The purpose of this study was to analyze the regional trends of sleep apnea medical care utilizing the National Database of Health Insurance Claims and Specific Health Checkups of Japan Open Data Japan (NDB-ODJ), which records data on the number of health insurance claims in Japan. Data were obtained on the number of adaptive servo-ventilation (ASV), continuous positive airway pressure (CPAP), and hypnotic agents used from the NDB-ODJ-published claims data. Government statistical data and data published by academic societies were also used. NDB-ODJ data were calculated using the indirect age standardization rates (ASR [ind]), and other relevant data were calculated per population. The association between NDB-ODJ and related data was assessed using the Spearman's rank correlation coefficient (r). ASV use tended to increase with age for both males and females. On the other hand, CPAP showed a clear difference in the peak age range for CPAP usage between males and females. The peak CPAP users were males aged 55–59 years and females aged 60–65 years. The ASR (ind) value of ASV and CPAP was 0.45–2.73 and 0.64–1.85 in 2017, respectively. There was a correlation with 2017 ASV and benzodiazepines (r = 0.32, P = 0.03), hypnotics (r = 0.37, P = 0.01), and cardiovascular disease (r = 0.32, P = 0.03). In addition, the correlation with CPAP was related to the number of sleep specialists (r = 0.30, P = 0.04). It was found that ASV has a large regional difference compared to CPAP. Even in ASV, it is desirable that regional differences become smaller with proper use.

本研究的目的是利用日本开放数据日本国家健康保险索赔和特定健康检查数据库 (NDB-ODJ) 分析睡眠呼吸暂停医疗的区域趋势，该数据库记录了日本健康保险索赔数量的数据。日本。从 NDB-ODJ 公布的索赔数据中获得了有关自适应伺服通气 (ASV)、持续气道正压通气 (CPAP) 和催眠药数量的数据。还使用了政府统计数据和学术团体公布的数据。NDB-ODJ 数据使用间接年龄标准化率 (ASR [ind]) 计算，其他相关数据按人群计算。NDB-ODJ 与相关数据之间的关联使用 Spearman 等级相关系数 ( r）。男性和女性的 ASV 使用都随着年龄的增长而增加。另一方面，CPAP 显示出男性和女性使用 CPAP 的高峰年龄范围存在明显差异。CPAP 使用者的高峰是 55-59 岁的男性和 60-65 岁的女性。2017 年 ASV 和 CPAP 的 ASR（ind）值分别为 0.45-2.73 和 0.64-1.85。与 2017 年 ASV 和苯二氮卓类药物 ( r  = 0.32, P  = 0.03)、催眠药 ( r  = 0.37, P  = 0.01) 和心血管疾病 ( r  = 0.32, P  = 0.03) 存在相关性。此外，与CPAP的相关性与睡眠专家的数量有关（r  =0.30，P = 0.04）。结果发现，与 CPAP 相比，ASV 具有较大的区域差异。即使在 ASV 中，也希望通过适当使用区域差异变得更小。