Changes in the societal burden caused by sleep apnoea in Finland from 1996 to 2018 : A national registry study

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Mattila , T , Hasala , H , Kreivi , H-R , Avellan-Hietanen , H , Bachour , A , Herse , F , Leskelä , R-L , Toppila-Salmi , S , Erhola , M , Haahtela , T & Vasankari , T 2022 , ' Changes in the societal burden caused by sleep apnoea in Finland from 1996 to 2018 : A national registry study ' , Lancet regional health.Europe , vol. 16 , 100338 . https://doi.org/10.1016/j.lanepe.2022.100338

Title: Changes in the societal burden caused by sleep apnoea in Finland from 1996 to 2018 : A national registry study
Author: Mattila, Tiina; Hasala, Hannele; Kreivi, Hanna-Riikka; Avellan-Hietanen, Heidi; Bachour, Adel; Herse, Fredrik; Leskelä, Riikka-Leena; Toppila-Salmi, Sanna; Erhola, Marina; Haahtela, Tari; Vasankari, Tuula
Contributor organization: HUS Heart and Lung Center
Keuhkosairauksien yksikkö
University of Helsinki
Clinicum
HUS Inflammation Center
Department of Dermatology, Allergology and Venereology
Päijät-Häme Welfare Consortium
HYKS erva
Date: 2022-05
Language: eng
Number of pages: 9
Belongs to series: Lancet regional health.Europe
ISSN: 2666-7762
DOI: https://doi.org/10.1016/j.lanepe.2022.100338
URI: http://hdl.handle.net/10138/345811
Abstract: Background In the current century, sleep apnoea has become a significant public health problem due to the obesity epidemic. To increase awareness, improve diagnostics, and improve treatment, Finland implemented a national sleep apnoea programme from 2002 to 2010. Here, we present changes in the societal burden caused by sleep apnoea from 1996 to 2018. Methods National register data were collected from the Care Register for Health Care, Statistics Finland, the Social Insurance Institution of Finland, and the Finnish Centre for Pensions. Disease prevalence, use of healthcare and social services, and societal costs were estimated. Findings The number of sleep apnoea patients increased in secondary care from 8 600 in 1996 to 61 000 in 2018. There was a continuous increase in outpatient visits in secondary care from 9 700 in 1996 to 122 000 in 2018 (1 160%) and in primary care from 10 000 in 2015 to 29 000 in 2018 (190%). Accordingly, the cumulative annual number of days off work for sleep apnoea increased from 1 100 to 46 000. However, disability pensions for sleep apnoea decreased from 820 to 550 (33%) during the observation period. Societal costs per patient decreased over 50% during the observation period ((sic) 2 800 to (sic)1 200). Interpretation The number of sleep apnoea patients in Finland increased remarkably during the observation period. To control this burden, diagnostic methods and treatment were revised and follow up was reorganised. Consequently, there was a significant decrease in societal costs per patient. The decrease in disability pensions suggests earlier diagnosis and improved treatment. The national sleep apnoea programme was one of the initiators for these improved outcomes. Funding The Finnish Institute for Health and Welfare and the Hospital District of Helsinki and Uusimaa (HUH), Helsinki, Finland. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Subject: Sleep apnoea
Obesity
Public health
Respiratory programme
POSITIVE AIRWAY PRESSURE
BARIATRIC SURGERY
AMERICAN ACADEMY
PREVALENCE
SYMPTOMS
ADHERENCE
AWARENESS
INCREASE
PROGRAM
3121 General medicine, internal medicine and other clinical medicine
Peer reviewed: Yes
Rights: cc_by_nc_nd
Usage restriction: openAccess
Self-archived version: publishedVersion


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