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Nurse specialist led sleep pathway is clinically effective and cost effective compared to a pathway delivered by consultants.

Pittman, M. A.; Ward, L.; Devasia, S.; Pratley, W.; Darda, M.; Cooke, D.; Bloxham, S.

2025-06-06 respiratory medicine
10.1101/2025.06.03.25328720 medRxiv
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IntroductionProfessionals other than Physicians are commonly employed to evaluate patients with possible sleep apnoeas worldwide, but less so in the UK. This study evaluates a novel Nurse Specialist led sleep diagnostic pathway. MethodsA sample of patients treated in the novel, Nurse led, pathway were compared to a group treated in a more conventional, Consultant led, setting. ResultsThe use of a Nurse led pathway significantly reduced time from referral to CPAP set up (56 days) compared to the Consultant led pathway (213.5 days) with comparable outcomes in terms of CPAP compliance and symptom improvement. ConclusionThe use of a Nurse led sleep diagnostic pathway significantly reduces waiting times, whilst maintaining appropriate clinical standards.

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