValidYN="Y"><LastName>Chiner</LastName>
<ForeName>Eusebi</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y"><LastName>Rubio</LastName>
<ForeName>Manuela</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Garcia-Ledesma</LastName>
<ForeName>Estefania</ForeName>
<Initials>E</Initials>
</Author>
<Author ValidYN="Y"><LastName>Cacelo</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Carpizo</LastName>
<ForeName>Rosario</ForeName>
<Initials>R</Initials>
</Author>
<Author ValidYN="Y"><LastName>Sacristan</LastName>
<ForeName>Lirios</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Salord</LastName>
<ForeName>Neus</ForeName>
<Initials>N</Initials>
</Author>
<Author ValidYN="Y"><LastName>Carrera</LastName>
<ForeName>Miguel</ForeName>
<Initials>M</Initials>
</Author>
<Author ValidYN="Y"><LastName>Sancho-Chust</LastName>
<ForeName>José N</ForeName>
<Initials>JN</Initials>
</Author>
<Author ValidYN="Y"><LastName>Embid</LastName>
<ForeName>Cristina</ForeName>
<Initials>C</Initials>
</Author>
<Author ValidYN="Y"><LastName>Vázquez-Polo</LastName>
<ForeName>Francisco-José</ForeName>
<Initials>FJ</Initials>
</Author>
<Author ValidYN="Y"><LastName>Negrín</LastName>
<ForeName>Miguel A</ForeName>
<Initials>MA</Initials>
</Author>
<Author ValidYN="Y"><LastName>Montserrat</LastName>
<ForeName>Jose M</ForeName>
<Initials>JM</Initials>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D016448">Multicenter Study</PublicationType>
<PublicationType UI="D016449">Randomized Controlled Trial</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2011</Year>
<Month>05</Month>
<Day>20</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>Thorax</MedlineTA>
<NlmUniqueID>0417353</NlmUniqueID>
<ISSNLinking>0040-6376</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000293">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D003362">Cost-Benefit Analysis</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D004812">Epidemiologic Methods</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D017048">Health Care Costs</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000706">statistics & numerical data</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D018575">Home Care Services, Hospital-Based</DescriptorName>
<QualifierName MajorTopicYN="N" UI="Q000191">economics</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
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