RT Journal Article
SR Electronic
T1 A bayesian cost-effectiveness analysis of a telemedicine-based strategy for the management of sleep apnea: A multicenter randomized controlled trial
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP PA3376
DO 10.1183/13993003.congress-2015.PA3376
VO 46
IS suppl 59
A1 Isetta, Valentina
A1 Negrín, Miguel A.
A1 Monasterio, Carmen
A1 Masa, Juan F.
A1 Feu, Nuria
A1 Álvarez, Ainhoa
A1 Campos-Rodriguez, Francisco
A1 Ruiz, Concepción
A1 Abad, Jorge
A1 Farré, Ramon
A1 Galdeano, Marina
A1 Lloberes, Patricia
A1 Embid, Cristina
A1 De la Peña, Mónica
A1 Puertas, Javier
A1 Dalmases, Mireia
A1 Montserrat, Josep M.
YR 2015
UL https://publications.ersnet.org//content/46/suppl_59/PA3376.abstract
AB Background: Compliance with CPAP therapy is essential in patients with OSA but an adequate control is not always possible. This is of clinical importance as CPAP reverses OSA morbidity and mortality. Alternative and more cost-effective approaches are needed. A telemedicine-based strategy could be of great interest.Methods: One hundred thirty nine patients were randomized in a controlled trial that was performed to compare a telemedicine-based strategy for CPAP follow-up (patients' support based on a web platform support and videoconferences) with the standard face-to-face control. Main outcomes were CPAP compliance and cost-effectiveness (Bayesian analysis). Secondary outcomes: Quality of life (QoL), satisfaction and secondary effects questionaries.Results: At six months, similar levels of CPAP compliance, improvement in sleepiness, QoL, side effects and degree of satisfaction were found in both groups. Despite observing more extra visits, the telemedicine group was more cost-effective: costs were lower and difference in effectiveness was not relevant.Discussion: A telemedicine-based strategy for the follow-up of OSA patients under CPAP treatment proved to be as effective as the standard hospital-based care in terms of CPAP compliance and improvement. Cost-effectiveness analysis showed that the telemedicine-based strategy presented lower total costs due to savings on transport and indirect costs of productivity losses.Funding: Supported by SEPAR/FIS PI14/00416. Supported in part by grant ECO2013-47092 (MINECO, Spain).