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Management of obstructive sleep apnea in Europe-A 10-year follow-up

Svaza J; Tamisier R; Trakada G; Kvamme JA; Fanfulla F; Sliwinski P; Pataka A; Roisman G; Riha RL; Testelmans D; Steiropoulos P; Montserrat J; Basoglu OK; Mallin W; Gislason T; Saaresranta T; Mihaicuta S; Dogas Z; Joppa P; Fietze I; Hein H; Laharnar N; Jennum P; Gouveris H; van Kralingen K; Marrone O; Schiza SE; Pillar G; Randerath W; McNicholas WT; Zablockis R; Bargiotas P; Lombardi C; Penzel T; Grote L; Drummond M; Verbraecken J; Ludka O

Management of obstructive sleep apnea in Europe-A 10-year follow-up

Svaza J
Tamisier R
Trakada G
Kvamme JA
Fanfulla F
Sliwinski P
Pataka A
Roisman G
Riha RL
Testelmans D
Steiropoulos P
Montserrat J
Basoglu OK
Mallin W
Gislason T
Saaresranta T
Mihaicuta S
Dogas Z
Joppa P
Fietze I
Hein H
Laharnar N
Jennum P
Gouveris H
van Kralingen K
Marrone O
Schiza SE
Pillar G
Randerath W
McNicholas WT
Zablockis R
Bargiotas P
Lombardi C
Penzel T
Grote L
Drummond M
Verbraecken J
Ludka O
Katso/Avaa
Fietze I, Sleep Med 2022, Editeur.pdf (1.611Mb)
Lataukset: 

ELSEVIER
doi:10.1016/j.sleep.2022.06.001
URI
https://doi.org/10.1016/j.sleep.2022.06.001
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Julkaisun pysyvä osoite on:
https://urn.fi/URN:NBN:fi-fe2022091258516
Tiivistelmä
Objective: In 2010, a questionnaire-based study on obstructive sleep apnea (OSA) management in Europe identified differences regarding reimbursement, sleep specialist qualification, and titration procedures. Now, 10 years later, a follow-up study was conducted as part of the ESADA (European Sleep Apnea Database) network to explore the development of OSA management over time.Methods: The 2010 questionnaire including questions on sleep diagnostic, reimbursement, treatment, and certification was updated with questions on telemedicine and distributed to European Sleep Centers to reflect European OSA management practice.Results: 26 countries (36 sleep centers) participated, representing 20 ESADA and 6 non-ESADA countries. All 21 countries from the 2010 survey participated. In 2010, OSA diagnostic procedures were performed mainly by specialized physicians (86%), whereas now mainly by certified sleep specialists and specialized physicians (69%). Treatment and titration procedures are currently quite homogenous, with a strong trend towards more Autotitrating Positive Airway Pressure treatment (in hospital 73%, at home 62%). From 2010 to 2020, home sleep apnea testing use increased (76%-89%) and polysomnography as sole diagnostic procedure decreased (24%-12%). Availability of a sleep specialist qualification increased (52%-65%) as well as the number of certified polysomnography scorers (certified physicians: 36%-79%; certified technicians: 20%-62%). Telemedicine, not surveyed in 2010, is now in 2020 used in diagnostics (8%), treatment (50%), and follow-up (73%). Conclusion: In the past decade, formal qualification of sleep center personnel increased, OSA diagnostic and treatment procedures shifted towards a more automatic approach, and telemedicine became more prominent.(c) 2022 The Authors. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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