Countries covered: United States
Of a total population of 305 million Americans, 58% are estimated to experience insomnia symptoms or sleep disorders. Companies across America are trying to sell us a perfect night’s sleep with pills, premium mattresses, high tech pillows, white noise machines, aromatherapy, and more. And it has fast become a $23.7 billion a year industry.
As obesity rates climb and Americans age, more people are developing sleep apnea, restless legs syndrome and other sleep disorders. Plus, stressors from the economy, terrorism and longer workdays is resulting in more sleepless nights. Some claim that “sleep is the new sex—we need more of it and can’t get enough of it.” First launched in 1977, there are now 3,500 to 4,000 “sleep labs” in the United States. These labs perform sleep studies and help design treatment programs for insomniacs and those with sleep apnea and other conditions.
This groundbreaking new Marketdata study examines the “sleep” market and its components, covering markets for: anti-insomnia drugs (over-the-counter & prescription), sleep labs/sleep centers, mattresses and pillows, CPAPs (continuous positive airway pressure devices) for sleep apnea, and retail sleep aids: earplugs, sleep lamps, sound conditioning machines, eye masks, books on sleep). Marketdata also performed primary research -- a custom mail survey of sleep labs in March-May, deriving key operating ratios, average revenues, and much more.
The study includes market size estimates for 1987-2007, with 2008 and 2012 Forecasts, client demographics, in-depth competitor profiles and rankings in each market segment, discussions of market nature & structure, history and evolution, in view of recent Medicare rulings regarding home testing. Advertising strategies, R&D, sleep disorder publicity and other demand factors analyzed.
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- Introduction: Study Scope & Methodology
- - Glossary of sleep disorder terms
- - List of major private & public sector information source used
- Executive Overview of Major Findings
- - Highlights of ALL study chapters
- - Market definition and scope: mkt. segments included
- - Nature of the field of sleep medicine and somnology: history/evolution of sleep labs, number, multiple-site chains, 2008 mkt. size
- - Why drug companies play a major role in publicizing sleep disorders and creating demand for Rx sleeping pills, 2008 mkt. size
- - Size and nature of the mattress & pillows market, new technologies, mkt size
- - Obstructive sleep apnea market: why CPAP device potential is huge and largely untapped, 2008 mkt. size
- - Scope of sleep deprivation in America: prevalence rates of insomnia, causes, no. of sleep disorders, description of most common sleep disorders, NSF vs. other polls
- - Major Market Trends: discussion of… home test mkt. for apnea, uncertainties of future sleep lab growth, new insomnia drugs in development, mattress mkt. affected by recession
- - Market Size & Growth, Market Segments: Total mkt. value, effect of recessions, 2007 performance, 2008 & 2012 forecasts
- - Address list of the major competitors in each market segment.
- Tables:
- - Size of U.S. sleep market, by segment: 1987-2012F (mattresses, pillows, sleep lab operations, Rx/OTC sleeping pills, CPAP devices, retail devices & services)
- - Total sleep market value, annual % change: 1987-2012F
- Demographics of Persons With Sleep Disorders
- - Scope of affected population: no. and type persons with… insomnia, sleep apnea, narcolepsy, restless legs syndrome, no. of children, women, seniors with sleep disorders
- - Findings of Natl. Sleep Foundation’s 2005 “Sleep in America” poll
- - No. of hours of sleep daily, by race (Natl. Health Interview Survey)
- - Prevalence of sleeping problems by major countries, US vs. Europe, Japan
- - CDC data/research confirms Americans’ lack of sleep: causes
- - Findings of Marketdata mail survey of sleep labs: patients by age, sex.
- Market Size & Growth
- - Market Definition & Scope: the markets comprising total sleep market Discussion & Outlooks for the Major Market Segments: 2007-2008 performance, 2012 Forecasts, Factors Affecting Demand, Key Indicators
- - The Mattresses Market
- - The Sleep Pillows Market
- - The Sleeping Pills Market (major brand sales in 2007)
- - The Sleep Labs Market; effect of CMS ruling, 2008 expected slump, avg. revenues, share from Medicare
- - The Sleep Apnea Devices Market (effect of CMS ruling, home testing
- - The Retail Sleep Aids Market (overview of sleep lamps, sound machines, earplugs, etc.)
