Fietze, Ingo ORCID: 0000-0001-5567-5206, Laharnar, Naima ORCID: 0000-0001-7484-7747, Bargiotas, Panagiotis, Basoglu, Ozen K., Dogas, Zoran, Drummond, Marta, Fanfulla, Francesco ORCID: 0000-0002-8601-423X, Gislason, Thorarinn, Gouveris, Haralampos, Grote, Ludger, Hein, Holger, Jennum, Poul, Joppa, Pavol, van Kralingen, Klaas, Kvamme, John Arthur, Lombardi, Carolina, Ludka, Ondrej, Mallin, Wolfgang, Marrone, Oreste, McNicholas, Walter T., Mihaicuta, Stefan, Montserrat, Josep, Pillar, Giora ORCID: 0000-0002-0553-4226, Pataka, Athanasia, Randerath, Winfried, Riha, Renata L., Roisman, Gabriel, Saaresranta, Tarja ORCID: 0000-0001-9328-963X, Schiza, Sophia E., Sliwinski, Pawel, Svaza, Juris, Steiropoulos, Paschalis, Tamisier, Renauld, Testelmans, Dries ORCID: 0000-0001-7303-9799, Trakada, Georgia, Verbraecken, Johan, Zablockis, Rolandas and Penzel, Thomas (2022). Management of obstructive sleep apnea in Europe-A 10-year follow-up. Sleep Med., 97. S. 64 - 73. AMSTERDAM: ELSEVIER. ISSN 1878-5506

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Abstract

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/).

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Fietze, IngoUNSPECIFIEDorcid.org/0000-0001-5567-5206UNSPECIFIED
Laharnar, NaimaUNSPECIFIEDorcid.org/0000-0001-7484-7747UNSPECIFIED
Bargiotas, PanagiotisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Basoglu, Ozen K.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dogas, ZoranUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Drummond, MartaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fanfulla, FrancescoUNSPECIFIEDorcid.org/0000-0002-8601-423XUNSPECIFIED
Gislason, ThorarinnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gouveris, HaralamposUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grote, LudgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hein, HolgerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jennum, PoulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Joppa, PavolUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Kralingen, KlaasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kvamme, John ArthurUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lombardi, CarolinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ludka, OndrejUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mallin, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marrone, OresteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
McNicholas, Walter T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mihaicuta, StefanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Montserrat, JosepUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pillar, GioraUNSPECIFIEDorcid.org/0000-0002-0553-4226UNSPECIFIED
Pataka, AthanasiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Randerath, WinfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Riha, Renata L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roisman, GabrielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Saaresranta, TarjaUNSPECIFIEDorcid.org/0000-0001-9328-963XUNSPECIFIED
Schiza, Sophia E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sliwinski, PawelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Svaza, JurisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steiropoulos, PaschalisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tamisier, RenauldUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Testelmans, DriesUNSPECIFIEDorcid.org/0000-0001-7303-9799UNSPECIFIED
Trakada, GeorgiaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Verbraecken, JohanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zablockis, RolandasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Penzel, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-698917
DOI: 10.1016/j.sleep.2022.06.001
Journal or Publication Title: Sleep Med.
Volume: 97
Page Range: S. 64 - 73
Date: 2022
Publisher: ELSEVIER
Place of Publication: AMSTERDAM
ISSN: 1878-5506
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
POSITIVE AIRWAY PRESSURE; AMERICAN ACADEMY; MEDICINE; POPULATION; PREVALENCE; DIAGNOSIS; CAREMultiple languages
Clinical NeurologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69891

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