Hat die Ausschreibung von CPAP-Ger?ten einen Einfluss auf die Compliance und Abbruchrate bei Patienten mit obstruktivem Schlafapnoesyndrom?

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• 作者：Dr. S. Sch?dlich
• 关键词：Ausschreibung ; CPAP ; Ger?te ; Compliance ; Abbruchrate ; Obstruktives Schlafapnoesyndrom ; Bidding procedure ; CPAP devices ; Compliance ; Drop ; out rate ; Obstructive sleep apnea syndrome
• 刊名：Somnologie - Schlafforschung und Schlafmedizin
• 出版年：2014
• 出版时间：September 2014
• 年：2014
• 卷：18
• 期：3
• 页码：179-183
• 全文大小：446 KB
• 参考文献：1. Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin (DGP), Deutsche Gesellschaft für Schlafforschung und Schlafmedizin (DGSM), Verband Pneumologischer Kliniken (VPK) und Bundesverband der Pneumologen (BdP) (2014) Positionspapier zur Diagnostik und Therapie schlafbezogener Atmungsst?rungen bei Erwachsenen. Pneumologie 68:15-8 CrossRef
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  3. Kassen?rztliche Bundesvereinigung (18. Februar 2005) Beschluss über eine ?nderung der Richtlinien zur Bewertung medizinischer Untersuchungs- und Behandlungsmethoden gem?? §135 Abs.?1 des Fünften Buches Sozialgesetzbuch (BUB-Richtlinien) in Anlage A ?Anerkannte Untersuchungs- und Behandlungsmethoden- Dtsch ?rztebl 102(7):A455–A456
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• 作者单位：Dr. S. Sch?dlich (1)
  
  1. Klinik für Innere Medizin II, Krankenhaus Martha-Maria Halle-D?lau, R?ntgenstr. 1, 06120, Halle, Deutschland
  
• ISSN：1439-054X

文摘

Background and objectives The compliance of CPAP therapy in patients with obstructive sleep apnea syndrome is variable. Many factors have a significant influence. The new bidding procedure of CPAP devices by insurance companies is a new factor in this area. The goal of this study was to investigate what influence this additional factor has on the compliance and drop-out rate. Patients and methods All patients who received a CPAP device in our sleep laboratory in 2009 were included in the study. Two groups were formed: patients with bidding procedure (group?A) and patients without (group?B). All patients received a questionnaire and an appointment in the sleep laboratory. Patients were compared regarding epidemiological and sleep medicine aspects while using the device. Results A total of 87 (group?A) and 93 (group?B) patients were included. The observation time required 622-66?days (mean 692.6?days). The data at the beginning of the study were comparable. The drop-out rate in group?A was higher than in group B (29.9- vs 22.6-). Statistical significance was not accomplished (p--.072). Conclusions The bidding procedure for CPAP devices might have negative effects for the drop-out rate of the therapy; however, further investigations are needed.