Economic Burden of Obstructive Sleep Apnea: A Case Study from Kermanshah, Iran
| Author | Mehdi Mirzaei-Alavijeh | en |
| Author | Habibolah Khazaie | en |
| Author | Satar Rezaei | en |
| Author | Farid Najafi | en |
| Author | Mohammad Rasoul Ghadami | en |
| Author | Negar Karimi | en |
| Author | Farzad Jalilian | en |
| Orcid | Mehdi Mirzaei-Alavijeh [0000-0003-3695-6971] | en |
| Orcid | Habibolah Khazaie [0000-0002-8066-9753] | en |
| Orcid | Farid Najafi [0000-0002-0534-6444] | en |
| Orcid | Farzad Jalilian [0000-0002-5923-7016] | en |
| Issued Date | 2025-07-31 | en |
| Abstract | Background: Obstructive Sleep Apnea (OSA) is a widespread sleep-related disorder impacting millions worldwide, with significant effects on individuals and healthcare systems. Objectives: This study aimed to assess the economic burden of OSA in Kermanshah, western Iran. Methods: In this cross-sectional study, 179 OSA patients were recruited. A prevalence-based Cost of Illness (COI) approach was utilized to estimate the economic burden of OSA. Costs were analyzed from a societal perspective, employing a top-down methodology. Data on the background and economic burden of OSA were collected through phone interviews. The cost per patient was calculated over a one-year period. All costs were initially expressed in Iranian Rials and later converted to US dollars. Results: The study revealed a mean cost of $183 per patient annually, with direct healthcare costs comprising 90.2% of the total expenses, primarily for diagnostic procedures and treatments. Despite this, continuous positive airway pressure (CPAP) uptake was remarkably low (1.1%), indicating barriers to optimal care. The mean age of patients was 48 years, with the majority being male (65.9%) and overweight or obese (81%). Drowsiness-related car accidents (7.8%) and workplace incidents (5%) highlighted OSA's safety and productivity impacts. Costs showed no significant variation across demographic variables. Conclusions: In our study, direct healthcare costs constituted the largest component of OSA-related expenses. These findings serve as a warning for health policymakers in Iran about the substantial economic implications of OSA. | en |
| DOI | https://doi.org/10.5812/jhrt-159136 | en |
| Keyword | Burden of Disease | en |
| Keyword | Healthcare Costs | en |
| Keyword | Cost of Illness | en |
| Keyword | Obstructive Sleep Apnea | en |
| Keyword | Polysomnography | en |
| Publisher | Brieflands | en |
| Title | Economic Burden of Obstructive Sleep Apnea: A Case Study from Kermanshah, Iran | en |
| Type | Research Article | en |
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