The Resource The comparative effectiveness, harms, and cost of care models for the evaluation and treatment of obstructive sleep apnea (OSA) : a systematic review/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP,) Minneapolis VA Health Care System ; principle investigators Ken M. Kunisaki, Wajahat Khalil ; co-investigators Erin Koffel, Loretta Pfannes ; research associates, Eva Koeller, Roderick Mac Donald

The comparative effectiveness, harms, and cost of care models for the evaluation and treatment of obstructive sleep apnea (OSA) : a systematic review/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP,) Minneapolis VA Health Care System ; principle investigators Ken M. Kunisaki, Wajahat Khalil ; co-investigators Erin Koffel, Loretta Pfannes ; research associates, Eva Koeller, Roderick Mac Donald

Label
The comparative effectiveness, harms, and cost of care models for the evaluation and treatment of obstructive sleep apnea (OSA) : a systematic review/
Title
The comparative effectiveness, harms, and cost of care models for the evaluation and treatment of obstructive sleep apnea (OSA)
Title remainder
a systematic review/
Statement of responsibility
prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP,) Minneapolis VA Health Care System ; principle investigators Ken M. Kunisaki, Wajahat Khalil ; co-investigators Erin Koffel, Loretta Pfannes ; research associates, Eva Koeller, Roderick Mac Donald
Title variation
QUERI
Creator
Contributor
Author
Issuing body
Subject
Genre
Language
eng
Summary
"The traditional model of OSA evaluation and care relies upon primary care providers to refer patients with suspected OSA to a sleep specialist physician (SSP) for consultation. After an initial consultative visit, the SSP can order formal, in-lab polysomnogram (PSG) for diagnostic purposes and for those with confirmed OSA, a PSG for titration of CPAP pressures. The SSP would typically initiate CPAP at the pressure suggested by the titration PSG, and then the patient would follow up with the SSP at regular intervals for assessment of treatment compliance and efficacy. Given the rapidly rising requests for OSA diagnostic and treatment services, this traditional model is increasingly viewed as unnecessarily expensive and inefficient for the evaluation and treatment of patients at high risk of OSA. Recent data also indicate a decreasing supply of SSPs to care for patients with known or suspected OSA. Therefore, new models of OSA care have been proposed and implemented. These new models include home sleep testing (HST) for diagnostic purposes, followed by treatment with an autotitrating CPAP (APAP) device which has internal algorithms to adjust CPAP pressure to keep the airway open during sleep. These models reduce PSG-associated costs and logistical barriers, yet typically still include consultation and follow up with a SSP. Other proposed models would reduce reliance on SSPs by including non-SSP providers such as nurses or primary care physicians to provide the bulk of OSA diagnosis and treatment. The Minneapolis VA's Evidence-based Synthesis Program (ESP) Center, in partnership with topic nominators and a Technical Expert Panel (TEP), was commissioned to systematically review the evidence regarding the comparative effectiveness, harms, and cost of these new models of OSA evaluation and treatment"--Summary
Member of
Cataloging source
MMU
http://library.link/vocab/creatorName
Kunisaki, Ken M
Government publication
federal national government publication
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
NLM call number
WF 143
http://library.link/vocab/relatedWorkOrContributorName
  • Khalil, Wajahat
  • United States
  • Quality Enhancement Research Initiative (U.S.)
  • Minneapolis VA Health Care System (U.S.)
Series statement
Evidence-based synthesis program
http://library.link/vocab/subjectName
  • Sleep Apnea Syndromes
  • Hypoventilation
  • Noninvasive Ventilation
  • Continuous Positive Airway Pressure
Label
The comparative effectiveness, harms, and cost of care models for the evaluation and treatment of obstructive sleep apnea (OSA) : a systematic review/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP,) Minneapolis VA Health Care System ; principle investigators Ken M. Kunisaki, Wajahat Khalil ; co-investigators Erin Koffel, Loretta Pfannes ; research associates, Eva Koeller, Roderick Mac Donald
Instantiates
Publication
Note
  • "VA-ESP Project #09-009."
  • "September 2016."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
  • text
  • still image
Content type code
  • txt
  • sti
Content type MARC source
  • rdacontent
  • rdacontent
Control code
995849266
Extent
1 online resource (v, 147 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)995849266
Label
The comparative effectiveness, harms, and cost of care models for the evaluation and treatment of obstructive sleep apnea (OSA) : a systematic review/, prepared for Department of Veterans Affairs, Veterans Health Administration, Quality Enhancement Research Initiative, Health Services Research & Development Service ; prepared by Evidence-based Synthesis Program (ESP,) Minneapolis VA Health Care System ; principle investigators Ken M. Kunisaki, Wajahat Khalil ; co-investigators Erin Koffel, Loretta Pfannes ; research associates, Eva Koeller, Roderick Mac Donald
Publication
Note
  • "VA-ESP Project #09-009."
  • "September 2016."
Bibliography note
Includes bibliographical references
Carrier category
online resource
Carrier category code
cr
Carrier MARC source
rdacarrier
Content category
  • text
  • still image
Content type code
  • txt
  • sti
Content type MARC source
  • rdacontent
  • rdacontent
Control code
995849266
Extent
1 online resource (v, 147 pages)
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
c
Other physical details
illustrations.
Specific material designation
remote
System control number
(OCoLC)995849266

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