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Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Standard

Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care. / Acquavella, John; Mehra, Reena; Bron, Morgan et al.

I: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, Bind 16, Nr. 8, 08.2020, s. 1255-1263.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Acquavella, J, Mehra, R, Bron, M, Suomi, JMH & Hess, GP 2020, 'Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care', Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, bind 16, nr. 8, s. 1255-1263. https://doi.org/10.5664/jcsm.8482

APA

Acquavella, J., Mehra, R., Bron, M., Suomi, J. M. H., & Hess, G. P. (2020). Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 16(8), 1255-1263. https://doi.org/10.5664/jcsm.8482

CBE

Acquavella J, Mehra R, Bron M, Suomi JMH, Hess GP. 2020. Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 16(8):1255-1263. https://doi.org/10.5664/jcsm.8482

MLA

Acquavella, John et al. "Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care". Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 2020, 16(8). 1255-1263. https://doi.org/10.5664/jcsm.8482

Vancouver

Acquavella J, Mehra R, Bron M, Suomi JMH, Hess GP. Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 2020 aug.;16(8):1255-1263. doi: 10.5664/jcsm.8482

Author

Acquavella, John ; Mehra, Reena ; Bron, Morgan et al. / Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care. I: Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine. 2020 ; Bind 16, Nr. 8. s. 1255-1263.

Bibtex

@article{46f8686c2dfc4e7495edd18866bdd578,
title = "Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care",
abstract = "STUDY OBJECTIVES: The primary objective was to describe trends in the 2-year limited duration prevalence of narcolepsy from 2013-2016 in a large insured population with claims activity. Secondary objectives were to assess the prevalence of other sleep disorders and the frequency of diagnostic sleep testing. METHODS: Nationwide medical/prescription claims (Symphony Health) were analyzed to estimate the annual prevalence per 100,000 persons of narcolepsy and other sleep disorders (obstructive sleep apnea, idiopathic hypersomnia, rapid eye movement sleep behavior disorder, periodic limb movement disorder) and the frequency of diagnostic sleep testing. Prevalence was adjusted to the age/sex distribution of the 2016 US census estimates. RESULTS: The prevalence of narcolepsy per 100,000 persons increased 14% from 38.9 in 2013 to 44.3 in 2016. Obstructive sleep apnea prevalence increased 41% over the study period from 2,429 to 3,420 per 100,000. Large increases in prevalence were also seen for idiopathic hypersomnia (32%), periodic limb movement disorder (30%), and rapid eye movement sleep behavior disorder (64%). For each sleep disorder, prevalence was higher for those with commercial insurance versus Medicare/Medicaid, and markedly lower prevalence was observed for the Northeast compared with the Midwest, South, and Western US regions. The frequency of multiple sleep latency/maintenance of wakefulness testing declined by 20%, and polysomnography declined by 15%. Conversely, home sleep apnea testing increased by 117%. CONCLUSIONS: The prevalence of narcolepsy, obstructive sleep apnea, and the other sleep disorders increased appreciably over the 2013-2016 period. It remains to be determined whether the trends seen in our analyses are due to increased incidence or increased awareness of these conditions.",
keywords = "idiopathic hypersomnia, narcolepsy, obstructive sleep apnea, periodic limb movement disorder, prevalence, REM sleep behavior disorder,, sleep testing, Idiopathic hypersomnia, Prevalence, Sleep testing, Obstructive sleep apnea, REM sleep behavior disorder, Periodic limb movement disorder, Narcolepsy",
author = "John Acquavella and Reena Mehra and Morgan Bron and Suomi, {Joanna M.H.} and Hess, {Gregory P.}",
year = "2020",
month = aug,
doi = "10.5664/jcsm.8482",
language = "English",
volume = "16",
pages = "1255--1263",
journal = "The Journal of Clinical Sleep Medicine",
issn = "1550-9389",
publisher = "American Academy of Sleep Medicine",
number = "8",

}

RIS

TY - JOUR

T1 - Prevalence of narcolepsy and other sleep disorders and frequency of diagnostic tests from 2013-2016 in insured patients actively seeking care

AU - Acquavella, John

AU - Mehra, Reena

AU - Bron, Morgan

AU - Suomi, Joanna M.H.

AU - Hess, Gregory P.

