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Patient Outcomes Can Measure Success of Obstructive Sleep Apnea Surgery

19/2/2013

 
This is an interesting article from ENT Today looking at outcome measures of snoring and OSA surgery. One can measure hard sleep study data or look at patient-reported outcomes. Either way, surgery for OSA is worth considering for cases where CPAP does not deliver a solution

There is an interesting table comparing the Pros and Cons of patient-reported and physician-recorded data:
POLYSOMNOGRAPHY / SLEEP STUDY (PSG)

+
Hard AHI data to compare surgery to baseline

Can show reductions in mortality risks eg if AHI drops from 100 to 50



-
Does not capture full clinical picture eg symptom improvement, presence or absence of adverse effects or patient satisfaction with procedure
PATIENT REPORTED OUTCOME MEASURES (PROMs)

+
Represents patient's general perception of well-being

Captures symptom improvement

Reports patient's satisfaction with surgery

-
Does not yield objective data to compare post-op results with baseline

Cannot predict reduction in mortality risk
http://www.enttoday.org/details/article/4330421/Patient_Outcomes_Can_Measure_Success_of_Obstructive_Sleep_Apnea_Surgery.html

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Jonathan Hobson - HobsonENT

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