By Will Boggs, MD
Wed Mar 21, 3:06 PM ET
NEW YORK (Reuters Health) - Untreated insomnia among adults
in the United States generates significant direct and indirect
costs, according to a report in the medical journal "Sleep," so
treating this condition is probably cost-effective.
"Our study suggests that ignoring insomnia will result in
substantially higher medical expenditures and lost days of
productivity at work," Dr. Ronald J. Ozminkowski from Thomson
Medstat, Ann Arbor, Michigan told Reuters Health.
Ozminkowski and associates used data obtained from medical
claims to investigate the direct costs and employee
absenteeism, and short-term disability records to estimate the
indirect costs, associated with treated and untreated insomnia.
Patients who were eventually diagnosed with insomnia had
significantly higher direct medical expenses than those who
were never diagnosed with insomnia, the results indicate. The
difference in the average direct costs, defined as the medical
expenses of untreated insomnia, was $924 for patients under age
65 and $1143 for older patients.
Absenteeism costs averaged $3042 for patients with
untreated insomnia, compared with $2637 for patients without
insomnia, a difference of $405, the researchers note.
Similarly, short-term disability expenditures were $86
higher for patients with untreated insomnia than for patients
never diagnosed with insomnia, the report indicates.
"Chronic insomnia is estimated to affect about 10 percent
of the U.S. population, so it would not be surprising if at
least 1 out of 10...patients had it," Ozminkowski said.
Information in the published literature "also suggests that
most people with insomnia seek over-the-counter treatment, or
get no treatment, for lengthy periods of time," Ozminkowski
continued. "It may be more useful for employers and health
plans to find better ways to motivate employees and health plan
beneficiaries with insomnia to seek formal treatment, to avoid
unnecessary medical expenditures or lost productivity."
SOURCE: Sleep, March 1, 2007.
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If lack of sleep can and does result in
divorce, destructive behaviors, driving accidents, heart complications,
depression and anxiety--- it makes sense that productivity
at the work place would suffer.
This article is talking about insomnia
but really can pertain to any sleep disorder as they all have the
end result...sleep deprivation. Many people with sleep problems don't
seek the help they need. Some think that their insomnia will eventually
go away while others don't want to be told to take sleep medication.
Some sleep apnea sufferers think that a CPAP machine is the only treatment and
don't want to even venture in that direction. There are now
minimally invasive surgeries as well as non-surgical methods to help sleep
apnea sufferers. As for the insomniac, there are cures other than
medications... as I and many others have realized. Many people don't take steps to get help because of lack
of knowledge about the treatments and different cures available.
What if companies would incorporate sleep support? There
would be a "sleep guidance counselor" available by phone or appointment
that would help direct people with their specific sleep issues. The sleep
guidance counselor would give guidance on what specialists are
available and give support on the treatments for sleep apnea. Regarding the CPAP machine, the compliance level of this treatment can be low. If they had a personal coach motivating them to try different masks or nasal/mouth apparatuses, I've got to believe the compliance level with this treatment would increase.
As for the insomniacs, they would be taught the different methods to conquer their
insomnia as well as having daily follow-up on their progression. Many times insomnia is caused by a habit as the brain becomes programmed with a certain sleep pattern. The sleep guidance counselor would be there to help them follow a program, break the habit and get their sleep back on track.
I
believe that with this simple structure in the workplace people would be more
motivated to take action in order to cure their problem. When support is at your door step and someone is assigned to your sleep progress, positive results are sure to follow.