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Title: | The social and economic cost of sleep disorders. | Authors: | Streatfeild J.;Smith J. ;Mansfield D. ;Pezzullo L.;Hillman D. | Monash Health Department(s): | Respiratory and Sleep Medicine | Institution: | (Streatfeild, Smith, Pezzullo) Health Economics and Social Policy Team, Deloitte Access Economics, Canberra, Australia (Mansfield) Monash Lung and Sleep Department, Monash Health, Melbourne, Australia (Hillman) Centre for Sleep Science, University of Western Australia, Perth, Australia (Hillman) West Australian Sleep Disorders Research Institute, Department of Pulmonary Physiology and Sleep Medicine, Sir Charles Gairdner Hospital, Perth, Australia |
Issue Date: | 25-Mar-2022 | Copyright year: | 2021 | Publisher: | Oxford University Press | Place of publication: | United States | Publication information: | Sleep. 44(11) (no pagination), 2021. Article Number: zsab132. Date of Publication: 01 Nov 2021. | Journal: | Sleep | Abstract: | Study Objectives: To estimate economic cost of common sleep disorders in Australia for 2019-2020. Method(s): Costs were estimated for obstructive sleep apnea (OSA), insomnia, and restless legs syndrome (RLS) using prevalence, financial, and nonfinancial data from national databases. These included: (1) financial costs associated with health care, informal care, productivity losses, non-medical accident costs, deadweight loss from taxation/welfare inefficiencies; and (2) nonfinancial costs associated with loss of well-being. They were expressed in U.S. dollars ($). Result(s): Estimated overall cost of sleep disorders in Australia in 2019-2020 (population: 25.5 million) was $35.4 billion (OSA $13.1 billion; insomnia $13.3 billion, RLS $9.0 billion). Of this, the financial cost component was $10.0 billion, comprised of: health system costs $0.7 billion; productivity losses $7.7 billion; informal care $0.2 billion; other, mainly non-medical accident costs, $0.4 billion; and deadweight losses $1.0 billion. For moderate to severe OSA syndrome, insomnia unrelated to other conditions and RLS, financial costs represented $16,717, $21,982, and $16,624 per adult with the condition for the year, respectively. The nonfinancial cost was $25.4 billion. Conclusion(s): The economic costs associated with sleep disorders are substantial. The financial component of $10.0 billion is equivalent to 0.73% of Australian gross domestic product. The nonfinancial cost of $25.4 billion represents 3.2% of total Australian burden of disease for the year. Health system costs of these disorders are low relative to those associated with their consequences, suggesting greater expenditure on detection, treatment and prevention is warranted.Copyright © 2021 Sleep Research Society 2021. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please email: journals.permissions@oup.com. | DOI: | http://monash.idm.oclc.org/login?url=https://dx.doi.org/10.1093/sleep/zsab132 | PubMed URL: | 34015136 [https://www.ncbi.nlm.nih.gov/pubmed/?term=34015136] | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/47242 | Type: | Article | Subjects: | absenteeism Australia cerebrovascular accident cerebrovascular disease congestive heart failure continuous positive airway pressure coronary artery disease cost of illness death toll depression diabetes mellitus diagnostic imaging disability-adjusted life year disease burden drug cost employment general practitioner gross national product health care cost health care utilization hospital cost insomnia/dm [Disease Management] medical accident medical specialist non insulin dependent diabetes mellitus occupational accident opportunity cost pathology physician premature mortality presenteeism productivity restless legs syndrome/dm [Disease Management] sleep disordered breathing/dm [Disease Management] social aspect tax traffic accident wellbeing workplace |
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