PY - 2020/8

Y1 - 2020/8

N2 - STUDY OBJECTIVES: The primary objective was to describe trends in the 2-year limited duration prevalence of narcolepsy from 2013-2016 in a large insured population with claims activity. Secondary objectives were to assess the prevalence of other sleep disorders and the frequency of diagnostic sleep testing. METHODS: Nationwide medical/prescription claims (Symphony Health) were analyzed to estimate the annual prevalence per 100,000 persons of narcolepsy and other sleep disorders (obstructive sleep apnea, idiopathic hypersomnia, rapid eye movement sleep behavior disorder, periodic limb movement disorder) and the frequency of diagnostic sleep testing. Prevalence was adjusted to the age/sex distribution of the 2016 US census estimates. RESULTS: The prevalence of narcolepsy per 100,000 persons increased 14% from 38.9 in 2013 to 44.3 in 2016. Obstructive sleep apnea prevalence increased 41% over the study period from 2,429 to 3,420 per 100,000. Large increases in prevalence were also seen for idiopathic hypersomnia (32%), periodic limb movement disorder (30%), and rapid eye movement sleep behavior disorder (64%). For each sleep disorder, prevalence was higher for those with commercial insurance versus Medicare/Medicaid, and markedly lower prevalence was observed for the Northeast compared with the Midwest, South, and Western US regions. The frequency of multiple sleep latency/maintenance of wakefulness testing declined by 20%, and polysomnography declined by 15%. Conversely, home sleep apnea testing increased by 117%. CONCLUSIONS: The prevalence of narcolepsy, obstructive sleep apnea, and the other sleep disorders increased appreciably over the 2013-2016 period. It remains to be determined whether the trends seen in our analyses are due to increased incidence or increased awareness of these conditions.

AB - STUDY OBJECTIVES: The primary objective was to describe trends in the 2-year limited duration prevalence of narcolepsy from 2013-2016 in a large insured population with claims activity. Secondary objectives were to assess the prevalence of other sleep disorders and the frequency of diagnostic sleep testing. METHODS: Nationwide medical/prescription claims (Symphony Health) were analyzed to estimate the annual prevalence per 100,000 persons of narcolepsy and other sleep disorders (obstructive sleep apnea, idiopathic hypersomnia, rapid eye movement sleep behavior disorder, periodic limb movement disorder) and the frequency of diagnostic sleep testing. Prevalence was adjusted to the age/sex distribution of the 2016 US census estimates. RESULTS: The prevalence of narcolepsy per 100,000 persons increased 14% from 38.9 in 2013 to 44.3 in 2016. Obstructive sleep apnea prevalence increased 41% over the study period from 2,429 to 3,420 per 100,000. Large increases in prevalence were also seen for idiopathic hypersomnia (32%), periodic limb movement disorder (30%), and rapid eye movement sleep behavior disorder (64%). For each sleep disorder, prevalence was higher for those with commercial insurance versus Medicare/Medicaid, and markedly lower prevalence was observed for the Northeast compared with the Midwest, South, and Western US regions. The frequency of multiple sleep latency/maintenance of wakefulness testing declined by 20%, and polysomnography declined by 15%. Conversely, home sleep apnea testing increased by 117%. CONCLUSIONS: The prevalence of narcolepsy, obstructive sleep apnea, and the other sleep disorders increased appreciably over the 2013-2016 period. It remains to be determined whether the trends seen in our analyses are due to increased incidence or increased awareness of these conditions.

KW - idiopathic hypersomnia

KW - narcolepsy

KW - obstructive sleep apnea

KW - periodic limb movement disorder

KW - prevalence

KW - REM sleep behavior disorder,

KW - sleep testing

KW - Idiopathic hypersomnia

KW - Prevalence

KW - Sleep testing

KW - Obstructive sleep apnea

KW - REM sleep behavior disorder

KW - Periodic limb movement disorder

KW - Narcolepsy

UR - http://www.scopus.com/inward/record.url?scp=85089636325&partnerID=8YFLogxK

U2 - 10.5664/jcsm.8482

DO - 10.5664/jcsm.8482

M3 - Journal article

C2 - 32807293

AN - SCOPUS:85089636325

VL - 16

SP - 1255

EP - 1263

JO - The Journal of Clinical Sleep Medicine

JF - The Journal of Clinical Sleep Medicine

SN - 1550-9389

IS - 8

ER -