(1318) Sleep-Disordered Breathing: Patient Factors Affecting Consultation and Intervention

Introduction: To investigate the general public’s treatment preferences for sleep disordered breathing based on sleep history and general demographic factors.

Methods: This study was an anonymous online questionnaire distributed using Amazon Mechanical Turk in 2022 used to characterize the demographic characteristics with patients with sleep disordered and what factors may influence their desire to purse a wide array of treatment . In addition to the survey, the Functional Outcomes of Sleep Questionnaire (FOSQ-10) responses were collected. Descriptive statistics, paired t-tests, and Pearson’s chi-squared tests were used to analyze data.

Results: Of 3,259, 2,481(76.1%) individuals wanted intervention; 778 (23.9%) did not. Respondents were more likely to have received and want conservative management vs. surgical intervention. Nasal appliance (21.7%;27.7%), oral appliance (17.8%;21.5%), and continuous positive airway pressure (CPAP) machine (15.3%;13.9%) were the most desired treatments. Satisfaction scores were equivocal between all interventions. Among people who have never been treated, men and people who identify as Latinx are more likely to report snoring. Higher FOSQ-10 indicated lower likelihood of consultation and surgical management. Respondents with romantic partners with complaints were more likely to seek consultation and surgical intervention. Most respondents with formal diagnosis had seen an otolaryngologist and done internet research on their condition. Respondents who had seen an otolaryngologist in the past were more interested seeing an otolaryngologists.

Conclusions: Respondents preferred non-surgical management and gave similar satisfaction scores between all treatment modalities. Factors making patients more likely to pursue consultation or treatment are sex , low FOSQ-10 scores, formal diagnosis sleep-related breathing disorder, and romantic partners who complaints. These results help understand and identify candidates for sleep surgery consultation and management allowing for better intervention and management of sleep disorders improvement of quality of life.