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@article{2246994, author = {Fietze, Ingo and Laharnar, Naima and Bargiotas, Panagiotis and Basoglu, Ozen K and Dogas, Zoran and Drummond, Marta and Fanfulla, Francesco and Gislason, Thorarinn and Gouveris, Haralampos and Grote, Ludger and Hein, Holger and Jennum, Poul and Joppa, Pavol and Klaas, van Kralingen and Kvamme, John Arthur and Lombardi, Carolina and Ludka, Ondřej and Mallin, Wolfgang and Marrone, Oreste and McNicholas, Walter T and Mihaicuta, Stefan and Montserrat, Josep and Pillar, Giora and Pataka, Athanasia and Randerath, Winfried and Riha, Renata L and Roisman, Gabriel and Saaresranta, Tarja and Schiza, Sophia E and Sliwinski, Pawel and Svaza, Juris and Steiropoulos, Paschalis and Tamisier, Renauld and Testelmans, Dries and Trakada, Georgia and Verbraecken, Johan and Zablockis, Rolandas and Penzel, Thomas}, article_location = {Amsterdam}, article_number = {September 2022}, doi = {http://dx.doi.org/10.1016/j.sleep.2022.06.001}, keywords = {Sleep apnea; Europe; Diagnostic; Therapy; Telemedicine; Follow-up; HSAT; Polysomnography}, language = {eng}, issn = {1389-9457}, journal = {Sleep Medicine}, title = {Management of obstructive sleep apnea in Europe-A 10-year follow-up}, url = {https://www.sciencedirect.com/science/article/pii/S1389945722010310?via%3Dihub}, volume = {97}, year = {2022} }
TY - JOUR ID - 2246994 AU - Fietze, Ingo - Laharnar, Naima - Bargiotas, Panagiotis - Basoglu, Ozen K - Dogas, Zoran - Drummond, Marta - Fanfulla, Francesco - Gislason, Thorarinn - Gouveris, Haralampos - Grote, Ludger - Hein, Holger - Jennum, Poul - Joppa, Pavol - Klaas, van Kralingen - Kvamme, John Arthur - Lombardi, Carolina - Ludka, Ondřej - Mallin, Wolfgang - Marrone, Oreste - McNicholas, Walter T - Mihaicuta, Stefan - Montserrat, Josep - Pillar, Giora - Pataka, Athanasia - Randerath, Winfried - Riha, Renata L - Roisman, Gabriel - Saaresranta, Tarja - Schiza, Sophia E - Sliwinski, Pawel - Svaza, Juris - Steiropoulos, Paschalis - Tamisier, Renauld - Testelmans, Dries - Trakada, Georgia - Verbraecken, Johan - Zablockis, Rolandas - Penzel, Thomas PY - 2022 TI - Management of obstructive sleep apnea in Europe-A 10-year follow-up JF - Sleep Medicine VL - 97 IS - September 2022 SP - 64-72 EP - 64-72 PB - Elsevier Science BV SN - 13899457 KW - Sleep apnea KW - Europe KW - Diagnostic KW - Therapy KW - Telemedicine KW - Follow-up KW - HSAT KW - Polysomnography UR - https://www.sciencedirect.com/science/article/pii/S1389945722010310?via%3Dihub N2 - 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/). ER -
FIETZE, Ingo, Naima LAHARNAR, 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, 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. Management of obstructive sleep apnea in Europe-A 10-year follow-up. \textit{Sleep Medicine}. Amsterdam: Elsevier Science BV, 2022, vol.~97, September 2022, p.~64-72. ISSN~1389-9457. Available from: https://dx.doi.org/10.1016/j.sleep.2022.06.001.
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