Authors
Ching Li Chai-Coetzer, Nick A Antic, L Sharn Rowland, Richard L Reed, Adrian Esterman, Peter G Catcheside, Simon Eckermann, Norman Vowles, Helena Williams, Sandra Dunn, R Doug McEvoy
Publication date
2013/3/13
Journal
Jama
Volume
309
Issue
10
Pages
997-1004
Publisher
American Medical Association
Description
Importance
Due to increasing demand for sleep services, there has been growing interest in ambulatory models of care for patients with obstructive sleep apnea. With appropriate training and simplified management tools, primary care physicians are ideally positioned to take on a greater role in diagnosis and treatment.
Objective
To compare the clinical efficacy and within-trial costs of a simplified model of diagnosis and care in primary care relative to that in specialist sleep centers.
Design, Setting, and Patients
A randomized, controlled, noninferiority study involving 155 patients with obstructive sleep apnea that was treated at primary care practices (n=81) in metropolitan Adelaide, 3 rural regions of South Australia or at a university hospital sleep medicine center in Adelaide, Australia (n = 74), between September 2008 and June 2010.
Interventions
Primary care management of obstructive sleep apnea vs usual care in a …
Scholar articles
CL Chai-Coetzer, NA Antic, LS Rowland, RL Reed… - Jama, 2013