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Sleep Medicine Clinics

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https://www.readbyqxmd.com/read/28159102/the-costly-face-of-sleep-disorders
#1
EDITORIAL
Ana C Krieger
No abstract text is available yet for this article.
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159101/screening-for-obstructive-sleep-apnea-in-patients-with-atrial-fibrillation
#2
REVIEW
Pedro R Genta, Luciano F Drager, Geraldo Lorenzi Filho
Obstructive sleep apnea (OSA) and atrial fibrillation (AF) are common conditions in the adult population and independently associated with increased morbidity and mortality. There is evidence, although not definitive, that OSA independently contributes to AF incidence and recurrence. Full polysomnography is expensive and may not be readily available to diagnose all patients with OSA and AF. Several patients with OSA do not present the classical signs and symptoms of OSA, impairing the accuracy of screening questionnaires for OSA...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159100/social-and-economic-impacts-of-managing-sleep-hypoventilation-syndromes
#3
REVIEW
Dianne M Augelli, Ana C Krieger
Hypoventilation during sleep is often an early indicator of the development of respiratory failure. Alterations in ventilation are more pronounced during sleep and often present before the onset of daytime symptoms. This article discusses the most common sleep-related hypoventilatory disorders and recommended treatment approaches for obesity hypoventilation, chronic obstructive pulmonary disease, and neuromuscular disorders. Accurate diagnosis and appropriate treatment is of paramount importance because of the impact on individual health outcomes and overall cost of health care delivery...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159099/neurologic-diseases-and-sleep
#4
REVIEW
Daniel A Barone, Sudansu Chokroverty
Sleep disorders and neurologic illness are common and burdensome in their own right; when combined, they can have tremendous negative impact at an individual level as well as societally. The socioeconomic burden of sleep disorders and neurologic illness can be identified, but the real cost of these conditions lies far beyond the financial realm. There is an urgent need for comprehensive care and support systems to help with the burden of disease. Further research in improving patient outcomes in those who suffer with these conditions will help patients and their families, and society in general...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159098/reducing-the-clinical-and-socioeconomic-burden-of-narcolepsy-by-earlier-diagnosis-and-effective-treatment
#5
REVIEW
Michael Thorpy, Anne Marie Morse
The burden of narcolepsy is likely the result of 2 main aspects: the clinical difficulties and disability incurred as a direct effect of the disorder and the socioeconomic burden. The clinical burden includes the symptoms, diagnosis, comorbidities, treatment, and even mortality that can be associated with narcolepsy. Lifelong therapy is necessary for these patients. Effective treatment results in long-term benefits from both patient and societal perspectives by improving clinical outcomes, potentially enabling improved education and increased employment and work productivity, and quality of life...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159097/hypersomnia-evaluation-treatment-and-social-and-economic-aspects
#6
REVIEW
Prabhjyot Saini, David B Rye
Most central disorders of hypersomnolence are conditions with poorly understood pathophysiologies, making their identification, treatment, and management challenging for sleep clinicians. The most challenging to diagnose and treat is idiopathic hypersomnia. There are no FDA-approved treatments, and off-label usage of narcolepsy treatments seldom provide benefit. Patients are largely left on their own to alleviate the compound effects of this disorder on their quality of life. This review covers the major points regarding clinical features and diagnosis of idiopathic hypersomnia, reviews current evidence supporting the available treatment options, and discusses the psychosocial impact and effects of idiopathic hypersomnia...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159096/the-cost-of-insomnia-and-the-benefit-of-increased-access-to-evidence-based-treatment-cognitive-behavioral-therapy-for-insomnia
#7
REVIEW
Sarah A Reynolds, Matthew R Ebben
Insomnia is a highly prevalent, often chronic condition, which is left untreated or not treated according to recommended guidelines in most cases. This results in high health and financial burdens to society. The cost of untreated insomnia and the prevailing reliance on sedative-hypnotic use as a first-line treatment are evaluated in this article. The cost-benefit potential of cognitive behavioral therapy for insomnia is also assessed.