- Tables
- - Size of U.S. sleep market, by segment: 1987-2012F (mattresses, pillows, sleep lab operations, Rx/OTC sleeping pills, CPAP devices, retail devices & services)
- - Total U.S. sleep market value, annual % change: 1987-2012F
- - Sleep pillows sales: 1997-2012F
- - Prescription anti-insomnia drugs sales: 1997-2012F
- - Sleep Labs revenues, no. of labs, annual % change: 1995-2012F
- - Sleep apnea devices (CPAPs) sales: total, ResMed. Respironics: 1995-2012F
- Sleep Labs Market
- - What are sleep labs, how many?, evolution & nature of the field, polysomnograms test description, accredited vs. non-accredited
- - Launching a new sleep lab - the process/key considerations, capital needed, choices for hospital or MD affiliations
- - The effect of Medicare approval of home tests: discussion, type of devices
- - What patients can expect at a sleep lab: type tests (PSGs, split night studies, MSLTs, CPAP titrations), role of sleep techs, follow-up
- - How to find A sleep lab
- - Market Niche - Pediatric sleep labs
- - Market Size & Growth: 2008 Estimates, 2012 Forecast, why 2008 slump expected, demand factors, new labs, major problems labs face, long-term outlook (obesity rates, advertising by drug companies, publicity as a health issue, other factors.
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- Tables
- - Sleep Labs revenues, no. of labs, annual % change: 1995-2012F
- Results of Marketdata’s U.S. Sleep Labs Survey - March-April 2008
- - Type of sleep lab (percent of total: hospital-based, practice-based, university-based, independent / free-standing
- - Average number of PSGs (sleep studies, CPAP titrations and MSLTs) performed in 2006, 2007
- - Average number of beds operated and average days/nights per week operated
- - Number of patients the sleep lab would be able to test/titrate per week if operating at 100% occupancy, 7 days/nights per week (average)
- - List of Sleep centers’ biggest issues or problems
- - Expected effect of March 14 decision by CMS to provide Medicare reimbursement for home sleep studies using portable devices to have on their lab’s future
- - Average fees a sleep lab charges for: PSG sleep study, CPAP titration study, MSLT
- - Reimbursement - avg. amount a sleep lab receives for: PSG sleep study, CPAP titration study, MSLT
- - Percentage of a sleep lab’s total sleep diagnostic revenue that comes from: commercial insurance, Medicare/Medicaid, patients
- - Average sleep lab’s diagnostic revenues in 2007
- - Whether sleep labs have an affiliated company that provides PAP set-ups for their patients and generates sleep therapy revenues, number of PAP set-ups performed in: 2006, 2007
- - Whether economic recessions affect a sleep lab’s business?
- - Percentage of a sleep lab’s patient base that is male vs. female
- - Age of a sleep lab’s most typical patient (% by age class)
- - The contributing factors to a sleep lab patients’ sleep disorders (% by type: obesity, large neck size, nasal/airway obstructions, etc.)
- - Percentage of sleep labs that treat these disorders: sleep apnea, insomnia, restless leg syndrome, narcolepsy, periodic limb movement
- - Whether sleep labs collect outcome data
- Competitor Profiles (description and history of company, no. of labs operated, address, specialties, acquisitions, services, financials when available)
- - SleepMed, Inc.
- - Sleep Solutions
- - Sleep Holdings, Inc.
- - Avastra Sleep Centers Ltd.
- - Nocturna Sleep Center
- Sleep Lab Technicians Salary Trends
- - Descriptions of the major staff positions, training required (sleep tech, technologists)
- - Findings of Sleep review Magazine’s 2007 salary survey, average salary and ranges for: RPSGTs, sleep techs, respiratory therapists, sleep physicians, sleep center directors, supervisors, managers: by tenure, by day/night shift, by age
- Table
- - Salary by job title, by region: 2007 - 6 staff positions)
- Sleep Medications Market
- - Summary: discussion of number of prescriptions written, mkt. potential, prime drivers of mkt. demand
- - Hurdle to overcome: past negative image of sleeping pills, long-term use, FDA fears vs. drug company efforts
- - Advertising drives consumer demand: amount spent advertising the top 3 brands In 2007, Sanofi’s success with Ambien
- - Research - New pills on the horizon: Ramelteon (Takeda), Provigil (Cephalon), Silenor (Somaxon), Volinanserin (Sanofi) - discussions of their usage/how they work, $ potentials, FDA approval status, setbacks for Indiplon (Neurocrine Biosciences) and Gaboxadol (Merck)
- - Description of the major Rx sleeping Pill Brands (Ambien, Lunesta, Rozerem, benzodiazepines, melatonin receptors, antidepressants)
- - OTC Retail Sleeping Pills: discussion
- - Market Size - A Mature Market: 2007 sales of major brands, 2008 outlook, 2012 Forecast, rationale for future growth.
