Tagged: Sleep Review

Older Undiagnosed Sleep Apnea Patients Incur More Costs, to the Tune of Almost $20,000 Per Year 0

Older Undiagnosed Sleep Apnea Patients Incur More Costs, to the Tune of Almost $20,000 Per Year

Older adults with undiagnosed obstructive sleep apnea seek more health care compared to match controls, according to a study published in the January issue of the Journal of Clinical Sleep Medicine. The study examined the impact of untreated sleep apnea on health care utilization and costs among Medicare beneficiaries.

The authors reviewed a sample of Medicare claims data and found that patients diagnosed with sleep apnea sought medical care more frequently and at higher cost in the 12 months prior to their diagnosis than patients without the sleep disorder. Compared with the control group, those with untreated sleep apnea had greater health care utilization and costs across all points of service, including inpatient, outpatient, emergency, and prescription medications in the year leading up to their sleep apnea diagnosis.

Researchers at the University of Maryland and Columbia University also observed that Medicare patients with sleep apnea were more likely to experience other ailments than those without the sleep disorder. Sleep apnea is linked to an increased risk for high blood pressure, diabetes, heart disease, stroke and depression. The study authors

Jazz Pharmaceuticals’ Sunosi Gets EU Marketing Authorization for Excessive Daytime Sleepiness in Narcolepsy or Obstructive Sleep Apnea 0

Jazz Pharmaceuticals’ Sunosi Gets EU Marketing Authorization for Excessive Daytime Sleepiness in Narcolepsy or Obstructive Sleep Apnea

The European Commission has approved Jazz Pharmaceuticals plc’s Sunosi (solriamfetol) to improve wakefulness and reduce excessive daytime sleepiness (EDS) in adults with narcolepsy (with or without cataplexy) or obstructive sleep apnea (OSA) whose sleepiness has not been satisfactorily treated by primary sleep apnea therapy, such as CPAP. Sunosi is the first dual-acting dopamine and norepinephrine reuptake inhibitor approved to treat EDS in adults living with narcolepsy or OSA and the only licensed therapy in the European Union for the treatment of EDS in adults living with OSA.

“We are excited that with this approval we can offer Sunosi, a daytime medicine that can provide sustained wakefulness throughout the day, to patients living with excessive daytime sleepiness as a result of OSA or narcolepsy in Europe, where historically, treatment options have been very limited,” says Bruce Cozadd, chairman and CEO of Jazz Pharmaceuticals, in a release.

Once-daily Sunosi is approved with doses of 75 mg and 150 mg for people with narcolepsy and doses of 37.5 mg, 75 mg, and 150 mg for patients with OSA. At Week 12 of the

4 Best Sleeping Positions to Improve Sleep Apnea 0

4 Best Sleeping Positions to Improve Sleep Apnea

Pulmonologists speak to US News about the best sleeping positions to prevent sleep apnea.

“Sleep apnea is often worse in the supine (on your back) position because of gravity,” Tsai says. “The tongue falls back and blocks the airway,” so sleeping on your side “may improve sleep apnea and symptoms.” Fotinakes adds that sleeping on your side or in a prone (on your stomach) position “may lessen or even eliminate snoring and apnea in many cases.”

Sleeping on your stomach can be awkward, and some people who try it find they wake up with a stiff neck. Choosing a very thin pillow or a pillow made specifically for stomach sleepers may help reduce strain on the neck when lying face down.

When sleeping on your side, you’ll likely need a thicker pillow to support the head and neck. Some people prefer to cuddle up to a large body pillow to help keep them in the right position. There are lots of pillows that are marketed specifically for addressing sleep apnea concerns, so do a little research and try out a

ResMed to Pay $37.5 Million to Settle False Claims Act Violation Allegations 0

ResMed to Pay $37.5 Million to Settle False Claims Act Violation Allegations

ResMed Corp has agreed to pay more than $37.5 million to resolve False Claims Act violation allegations. ResMed denies that it violated the law. The US Department of Justice (DOJ) alleged that ResMed paid kickbacks to durable medical equipment (DME) suppliers, sleep labs, and other health care providers.

The Anti-Kickback Statute prohibits the knowing and willful payment of any remuneration to induce the referral of services or items that are paid for by a federal healthcare program, such as Medicare, Medicaid, or TRICARE. Claims submitted to these programs in violation of the Anti-Kickback Statute give rise to liability under the False Claims Act.

The settlement resolves allegations that ResMed (a) provided DME companies with free telephone call center services and other free patient outreach services that enabled these companies to order resupplies for their patients with sleep apnea, (b) provided sleep labs with free and below-cost positive airway pressure masks and diagnostic machines, as well as free installation of these machines, (c) arranged for, and fully guaranteed the payments due on, interest-free loans that DME supplies acquired from third-party financial

When an Open Airway Leads to an Open Bite 0

When an Open Airway Leads to an Open Bite

Oral appliance use can cause occlusal changes in sleep apnea patients. Dentists should track tooth and jaw movements, but conservative interventions are typically all that is needed.

For many patients, oral appliance therapy is an effective alternative to CPAP for treating obstructive sleep apnea. However, as with CPAP, clinicians and patients need to be aware of potential side effects.

Among the most common side effects are occlusal changes, including shifting of bites and interproximal spaces, which can affect a significant number of patients. For example, in a 5-year study of 45 patients, 67% experienced a decrease in occlusal contacts.1 A separate study found significant decreases in anterior and posterior overbites with long-term oral appliance use, which, particularly for normal or shallow baseline overbite patients, can cause an open bite.2

While clinically occlusal changes can be significant, they’re often a case of millimeters of change—and rarely noticed by patients.

