title: Impact of sleep apnea on economics.
abstract: Obstructive sleep apnea syndrome (OSA) alters sleep quality and is associated with sleepiness and decreased cognitive functioning. It has therefore always been recognized as a major public health issue with potential societal consequences: accidents, increased morbidity, and cognitive deficits impairing work efficiency. The number of patients diagnosed and treated for OSA has increased drastically in the last few years. In response to this epidemic, health authorities have encouraged studies investigating how patients cope with OSA and also its diagnosis, comparing ambulatory to hospital-based polysomnography. Based on epidemiological knowledge, this review aims to carefully describe the possible links between sleep apnea and public health concerns along with identifying the certitudes and missing data concerning the consequences of sleep apnea on accidents, work, economics and health-related quality of life.
authors.affiliation: Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, APHP (Assistance Publique Hôpitaux de Paris), Hôtel Dieu de Paris, Sleep and Vigilance Center (Centre du Sommeil et de la Vigilance), 1 pl. du Parvis Notre Dame, 75181 Paris Cedex 04, France. damien.leger@htd.aphp.fr
authors.forename: Damien
authors.initials: D
authors.lastname: Leger
authors.forename: Virginie
authors.initials: V
authors.lastname: Bayon
authors.forename: Jean Pierre
authors.initials: JP
authors.lastname: Laaban
authors.forename: Pierre
authors.initials: P
authors.lastname: Philip
mesh_terms: D000041:Absenteeism; D000059:Accidents; D000328:Adult; D000368:Aged; D017281:Cost of Illness; D004651:Employment / Q000523:psychology; D005260:Female; D005102:Health Expenditures / Q000706:statistics & numerical data; D006297:Health Services Accessibility / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology; D020181:Sleep Apnea, Obstructive / Q000191:economics* / Q000453:epidemiology / Q000523:psychology / Q000628:therapy