Evidence map›Paper›PMID 34006260›Full record

Observational studyBMC health services research2021

An alternative model in the provision of CPAP in sleep apnea: a comparative cost analysis.

Demetrio Gonzalez-Vergara, Sergio Marquez-Pelaez, Jose David Alfonso-Arias, Julia Perez-Ramos, Jose Luis Rojas-Box, Manuel Aumesquet-Nosea

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 55% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Demetrio Gonzalez-VergaraUnidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospital Universitario Virgen del Rocío, Avda. Manuel Siurot, s/n, 41013, Seville, Spain. demetriogvergara@gmail.com.
Sergio Marquez-PelaezAgencia de Evaluación de Tecnologías Sanitarias de Andalucía, Seville, Spain.
Jose David Alfonso-AriasAgencia Sanitaria Bajo Guadalquivir, Hospital de Alta Resolución de Constantina, Seville, Spain.
Julia Perez-RamosAgencia Sanitaria Bajo Guadalquivir, Hospital de Alta Resolución de Constantina, Seville, Spain.
Jose Luis Rojas-BoxAgencia Sanitaria Bajo Guadalquivir, Hospital de Alta Resolución de Constantina, Seville, Spain.
Manuel Aumesquet-NoseaAgencia de Evaluación de Tecnologías Sanitarias de Andalucía, Seville, Spain.
Agencia de Evaluación de Tecnologías Sanitarias · ESHospital Universitario Virgen del Rocío · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo conduct a pilot study on an alternative model for the provision of respiratory therapies in sleep apnea-hypopnea syndrome (SAHS) by internalizing the service with the purchase, monitoring and control of continuous positive airway pressure (CPAP) equipment by the hospital.

methodsAn observational, prospective pilot study of comparative cost analysis by internalizing the service to include all patients up to a budget limit of 5000 euros. The cost of internalizing the service included the acquisition of CPAP equipment and all the necessary accessories in addition to the nursing days necessary to track the patients. Patient satisfaction was assessed by a survey of the hospital service.

resultsTwenty-one patients with 23,046 patient-days of follow-up were included. The cost of the internalized system was 6825.11 €. The cost of the outsourced system over the same period would have been 22,781.18 €; thus, the direct saving was 15,956.07 €. The cost per device per day of the internalized system was 0.30 € versus the 0.99 € that the outsourced system would have cost during the study period. In the satisfaction survey, 12 (70.6%) patients indicated that they preferred the service of the hospital over that of the external company. No patient preferred the outsourced system.

conclusionsThe internalization of CPAP service represents significant cost savings from a hospital perspective and an improvement in patients' perceptions of the quality of service.

Indexed as

Sleep Apnea, ObstructiveSleep Apnea SyndromesContinuous Positive Airway PressureCost-Benefit AnalysisHumansPatient CompliancePilot ProjectsProspective StudiesApnea-hypopnea syndrome during sleepCostsCPAPSatisfaction

Identifiers

PMID34006260
PMCPMC8130106
OpenAlexW3160947092

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.