J 2022

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

FIETZE, Ingo; Naima LAHARNAR; Panagiotis BARGIOTAS; Ozen K BASOGLU; Zoran DOGAS et. al.

Basic information

Original name

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

Authors

FIETZE, Ingo; Naima LAHARNAR (guarantor); Panagiotis BARGIOTAS; Ozen K BASOGLU; Zoran DOGAS; Marta DRUMMOND; Francesco FANFULLA; Thorarinn GISLASON; Haralampos GOUVERIS; Ludger GROTE; Holger HEIN; Poul JENNUM; Pavol JOPPA; van Kralingen KLAAS; John Arthur KVAMME; Carolina LOMBARDI; Ondřej LUDKA (203 Czech Republic, belonging to the institution); Wolfgang MALLIN; Oreste MARRONE; Walter T MCNICHOLAS; Stefan MIHAICUTA; Josep MONTSERRAT; Giora PILLAR; Athanasia PATAKA; Winfried RANDERATH; Renata L RIHA; Gabriel ROISMAN; Tarja SAARESRANTA; Sophia E SCHIZA; Pawel SLIWINSKI; Juris SVAZA; Paschalis STEIROPOULOS; Renauld TAMISIER; Dries TESTELMANS; Georgia TRAKADA; Johan VERBRAECKEN; Rolandas ZABLOCKIS and Thomas PENZEL

Edition

Sleep Medicine, Amsterdam, Elsevier Science BV, 2022, 1389-9457

Other information

Language

English

Type of outcome

Article in a journal

Field of Study

30210 Clinical neurology

Country of publisher

Netherlands

Confidentiality degree

is not subject to a state or trade secret

References:

Impact factor

Impact factor: 4.800

RIV identification code

RIV/00216224:14110/22:00128007

Organization unit

Faculty of Medicine

UT WoS

000821300800006

EID Scopus

2-s2.0-85133273153

Keywords in English

Sleep apnea; Europe; Diagnostic; Therapy; Telemedicine; Follow-up; HSAT; Polysomnography

Tags

Tags

International impact, Reviewed
Changed: 16/1/2023 09:44, Mgr. Tereza Miškechová

Abstract

In the original language

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/).