Cost Effectiveness of Ambulatory Management for Veterans With Sleep Apnea (VSATT)

This study is ongoing, but not recruiting participants.
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT00880165
First received: April 10, 2009
Last updated: August 28, 2013
Last verified: August 2013
  Purpose

This research study is comparing home and in-laboratory testing of veterans with suspected obstructive sleep apnea, a common breathing disorder during sleep. It is hoped that home testing will be equally effective in improving quality of life but have lower cost than in-lab testing. These findings will allow veterans to have greater access to diagnosis and treatment of their sleep apnea.


Condition Intervention
Obstructive Sleep Apnea
Device: Continuous positive airway pressure apparatus

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Diagnostic
Official Title: Cost Effective Strategy to Evaluate Veterans With Sleep Apnea

Resource links provided by NLM:


Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • Cost effectiveness [ Time Frame: 12-124 weeks based on rolling enrollment of participants ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Functional Outcome of Sleep Questionnaire [ Time Frame: 3 months ] [ Designated as safety issue: No ]

Enrollment: 300
Study Start Date: November 2006
Estimated Study Completion Date: June 2014
Primary Completion Date: July 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Arm 1
In-laboratory testing
Device: Continuous positive airway pressure apparatus
Veterans randomized to both arms who are diagnosed with obstructive sleep apnea will be started on treatment with continuous positive airway pressure.
Other Name: CPAP
Active Comparator: Arm 2
Home unattended testing
Device: Continuous positive airway pressure apparatus
Veterans randomized to both arms who are diagnosed with obstructive sleep apnea will be started on treatment with continuous positive airway pressure.
Other Name: CPAP

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years to 90 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Individuals willing to participate must meet the following eligibility criteria prior to enrollment:

  • Patients referred for a sleep evaluation for suspected sleep apnea.
  • Age 18 years or older
  • Living within 90 miles of the Sleep Center.

Exclusion Criteria:

Individuals will be excluded from the study for the following reasons:

  • Unable or unwilling to provide informed written consent.
  • Lack of telephone access or inability to return for follow-up testing.
  • A history of prior sleep evaluations, OSA treatment, or sleep disorder in addition to OSA.
  • A clinically unstable chronic medical condition as defined by a new diagnosis or change in medical management in the previous 3 months of cardiac disease, thyroid disease, diabetes, depression or psychosis, cirrhosis, or recently diagnosed cancer.
  • Individuals already on long term oxygen therapy or requiring bilevel positive airway pressure.
  • Individuals with rotating shift work or irregular work schedules over the last 6 months.
  • Suspected or confirmed to be pregnant. A pregnancy test will be performed using the urine sample obtained at the initial visit.
  • Inability to complete the Assessment Battery - e.g. less than a 5th grade reading level
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00880165

Locations
United States, Pennsylvania
Leonard Davis Institute of Health Economics
Philadelphia, Pennsylvania, United States, 19104-6128
VA Pittsburgh Healthcare System
Pittsburgh, Pennsylvania, United States, 15240
Sponsors and Collaborators
Investigators
Principal Investigator: Samuel T. Kuna, MD VA Medical Center, Philadelphia
  More Information

Publications:
Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT00880165     History of Changes
Other Study ID Numbers: IIR 04-021
Study First Received: April 10, 2009
Last Updated: August 28, 2013
Health Authority: United States: Federal Government

Keywords provided by Department of Veterans Affairs:
Polysomnogram
Continuous positive airway pressure

Additional relevant MeSH terms:
Apnea
Sleep Apnea Syndromes
Sleep Apnea, Obstructive
Respiration Disorders
Respiratory Tract Diseases
Signs and Symptoms, Respiratory
Signs and Symptoms
Sleep Disorders, Intrinsic
Dyssomnias
Sleep Disorders
Nervous System Diseases

ClinicalTrials.gov processed this record on April 16, 2014