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

Článek v odborném periodiku

Field of Study

30210 Clinical neurology

Country of publisher

Netherlands

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 4.800

RIV identification code

RIV/00216224:14110/22:00128007

Organization unit

Faculty of Medicine

UT WoS

000821300800006

Keywords in English

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

Tags

Tags

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

Abstract

V originále

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/).