Featured Research

from universities, journals, and other organizations

Wide variation in UK sleep disorders services doesn't match need

Date:
September 18, 2013
Source:
BMJ-British Medical Journal
Summary:
The provision of services to treat an increasingly common sleep disorder linked to serious ill health varies widely across the UK and does not match current need, indicates research.

Demand for sleep services is set to rise in tandem with increasing population age and girth, both of which are risk factors for the disorder, known as obstructive sleep apnoea or OSA for short.

OSA is a condition that disrupts breathing during sleep, usually as a result of the relaxation of the muscles and soft tissues in the throat which relax and collapse to block the airway for 10 or more seconds. It affects an estimated 4% of middle aged men and 2% of middle aged women, and is associated with obesity and increasing age. But it is thought that 80% of cases remain undiagnosed.

Because OSA disrupts breathing during sleep, it usually interferes with the quality and length of sleep as well, leading to daytime sleepiness and the risk of accidents as well as other health problems associated with poor quality sleep.

The researchers used British Lung Foundation data, to identify the location of sleep disorder centres in all four UK countries.

To uncover hotspots with the highest predicted rates of OSA, they used prevalence data for the five most common factors associated with OSA -- obesity, type 2 diabetes, older age, high blood pressure, and gender -- in the populations served by 239 different NHS administrative areas in all four UK countries.

They then mapped the predicted prevalence rates of OSA onto the location of sleep disorder centres and found "a concerning mismatch" between them.

Wales, the North East of England, large parts of East Anglia and Lincolnshire were the areas with the highest predicted rates of the condition, while large conurbations in England and Scotland and several counties around London were among the areas with the lowest predicted rates.

The number of sleep centres across the UK totalled 289, only 50 of which offered full diagnostic assessment of sleep problems (polysomnography), equivalent to one centre for every 1.25 million citizens -- a ratio that is around 10 times higher than in the USA.

And these centres were not evenly distributed either. For example, 66 of the 213 clinical commissioning group areas in England had no sleep centre at all, yet there were nine in one large conurbation.

The evidence shows that the number of diagnostic sleep studies per 1000 of the population varies 60-fold across the UK -- the highest variation of any branch of respiratory healthcare, the study authors point out.

"[This] is a reflection of both a low rate of symptom recognition and referral from primary care, and a lack of services to which patients can be referred," they write.

"Sleep medicine is still evolving, and despite an increasingly obese an aging population with an intensifying likelihood of developing [other conditions] at the same time such as diabetes and [high blood pressure], the UK's need for a nationwide delivery strategy for sleep service provision has not been adequately addressed," they add.

"The current provision of sleep services in the UK does not meet the healthcare requirements of the population and varies remarkably," they conclude.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Cite This Page:

BMJ-British Medical Journal. "Wide variation in UK sleep disorders services doesn't match need." ScienceDaily. ScienceDaily, 18 September 2013. <www.sciencedaily.com/releases/2013/09/130918211608.htm>.
BMJ-British Medical Journal. (2013, September 18). Wide variation in UK sleep disorders services doesn't match need. ScienceDaily. Retrieved September 23, 2014 from www.sciencedaily.com/releases/2013/09/130918211608.htm
BMJ-British Medical Journal. "Wide variation in UK sleep disorders services doesn't match need." ScienceDaily. www.sciencedaily.com/releases/2013/09/130918211608.htm (accessed September 23, 2014).

Share This



More Health & Medicine News

Tuesday, September 23, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Liberia Pleads for Help to Fight Ebola

Liberia Pleads for Help to Fight Ebola

AP (Sep. 22, 2014) Liberia's finance minister is urging the international community to quickly follow through on pledges of cash to battle Ebola. Bodies are piling up in the capital Monrovia as the nation awaits more help. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Ebola Doctor Says Border Controls Critical

Ebola Doctor Says Border Controls Critical

AP (Sep. 22, 2014) A Florida doctor who helped fight the expanding Ebola outbreak in West Africa says the disease can be stopped, but only if nations quickly step up their response and make border control a priority. (Sept. 22) Video provided by AP
Powered by NewsLook.com
Global Ebola Aid Increasing But Critics Say It's Late

Global Ebola Aid Increasing But Critics Say It's Late

Newsy (Sep. 21, 2014) More than 100 tons of medical supplies were sent to West Africa on Saturday, but aid workers say the global response is still sluggish. Video provided by Newsy
Powered by NewsLook.com
Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins