PD27-07 INCIDENCE AND CHARACTERISTICS OF MEN AT HIGH RISK FOR SLEEP APNEA IN A HIGH VOLUME ANDROLOGY CLINIC

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Evaluation I1 Apr 2018PD27-07 INCIDENCE AND CHARACTERISTICS OF MEN AT HIGH RISK FOR SLEEP APNEA IN A HIGH VOLUME ANDROLOGY CLINIC J. Abram McBride, Taylor P. Kohn, Katherine M. Rodriguez, Nannan Thirumavalavan, Daniel J. Mazur, Alexander W. Pastuszak, and Larry I. Lipshultz J. Abram McBrideJ. Abram McBride More articles by this author , Taylor P. KohnTaylor P. Kohn More articles by this author , Katherine M. RodriguezKatherine M. Rodriguez More articles by this author , Nannan ThirumavalavanNannan Thirumavalavan More articles by this author , Daniel J. MazurDaniel J. Mazur More articles by this author , Alexander W. PastuszakAlexander W. Pastuszak More articles by this author , and Larry I. LipshultzLarry I. Lipshultz More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.1358AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Approximately 30% of American men are at risk for obstructive sleep apnea (OSA), the diagnosis of which is confirmed by polysomnography (PSG) testing. The incidence of men presenting to men’s health clinics who are at risk for OSA is poorly understood. Here we determine the risk of OSA among men and evaluate the outcomes of those referred for PSG testing. METHODS Men presenting to a single andrology clinic between July and October 2017 were evaluated for risk of OSA using the validated STOP-BANG sleep apnea survey. STOP-BANG results were stratified by those at low/intermediate and high risk for OSA. Patient specific characteristics were recorded, including comorbidities and testosterone therapy (TTh) use. Distribution of variables was assessed with the Ryan-Joiner normality test. Student’s t-Test and Chi-Squared analysis were used to assess continuous and categorical variables, respectively, and R and ggplot2 were used to calculate odds ratios and confidence intervals. Secondary analysis was performed to determine the PSG referral outcome and patient reported outcome of the referral process using an anonymous Survey Monkey survey. RESULTS 312 men completed the STOP-BANG questionnaire with 88 (27.4%) men considered at high risk (score >5) for OSA (Table 1). Univariate analysis demonstrated those at high risk of OSA were older, on TTh, current smokers, with elevated BMI, hypertension (HTN), hyperlipidemia (HLD), or diabetes (Table 1). A BMI over 30 (OR 1.21, 95% CI 1.12-1.31), HTN (OR 2.71, 95% CI 1.35-5.43) and HLD (OR 2.17, 95% CI 1.04-4.52) were significant predictors of high risk for OSA on multivariate analysis, but the use of TTh was not significant (Table 1). Not all high risk men agreed to PSG referral, but of the 32 men who were referred for PSG, 16 (50%) completed the post-referral survey. Of these, only 5 (31%) completed PSG testing, of which 4 (80%) were diagnosed with OSA. Difficulty scheduling and cost were commonly reported reasons for not completing PSG referral. CONCLUSIONS One in three men presenting to a single andrology clinic were found to be at high risk for OSA. 80% of these men were ultimately diagnosed with OSA on PSG testing. These findings support the need to question men about sleep quality and of the importance of encouraging subsequent objective testing. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e559-e560 Advertisement Copyright & Permissions© 2018MetricsAuthor Information J. Abram McBride More articles by this author Taylor P. Kohn More articles by this author Katherine M. Rodriguez More articles by this author Nannan Thirumavalavan More articles by this author Daniel J. Mazur More articles by this author Alexander W. Pastuszak More articles by this author Larry I. Lipshultz More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...