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159095/sleep-in-the-aging-population
#8
REVIEW
Brienne Miner, Meir H Kryger
There are normal changes to sleep architecture throughout the lifespan. There is not, however, a decreased need for sleep and sleep disturbance is not an inherent part of the aging process. Sleep disturbance is common in older adults because aging is associated with an increasing prevalence of multimorbidity, polypharmacy, psychosocial factors affecting sleep, and certain primary sleep disorders. It is also associated with morbidity and mortality. Because many older adults have several factors from different domains affecting their sleep, these complaints are best approached as a multifactorial geriatric health condition, necessitating a multifaceted treatment approach...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159094/socioeconomic-impact-of-pediatric-sleep-disorders
#9
REVIEW
Kin M Yuen, Rafael Pelayo
Pediatric disorders tend to affect the immediate support unit, adults and children. High costs for direct consumption of medical care are offset by early diagnosis and treatment of pediatric sleep disorders. Pediatric sleep disorders are underdiagnosed and undertreated. Attention-deficit/hyperactivity disorder may result from insufficient or fragmented sleep. Delaying school start time resulted in decreased car crashes in teen drivers and improved mood.
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159093/legal-and-regulatory-aspects-of-sleep-disorders
#10
REVIEW
Saiprakash B Venkateshiah, Romy Hoque, Lourdes M DelRosso, Nancy A Collop
Sleep disorders may interact with the law, making awareness important. Insufficient sleep and obstructive sleep apnea (OSA) are prevalent and associated with excessive sleepiness. Patients with excessive sleepiness may have civil or criminal liability if they fall asleep and cause a motor vehicle accident. Awareness of screening and treatment of OSA is increasing in certain industries. Parasomnia associated sleep-related violence represents a challenge to clinicians, who may be called on to consider parasomnia as a contributing, mitigating, or exculpatory factor in criminal proceedings...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159092/impact-of-portable-sleep-testing
#11
REVIEW
Vaishnavi Kundel, Neomi Shah
This article provides the current state of evidence on the socioeconomic impact of portable testing (PT) for sleep apnea. It seems the traditional in-laboratory polysomnography and the newer home-based PT model for sleep apnea diagnosis both have places in sleep medicine diagnostic algorithm. PT would be cost-effective in a selected group of patients as long as certain criteria, discussed in this article, are carefully considered.
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159091/the-benefits-of-perioperative-screening-for-sleep-apnea-in-surgical-patients
#12
REVIEW
Yamini Subramani, Jean Wong, Mahesh Nagappa, Frances Chung
Obstructive sleep apnea (OSA) is a chronic disease affecting millions of people worldwide. Untreated OSA can lead to about a 2-fold increase in medical expenses, mainly because of cardiovascular morbidity. OSA is highly prevalent in the surgical population, with an increased risk of perioperative complications. This article describes the perioperative and long-term social and economic benefits of preoperative screening for OSA. Screening patients to identify high-risk OSA is important to decrease the adverse outcomes and associated health care costs in the perioperative period...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159090/management-of-sleep-apnea-syndromes-in-heart-failure
#13
REVIEW
Bernardo J Selim, Kannan Ramar
Central sleep apnea (CSA) and obstructive sleep apnea (OSA) are prevalent in heart failure (HF) and associated with a worse prognosis. Nocturnal oxygen therapy may decrease CSA events, sympathetic tone, and improve left ventricular ejection fraction, although mortality benefit is unknown. Although treatment of OSA in patients with HF is recommended, therapy for CSA remains controversial. Continuous positive airway pressure use in HF-CSA may improve respiratory events, hemodynamics, and exercise capacity, but not mortality...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28159089/sleep-health-and-society
#14
REVIEW
Michael A Grandner
Biological needs for sleep are met by engaging in behaviors that are largely influenced by the environment, social norms and demands, and societal influences and pressures. Insufficient sleep duration and sleep disorders such as insomnia and sleep apnea are highly prevalent in the US population. This article outlines some of these downstream factors, including cardiovascular and metabolic disease risk, neurocognitive dysfunction, and mortality, as well as societal factors such as age, sex, race/ethnicity, and socioeconomics...
March 2017: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28118882/current-state-and-future-perspectives-for-the-assessment-of-sleep-using-modern-technology
#15
EDITORIAL
Thomas Penzel
No abstract text is available yet for this article.
December 2016: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28118881/contents
#16
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28118880/contributors
#17
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28118879/forthcoming-issues
#18
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28118878/copyright
#19
(no author information available yet)
No abstract text is available yet for this article.
December 2016: Sleep Medicine Clinics
https://www.readbyqxmd.com/read/28118877/technology-to-assess-sleep
#20
Thomas Penzel
No abstract text is available yet for this article.
December 2016: Sleep Medicine Clinics
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