Please use this identifier to cite or link to this item: http://hdl.handle.net/10553/48758
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dc.contributor.authorSánchez-De-La-Torre, M.
dc.contributor.authorNadal, N.
dc.contributor.authorCortijo, A.
dc.contributor.authorMasa, J. F.
dc.contributor.authorDuran-Cantolla, J.
dc.contributor.authorValls, J.
dc.contributor.authorSerra, S.
dc.contributor.authorSánchez-De-La-Torre, A.
dc.contributor.authorGracia, M.
dc.contributor.authorFerrer, F.
dc.contributor.authorLorente, I.
dc.contributor.authorUrgeles, M. C.
dc.contributor.authorAlonso, T.
dc.contributor.authorFuentes, A.
dc.contributor.authorArmengol, F.
dc.contributor.authorLumbierres, M.
dc.contributor.authorVázquez-Polo, F. J.
dc.contributor.authorBarbé, F.
dc.date.accessioned2018-11-24T00:40:47Z-
dc.date.available2018-11-24T00:40:47Z-
dc.date.issued2015
dc.identifier.issn0040-6376
dc.identifier.urihttp://hdl.handle.net/10553/48758-
dc.description.abstractObjective To evaluate whether follow-up of patients with obstructive sleep apnoea (OSA) undergoing CPAP treatment could be performed in primary care (PC) settings.Design Non-inferiority, randomised, prospective controlled study.Settings Sleep unit (SU) at the University Hospital and in 8 PC units in Lleida, Spain.Participants Patients with OSA were randomised to be followed up at the SU or PC units over a 6-month period.Main outcomes measured The primary outcome was CPAP compliance at 6 months. The secondary outcomes were Epworth Sleep Scale (ESS) score, EuroQoL, patient satisfaction, body mass index (BMI), blood pressure and cost-effectiveness.Results We included 101 patients in PC ((mean +/- SD) apnoea-hypopnoea index (AHI) 50.8 +/- 22.9/h, age 56.2 +/- 11 years, 74% male) and 109 in the SU (AHI 51.4 +/- 24.4/h, age 55.8 +/- 11 years, 77% male)). The CPAP compliance was (mean (95% CI) 4.94 (4.47 to 5.5) vs 5.23 (4.79 to 5.66) h, p=0.18) in PC and SU groups, respectively. In the SU group, there were greater improvements in ESS scores (mean change 1.79, 95% CI +0.05 to +3.53, p=0.04) and patient satisfaction (-1.49, 95% CI -2.22 to -0.76); there was a significant mean difference in BMI between the groups (0.57, 95% CI +0.01 to +1.13, p=0.04). In the PC setting, there was a cost saving of 60%, with similar effectiveness, as well as a decrease in systolic blood pressure (-5.32; 95% CI -10.91 to +0.28, p=0.06).Conclusions For patients with OSA, treatment provided in a PC setting did not result in worse CPAP compliance compared with a specialist model and was shown to be a cost-effective alternative.
dc.publisher0040-6376
dc.relation.ispartofThorax
dc.sourceThorax[ISSN 0040-6376],v. 70, p. 346-352
dc.subject.otherPositive Airway Pressure
dc.subject.otherQuality-Of-Life
dc.subject.otherHypopnea
dc.subject.otherManagement
dc.subject.otherPolysomnography
dc.subject.otherAssociation
dc.subject.otherDiagnosis
dc.subject.otherTherapy
dc.subject.otherProgram
dc.titleRole of primary care in the follow-up of patients with obstructive sleep apnoea undergoing CPAP treatment: A randomised controlled trial
dc.typeinfo:eu-repo/semantics/Articlees
dc.typeArticlees
dc.identifier.doi10.1136/thoraxjnl-2014-206287
dc.identifier.scopus84925682668
dc.identifier.isi000350983500010
dc.contributor.authorscopusid16242700100
dc.contributor.authorscopusid56572587300
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dc.contributor.authorscopusid7003898125
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dc.contributor.authorscopusid16681634300
dc.contributor.authorscopusid16461189200
dc.contributor.authorscopusid56572283500
dc.contributor.authorscopusid56015680000
dc.contributor.authorscopusid57203277816
dc.contributor.authorscopusid57095566500
dc.contributor.authorscopusid56572346500
dc.contributor.authorscopusid54385735800
dc.contributor.authorscopusid56572747100
dc.contributor.authorscopusid56572428300
dc.contributor.authorscopusid54385062200
dc.contributor.authorscopusid6507516890
dc.contributor.authorscopusid55771643300
dc.contributor.authorscopusid6602318225
dc.contributor.authorscopusid7007035883
dc.description.lastpage352
dc.description.firstpage346
dc.relation.volume70
dc.type2Artículoes
dc.contributor.daisngid2806199
dc.contributor.daisngid6348412
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dc.contributor.daisngid211858
dc.contributor.wosstandardWOS:Sanchez-de-la-Torre, M
dc.contributor.wosstandardWOS:Nadal, N
dc.contributor.wosstandardWOS:Cortijo, A
dc.contributor.wosstandardWOS:Masa, JF
dc.contributor.wosstandardWOS:Duran-Cantolla, J
dc.contributor.wosstandardWOS:Valls, J
dc.contributor.wosstandardWOS:Serra, S
dc.contributor.wosstandardWOS:Sanchez-de-la-Torre, A
dc.contributor.wosstandardWOS:Gracia, M
dc.contributor.wosstandardWOS:Ferrer, F
dc.contributor.wosstandardWOS:Lorente, I
dc.contributor.wosstandardWOS:Urgeles, MC
dc.contributor.wosstandardWOS:Alonso, T
dc.contributor.wosstandardWOS:Fuentes, A
dc.contributor.wosstandardWOS:Armengol, F
dc.contributor.wosstandardWOS:Lumbierres, M
dc.contributor.wosstandardWOS:Vazquez-Polo, FJ
dc.contributor.wosstandardWOS:Barbe, F
dc.date.coverdateAbril 2015
dc.identifier.ulpgces
dc.description.sjr3,786
dc.description.jcr8,121
dc.description.sjrqQ1
dc.description.jcrqQ1
dc.description.scieSCIE
item.grantfulltextnone-
item.fulltextSin texto completo-
crisitem.author.deptGIR Técnicas estadísticas bayesianas y de decisión en la economía y empresa-
crisitem.author.deptIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.deptDepartamento de Métodos Cuantitativos en Economía y Gestión-
crisitem.author.orcid0000-0002-0632-6138-
crisitem.author.parentorgIU de Turismo y Desarrollo Económico Sostenible-
crisitem.author.fullNameVázquez Polo, Francisco José-
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