- Tables:
- - sales of prescription anti-insomnia drugs: 2002-2012 forecast
- - sales of prescription anti-insomnia drugs, by brand: 2002-2008F
- - sales of Ambien, Ambien CR: 1998-2008 (in Euros and dollars)
- - retail sales of non-prescription sleep aids, by brand: 2007 drugstore bestsellers
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- The Sleep Apnea Devices Market
- - Summary - Background of Sleep Disordered Breathing: mkt. penetration in U.S. vs. abroad, estimates of mkt. size by industry analysts/competitors
- - Product Definitions: CPAPs (continuous positive airway pressure devices), types of masks & mouthpieces used
- - Market Trends: the home test mkt., comments by Wachovia analysts regarding potential and uncertainties in view of CMS ruling, move to smaller devices
- - Market Size: likely effects of CMS ruling, estimates of growth rates in U.S. vs. Globally, Marketdata forecasts for 2008, 2012, positives/negatives
- - The Major Respiratory Equipment Device Competitors: address list.
- Competitor Profiles (company descriptions, divisions, specializations, 2006-2007 Revenues, outlooks)
- - Resmed
- - Respironics
- Tables
- - Sleep apnea devices (CPAPs) sales: total, ResMed. Respironics, other companies: 1995-2012F
- The Mattress & Pillows Market
- - Summary - Nature of the market: a steady replacement business
- - Market Size & Growth: 2007-2008 performance, ISPA industry wholesale shipments, 2008 outlook by ISPA, retail sales forecast, 2012 Marketdata Forecasts, effects of housing slump
- - Differences in mfg. technologies used by the major mfrs., visco, latex
- - List and 2007 sales of top 5 bedding retailers
- - The Ultra-premium mattress market: growth rate, % of sales, Vividus, Hypnos Beds
- Competitor Profiles (company description, capabilities, specialties, historical revenues, new products, mkt. share, distribution, outlooks, etc.)
- - Tempur Pedic International Inc.
- - Sealy
- - Serta
- - Select Comfort
- - Simmons
- - The Sleep Pillows Market
- - Discussion of new pillow designs, materials, pricing, mkt. trends
- - The Sona pillow
- - Estimated retail market size (Home Textiles Today data): 1997-2012F
- - Top 5 pillow suppliers, wholesale sales, address list.
- Tables
- - U.S. WHOLESALE sales of mattresses & foundations, % change, units: 1987-2008F
- - U.S. Wholesale sales of mattresses & foundations, % change, dollars: 1987-2008F
- - Non-innerspring mattress unit and dollar shipments: 2004-2007
- - Estimated RETAIL sales of mattresses: 1987-2012
- - Personal consumption expenditures for furniture 7 bedding: 1987-2007
- Retail Sleep Devices Market
- - Summary
- - Sleep Lamps/Light Therapy Market: use for seasonal affective disorder, dawn simulation, evolution of “light boxes’, mkt. status & leading mfrs., mkt. size, list of 9 major competitors, Company Profile: Apollo Health
- - Sound Machines/White Noise Machines Market: use and technology, appli-cations, history of development, emergence of Marpac as industry leader, list of catalog retailers selling machines (Brookstone, Hammacher Schlemmer, etc.), market size/growth.
- - Eye Shades and Sleep Masks: leading competitors (Dream Essentials)
- - Earplugs Market: mkt. size, leading mfrs./distributors/retailers
- - Sleep Pods: Yelo & MetroNaps sleep lounges appearing in metro markets
- - Sleep/Insomnia Books Market: list of titles
- - Miscellaneous Retail Products & Services: how hotels & spas are making rooms “sleep friendly” - examples of programs/services offered.
- Reference Directory of Sleep-related Trade Groups, Experts, Journals
- - List of sleep market national/regional trade associations, journals, consulting firms, brokerage analysts, other key contacts - address & phones, description of activities.
- - Profiles of Michael J. Breus, Ph.D. and Duane M. Johnson, Ph.D.
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