“Patients don’t often complain about changes,” says Mark T. Murphy, DDS, DABDSM, a dentist who practices in Rochester, Minn, and who is lead faculty for clinical

Itamar Medical Will Participate in Weizmann Institute’s Project 10K 0

Itamar Medical Will Participate in Weizmann Institute’s Project 10K

Itamar Medical Ltd’s WatchPAT home sleep test has been selected for inclusion in the Weizmann Institute’s Project 10K.The 10K Project is a longitudinal study designed to collect lifestyle and clinical data from 10,000 individuals over ten years and aims to use state-of-the-art artificial intelligence technologies to analyze the data in order to generate personalized predictions for disease risk factors. These predictions may improve health outcomes by enabling detection and intervention of treatable medical conditions prior to the onset of symptoms.

“The choice of Itamar Medical’s advanced WatchPAT system for the diagnosis of sleep apnea emphasizes the relationship and significance that the medical and public health communities attribute to the sleep dimension and the impact of sleep quality on the risks of morbidity and heart disease in particular,” says Gilad Glick, president and CEO of Itamar Medical, in a release. “We are pleased to be part of Project 10K and to help expand the understanding of the role that sleep apnea plays in multiple aspects of human health.”

As part of the project, Itamar will provide 150,000 WatchPAT tests for

FusionHealth and Nox Medical Join to Form “Nox Health” 0

FusionHealth and Nox Medical Join to Form “Nox Health”

Sleep health company FusionHealth and sleep monitoring and diagnostics company Nox Medical have joined forces to form Nox Health. The companies say they are united by a vision to enable access to sleep health care through people-centered solutions and aim to bring more expertise, innovation, and collaboration to the field through their combined efforts.

Nox Health is addressing the global sleep health epidemic by providing employers and other healthcare payers with new ways to prioritize well-being through healthy sleep, while also equipping healthcare providers with solutions that enable patient access to comprehensive and more accurate diagnoses of sleep problems.

“We have been working alongside Nox Medical for years, and this move is the next natural milestone for our companies,” says Sigurjon Kristjansson, co-founder of FusionHealth and CEO of Nox Health, in a release. “Nox Medical’s depth of expertise in the sleep diagnostic technology space, combined with the breadth of solutions available through FusionHealth, will allow us to amplify our impact and help far more people than either of us could do alone.”

Known for its technology-enabled, population-based sleep health solutions,

We Know Losing Weight Lessens Sleep Apnea Severity. This New Study Helps Explain Why. 0

We Know Losing Weight Lessens Sleep Apnea Severity. This New Study Helps Explain Why.

Losing weight is an effective treatment for obstructive sleep apnea (OSA), but why exactly this is the case has remained unclear. Now researchers in the Perelman School of Medicine at the University of Pennsylvania have discovered that improvements in OSA symptoms appear to be linked to the reduction of fat in one unexpected body part—the tongue.

Using magnetic resonance imaging (MRI) to measure the effect of weight loss on the upper airway in obese patients, researchers found that reducing tongue fat is a primary factor in lessening the severity of OSA. The findings were published in the American Journal of Respiratory and Critical Care Medicine.

“Most clinicians, and even experts in the sleep apnea world, have not typically focused on fat in the tongue for treating sleep apnea,” says Richard Schwab, MD, chief of Sleep Medicine, in a release. “Now that we know tongue fat is a risk factor and that sleep apnea improves when tongue fat is reduced, we have established a unique therapeutic target that we’ve never had before.”

A 2014 study led by Schwab compared obese patients

Study: Fatty Tongues Could be Driver of Sleep Apnea 0

Study: Fatty Tongues Could be Driver of Sleep Apnea

A new study links the amount of fat in a person’s tongue to sleep apnea.

When sleep apnea patients lost weight, it was the reduction in tongue fat that lay behind the resulting improvements, researchers said. Larger and fattier tongues are more common among obese patients. But the Pennsylvania team said other people with fatty tongues may also be at risk of the sleep disorder.

The researchers now plan to work out which low-fat diets are particularly good at slimming down the tongue.

“You talk, eat and breathe with your tongue – so why is fat deposited there?” said study author Dr Richard Schwab, of Perelman School of Medicine, Philadelphia. “It’s not clear why – it could be genetic or environmental – but the less fat there is, the less likely the tongue is to collapse during sleep.”

Get the full story at bbc.com.

from Sleep Review http://www.sleepreviewmag.com/2020/01/study-fatty-tongues-driver-sleep-apnea/…

Sleep Center in Rockville Says Help Is Available for African Americans Suffering from Sleep Apnea 0

Sleep Center in Rockville Says Help Is Available for African Americans Suffering from Sleep Apnea

For African-Americans, sleep specialist Asefa Jejaw Mekonnen says the potential to develop sleep apnea is particularly high, reports the Montgomery County Sentinel.

“Lack of information and lack of access to service are the main reasons,” says Mekonnen, noting that, “We have to increase awareness to the African American community aggressively.”

For people interested in making an appointment with the Sleep Center, they should be prepared to undergo a comprehensive evaluation and physical exam, which includes a look at their airway and any obstructions.

via Sleep Center in Rockville says help is available for African Americans suffering from sleep apnea.

from Sleep Review http://www.sleepreviewmag.com/2020/01/sleep-center-rockville-says-help-available-african-americans-suffering-sleep-apnea/…