Bayes' theorem and the rule of 100: a commentary on ‘Validity of administrative data for identification of obstructive sleep apnea’

2017 ◽  
Vol 26 (3) ◽  
pp. 401-401 ◽  
Author(s):  
Matt T. Bianchi
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Administrative Data ◽  
Bayes Theorem ◽  
Obstructive Sleep

scholarly journals Case-Ascertainment Models to Identify Adults with Obstructive Sleep Apnea Using Health Administrative Data: Internal and External Validation

2021 ◽  
Vol Volume 13 ◽  
pp. 453-467
Author(s):  
Tetyana Kendzerska ◽  
Carl van Walraven ◽  
Daniel I McIsaac ◽  
Marcus Povitz ◽  
Sunita Mulpuru ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Administrative Data ◽  
External Validation ◽  
Health Administrative Data ◽  
Case Ascertainment ◽  
Obstructive Sleep

Validity of administrative data for identification of obstructive sleep apnea

2016 ◽  
Vol 26 (2) ◽  
pp. 132-138 ◽  
Author(s):  
Cheryl R. Laratta ◽  
Willis H. Tsai ◽  
James Wick ◽  
Sachin R. Pendharkar ◽  
Kerri A. Johannson ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Administrative Data ◽  
Obstructive Sleep

Identifying Obstructive Sleep Apnea in Administrative Data

2016 ◽  
Vol 60 (2) ◽  
pp. 92
Author(s):  
Daniel I. McIsaac ◽  
Andrea Gershon ◽  
Duminda Wijeyesundera ◽  
Gregory L. Bryson ◽  
Neal Baner ◽  
...  
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Administrative Data ◽  
Obstructive Sleep

scholarly journals Investigating Cost Implications of Incorporating Level III At-Home Testing into a Polysomnography Based Sleep Medicine Program Using Administrative Data

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Samuel Alan Stewart ◽  
Erika Penz ◽  
Mark Fenton ◽  
Robert Skomro
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Sleep Disorders ◽  
Administrative Data ◽  
Home Monitoring ◽  
Cost Effective ◽  
Home Testing ◽  
Obstructive Sleep ◽  
Diagnostic Pathways ◽  
At Home

Objective. Obstructive sleep apnea is a common problem, requiring expensive in-lab polysomnography for proper diagnosis. Home monitoring can provide an alternative to in-lab testing for a subset of OSA patients. The objective of this project was to investigate the effect of incorporating home testing into an OSA program at a large, tertiary sleep disorders centre.Methods. The Sleep Disorders Centre in Saskatoon, Canada, has been incorporating at-home testing into their diagnostic pathways since 2006. Administrative data from 2007 to 2013 were extracted (10030 patients) and the flow of patients through the program was followed from diagnosis to treatment. Costs were estimated using 2014 pricing and were stratified by disease attributes and sensitivity analysis was applied.Results. The overall costs per patient were $627.40, with $419.20 for at-home testing and $746.20 for in-lab testing. The cost of home management would rise to $515 if all negative tests were required to be confirmed by an in-lab PSG.Discussion. Our review suggests that at-home testing can be cost-effective alternative to in-lab testing when applied to the correct population, specifically, those with a high pretest probability of obstructive sleep apnea and an absence of significant comorbidities.

Utilizing administrative data for the identification of obstructive sleep apnea in alberta, canada

2019 ◽  
Vol 64 ◽  
pp. S238-S239
Author(s):  
H.M. Sharpe ◽  
J.E. Maclean ◽  
A. Fong ◽  
P.E. Ronksley ◽  
S.R. Pendharkar
Keyword(s):  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Administrative Data ◽  
Obstructive Sleep

Treating Velopharyngeal Inadequacy Using Bilateral Buccal Flap Revision Palatoplasty

2019 ◽  
Vol 4 (5) ◽  
pp. 878-892
Author(s):  
Joseph A. Napoli ◽  
Linda D. Vallino
Keyword(s):  
Systematic Review ◽  
Obstructive Sleep Apnea ◽  
Sleep Apnea ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
A Priori ◽  
Sufficient Evidence ◽  
Obstructive Sleep ◽  
Before And After ◽  
Buccal Flap

Purpose The 2 most commonly used operations to treat velopharyngeal inadequacy (VPI) are superiorly based pharyngeal flap and sphincter pharyngoplasty, both of which may result in hyponasal speech and airway obstruction. The purpose of this article is to (a) describe the bilateral buccal flap revision palatoplasty (BBFRP) as an alternative technique to manage VPI while minimizing these risks and (b) conduct a systematic review of the evidence of BBFRP on speech and other clinical outcomes. A report comparing the speech of a child with hypernasality before and after BBFRP is presented. Method A review of databases was conducted for studies of buccal flaps to treat VPI. Using the principles of a systematic review, the articles were read, and data were abstracted for study characteristics that were developed a priori. With respect to the case report, speech and instrumental data from a child with repaired cleft lip and palate and hypernasal speech were collected and analyzed before and after surgery. Results Eight articles were included in the analysis. The results were positive, and the evidence is in favor of BBFRP in improving velopharyngeal function, while minimizing the risk of hyponasal speech and obstructive sleep apnea. Before surgery, the child's speech was characterized by moderate hypernasality, and after surgery, it was judged to be within normal limits. Conclusion Based on clinical experience and results from the systematic review, there is sufficient evidence that the buccal flap is effective in improving resonance and minimizing obstructive sleep apnea. We recommend BBFRP as another approach in selected patients to manage VPI. Supplemental Material https://doi.org/10.23641/asha.9919352

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