<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022024000100035</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Razones y abordajes relacionados con el sub-diagnóstico de apnea obstructiva del sueño en la población adulta de Panamá]]></article-title>
<article-title xml:lang="en"><![CDATA[Reasons and approaches to under-diagnosed obstructive sleep apnea in the adult population of Panama]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Concepción]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Griffin Hospital Department of Medicine ]]></institution>
<addr-line><![CDATA[Derby Connecticut]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2024</year>
</pub-date>
<volume>66</volume>
<numero>1</numero>
<fpage>35</fpage>
<lpage>40</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022024000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022024000100035&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022024000100035&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La apnea obstructiva del sueño está intimamente relacionada a condiciones crónicas y es una carga significativa para pacientes y sistemas de salud. Tiene implicacions negativas para los sistemas cardiovascular, metabólico y neuro-psiquiátricos. Está subdiagnosticada globalmente, el diagnóstico definitivo y el tratamiento para las formas moderadas y severas de la enfermedad son considerablemente costosos. Hay escasa evidencia de la carga que esta condición representa en Panamá, así como en otros países de América. Se espera que el estilo de vida sedentario, la obesidad y la apnea obstructiva del sueño aumenten en prevalencia, haciendo de suma importancia abordar el sub-diagnóstico y establecer redes de atención en salud que puedan lidiar con esto eficientemente. La aplicación de estrategias como cuestionarios y biometría simple, son métodos que pueden ayudar a una eficiente asignación de recursos, con el fin de desarrollar una red de salud que pueda eventualmente tener la capacidad de estimar con exactitud la carga de la enfermedad, y ofrecer opciones apropiadas de tratamiento. Panamá tiene un sistema de salud complejo que comparte características con otros países de América, desarrollar una red de salud para apnea del sueño en el sistema público de salud requiere una sabia asignación de recursos, que siga la evidencia científica, minimice la áreas pobremente servidas y maximice la eficiencia.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Obstructive sleep apnea is intimately related to chronic conditions that have significant burden for patients and healthcare systems. It has negative implications for cardiovascular, metabolic and neuro-psychiatric systems. It is underdiagnosed worldwide; definitive diagnosis, as well as treatment for moderate to severe forms of the disease, are considerably expensive. There is scarce evidence of the burden the condition represents for Panama and other American countries. Sedentary lifestyle, obesity and obstructive sleep apnea are expected to increase in prevalence, making it of the utmost importance to address its underdiagnosis and to establish healthcare networks that can efficiently deal with it. The application of affordable strategies, such as questionnaires and simple biometrics, could help in efficient resource allocation to develop public health networks that would eventually be capable of accurately estimating disease burden, and to offer adequate therapeutic options. Panama has a complex health system that shares similarities with other American countries; developing a sleep apnea program in this public health system requires wise scientific driven resource allocation that minimizes underserved areas and maximizes efficiency.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Sleep apnea syndromes]]></kwd>
<kwd lng="en"><![CDATA[prevalence]]></kwd>
<kwd lng="en"><![CDATA[healthcare disparities]]></kwd>
<kwd lng="en"><![CDATA[resource allocation]]></kwd>
<kwd lng="en"><![CDATA[Panama.]]></kwd>
<kwd lng="es"><![CDATA[síndromes de la apnea del sueño]]></kwd>
<kwd lng="es"><![CDATA[prevalencia]]></kwd>
<kwd lng="es"><![CDATA[disparidades en atención en salud]]></kwd>
<kwd lng="es"><![CDATA[asignación de recursos.]]></kwd>
</kwd-group>
</article-meta>
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