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

Ingo Fietze; 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; Klaas van Kralingen; John Arthur Kvamme; Carolina Lombardi; Ondrej 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; Thomas Penzel

doi:10.1016/j.sleep.2022.06.001

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

Ingo Fietze, 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, Klaas van Kralingen, John Arthur Kvamme, Carolina Lombardi, Ondrej Ludka, Wolfgang Mallin, Oreste Marrone, Walter T McNicholasStefan 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, Thomas Penzel

^*Corresponding author af dette arbejde

Afdeling for Hjerne- og Nerveundersøgelser

19 Citationer (Scopus)

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.

Originalsprog	Engelsk
Tidsskrift	Sleep Medicine
Vol/bind	97
Sider (fra-til)	64-72
Antal sider	9
ISSN	1389-9457
DOI	https://doi.org/10.1016/j.sleep.2022.06.001
Status	Udgivet - 2022

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Fietze, I., Laharnar, N., Bargiotas, P., Basoglu, O. K., Dogas, Z., Drummond, M., Fanfulla, F., Gislason, T., Gouveris, H., Grote, L., Hein, H., Jennum, P., Joppa, P., van Kralingen, K., Kvamme, J. A., Lombardi, C., Ludka, O., Mallin, W., Marrone, O., ... Penzel, T. (2022). Management of obstructive sleep apnea in Europe - A 10-year follow-up. Sleep Medicine, 97, 64-72. https://doi.org/10.1016/j.sleep.2022.06.001

Fietze, I, Laharnar, N, Bargiotas, P, Basoglu, OK, Dogas, Z, Drummond, M, Fanfulla, F, Gislason, T, Gouveris, H, Grote, L, Hein, H, Jennum, P, Joppa, P, van Kralingen, K, Kvamme, JA, Lombardi, C, Ludka, O, Mallin, W, Marrone, O, McNicholas, WT, Mihaicuta, S, Montserrat, J, Pillar, G, Pataka, A, Randerath, W, Riha, RL, Roisman, G, Saaresranta, T, Schiza, SE, Sliwinski, P, Svaza, J, Steiropoulos, P, Tamisier, R, Testelmans, D, Trakada, G, Verbraecken, J, Zablockis, R & Penzel, T 2022, 'Management of obstructive sleep apnea in Europe - A 10-year follow-up', Sleep Medicine, bind 97, s. 64-72. https://doi.org/10.1016/j.sleep.2022.06.001

@article{bcd268bd08164990bae524f2a184b73e,

title = "Management of obstructive sleep apnea in Europe - A 10-year follow-up",

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.",

author = "Ingo Fietze and Naima Laharnar and Panagiotis Bargiotas and Basoglu, {Ozen K} and Zoran Dogas and Marta Drummond and Francesco Fanfulla and Thorarinn Gislason and Haralampos Gouveris and Ludger Grote and Holger Hein and Poul Jennum and Pavol Joppa and {van Kralingen}, Klaas and Kvamme, {John Arthur} and Carolina Lombardi and Ondrej Ludka and Wolfgang Mallin and Oreste Marrone and McNicholas, {Walter T} and Stefan Mihaicuta and Josep Montserrat and Giora Pillar and Athanasia Pataka and Winfried Randerath and Riha, {Renata L} and Gabriel Roisman and Tarja Saaresranta and Schiza, {Sophia E} and Pawel Sliwinski and Juris Svaza and Paschalis Steiropoulos and Renauld Tamisier and Dries Testelmans and Georgia Trakada and Johan Verbraecken and Rolandas Zablockis and Thomas Penzel",

year = "2022",

doi = "10.1016/j.sleep.2022.06.001",

language = "English",

volume = "97",

pages = "64--72",

journal = "Sleep Medicine",

issn = "1389-9457",

publisher = "Elsevier BV",

}

TY - JOUR

T1 - Management of obstructive sleep apnea in Europe - A 10-year follow-up

AU - Fietze, Ingo

AU - Laharnar, Naima

AU - Bargiotas, Panagiotis

AU - Basoglu, Ozen K

AU - Dogas, Zoran

AU - Drummond, Marta

AU - Fanfulla, Francesco

AU - Gislason, Thorarinn

AU - Gouveris, Haralampos

AU - Grote, Ludger

AU - Hein, Holger

AU - Jennum, Poul

AU - Joppa, Pavol

AU - van Kralingen, Klaas

AU - Kvamme, John Arthur

AU - Lombardi, Carolina

AU - Ludka, Ondrej

AU - Mallin, Wolfgang

AU - Marrone, Oreste

AU - McNicholas, Walter T

AU - Mihaicuta, Stefan

AU - Montserrat, Josep

AU - Pillar, Giora

AU - Pataka, Athanasia

AU - Randerath, Winfried

AU - Riha, Renata L

AU - Roisman, Gabriel

AU - Saaresranta, Tarja

AU - Schiza, Sophia E

AU - Sliwinski, Pawel

AU - Svaza, Juris

AU - Steiropoulos, Paschalis

AU - Tamisier, Renauld

AU - Testelmans, Dries

AU - Trakada, Georgia

AU - Verbraecken, Johan

AU - Zablockis, Rolandas

AU - Penzel, Thomas

PY - 2022

Y1 - 2022

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.

AB - 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.

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U2 - 10.1016/j.sleep.2022.06.001

DO - 10.1016/j.sleep.2022.06.001

M3 - Journal article

C2 - 35724441

SN - 1389-9457

VL - 97

SP - 64

EP - 72

JO - Sleep Medicine

JF - Sleep Medicine

ER -

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

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