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Practice patterns of board-certified sleep medicine providers: a national analysis among older adult Medicare beneficiaries
- Source :
- J Clin Sleep Med
- Publication Year :
- 2020
- Publisher :
- American Academy of Sleep Medicine (AASM), 2020.
-
Abstract
- STUDY OBJECTIVES: To examine the proportion of Medicare beneficiaries with sleep disorders who were evaluated by board-certified sleep medicine providers (BCSMPs). METHODS: Using a random 5% sample of Medicare administrative claims data (2007–2011), BCSMPs were identified by employing a novel cross-matching approach based on National Provider Identifiers available within the Medicare database. Sleep disorders were included based partially on the International Classification of Sleep Disorders, Third Edition (insomnia, sleep-related breathing disorders, hypersomnias, circadian rhythm sleep-wake disorders, parasomnias, and restless legs syndrome), and operationalized as International Classification of Diseases, Ninth Revision, Clinical Modification diagnostic codes. The proportion of beneficiaries with each disorder who were seen by BCSMPs and nonspecialists was computed. RESULTS: Among older adult Medicare beneficiaries with sleep disorders, the most common sleep disorder was insomnia (n = 65,033), and the least common sleep disorder was narcolepsy (n = 784). Individuals with central sleep apnea (n = 1,561) were most likely to be treated by a BCSMP (63.9% of beneficiaries with central sleep apnea), and individuals diagnosed with insomnia were least likely to be treated by a BCSMP (16.4% of beneficiaries with insomnia). Most BCSMPs treated beneficiaries with obstructive sleep apnea (84.9% of BCSMPs) and insomnia (75.8% of BCSMPs). CONCLUSIONS: BCSMPs are involved in the care of a substantial proportion of Medicare beneficiaries with sleep disorders. CITATION: Wickwire EM, Albrecht JS, Dorsch JJ, et al. Practice patterns of board-certified sleep medicine providers: a national analysis among older adult Medicare beneficiaries. J Clin Sleep Med. 2020;16(5):689–694.
- Subjects :
- Sleep Wake Disorders
Pulmonary and Respiratory Medicine
medicine.medical_specialty
MEDLINE
Sample (statistics)
Certification
Medicare
Sleep medicine
03 medical and health sciences
0302 clinical medicine
Restless Legs Syndrome
Sleep Initiation and Maintenance Disorders
medicine
Humans
Aged
Practice patterns
business.industry
Medicare beneficiary
Scientific Investigations
United States
030228 respiratory system
Neurology
Family medicine
Neurology (clinical)
Sleep (system call)
Board certification
Sleep
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15509397 and 15509389
- Volume :
- 16
- Database :
- OpenAIRE
- Journal :
- Journal of Clinical Sleep Medicine
- Accession number :
- edsair.doi.dedup.....3ed566faf2b9068eff8332df599d1822