0604 Substantial Cost Savings with Novel Oral Appliance O2Vent Optima Compared to CPAP Therapy in Canada
Bibliographic record
Abstract
Abstract Introduction There is a common perception that oral appliance therapy (OAT) is more expensive than the continuous positive airway pressure (CPAP) therapy. This may be a prohibitive factor for many clinicians and patients to choose a less intrusive therapy with better compliance. Private insurance payers in Canada offer preferential approvals for CPAP over OAT. While oral appliance costs vary and encompass high dentistry fees, CPAP costs are standard. The novel Oral appliance O2Vent Optima also has standard pricing in Canada. The purpose of this investigation is to examine the costs associated with O2Vent Optima versus the CPAP. Methods CPAP costs are partially offset by the governments in Canada, the consumables are paid by the users or private insurance. The replacement schedule for the consumables is manufacturer recommended, followed by the CPAP vendors and insurance payers. These include: mask, hose, filters, wipes, mask replacement cushions, water reservoir, tubing and distilled water. The O2Vent Optima also has additional costs for consumables: connector bands, antibacterial tablets for cleaning and ExVent valves. Results Initial CPAP price is $1,500; $1,085 with government subsidy. Yearly expenditure for the CPAP consumables is $1,330. Total cost for a 3- year and 5- year CPAP therapy is: $5,075 and $7,735 respectively. O2Vent Optima retails at $2,500 with the insurance payment, and $2,000 if paid out of pocket. The consumables cost $200/year. Total cost of O2Vent Optima at 3- year and 5- year is: $3,100 or $2,600 and $3,500 or $3,000 respectively. Over a 3- and 5- year period, O2Vent Optima resulted in a net saving of $1,975 and $4,235 over CPAP. Daily cost burden of CPAP at 3- and 5- year is $4.63 and $4.24 compared to $2.83 and $1.92 at 3- and 5- year with O2Vent Optima. Conclusion Therapy with CPAP compared to OAT with O2Vent Optima costs 165% more at 3 years and 220% more at 5 years. Based on this analysis, it is anticipated that private insurance payers in Canada will endorse a cost-effective and better tolerated therapy with novel oral appliance O2Vent Optima, in addition to the CPAP. Support (if any) This investigation was sponsored by Open Airway Dental Solutions Ltd. (OADS)
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".