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Sökning: hsv:(MEDICAL AND HEALTH SCIENCES) hsv:(Clinical Medicine) hsv:(Dentistry) > National Knowledge-...

  • Grote, Ludger,1964Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Gothenburg Univ, Inst Med, Sahlgrenska Acad, Ctr Sleep & Wake Disorders, S-40530 Gothenburg, Sweden.;Sahlgrens Univ Hosp, Pulm Med, S-41345 Gothenburg, Sweden.,Center for Sleep and Wake Disorders, Institute of Medicine, Sahlgrenska Academy, Gothenburg University, 405 30 Gothenburg, Sweden; Pulmonary Medicine, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden (författare)

National Knowledge-Driven Management of Obstructive Sleep Apnea-The Swedish Approach

  • Artikel/kapitelEngelska2023

Förlag, utgivningsår, omfång ...

  • 2023-03-20
  • MDPI AG,2023

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/326514
  • https://gup.ub.gu.se/publication/326514URI
  • https://doi.org/10.3390/diagnostics13061179DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-61077URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-202838URI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-502677URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:152595154URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Introduction: This paper describes the development of "Swedish Guidelines for OSA treatment" and the underlying managed care process. The Apnea Hypopnea Index (AHI) is traditionally used as a single parameter for obstructive sleep apnea (OSA) severity classification, although poorly associated with symptomatology and outcome. We instead implement a novel matrix for shared treatment decisions based on available evidence. Methods: A national expert group including medical and dental specialists, nurses, and patient representatives developed the knowledge-driven management model. A Delphi round was performed amongst experts from all Swedish regions (N = 24). Evidence reflecting treatment effects was extracted from systematic reviews, meta-analyses, and randomized clinical trials. Results: The treatment decision in the process includes a matrix with five categories from a "very weak"" to "very strong" indication to treat, and it includes factors with potential influence on outcome, including (A) OSA-related symptoms, (B) cardiometabolic comorbidities, (C) frequency of respiratory events, and (D) age. OSA-related symptoms indicate a strong incitement to treat, whereas the absence of symptoms, age above 65 years, and no or well-controlled comorbidities indicate a weak treatment indication, irrespective of AHI. Conclusions: The novel treatment matrix is based on the effects of treatments rather than the actual frequency of respiratory events during sleep. A nationwide implementation of this matrix is ongoing, and the outcome is monitored in a prospective evaluation by means of the Swedish Sleep Apnea Registry (SESAR).

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Anderberg, C. P.Kvarterskliniken, S-41136 Gothenburg, Sweden. (författare)
  • Friberg, DanielleUppsala universitet,Öron-, näs- och halssjukdomar(Swepub:uu)danfr874 (författare)
  • Grundstrom, G.Sleep Apnea Patient Org Apne Sverige, S-13332 Saltsjoebaden, Sweden.,Sleep Apnea Patient Organisation (Apne Sverige), 13332 Saltsjoebaden, Sweden (författare)
  • Hinz, K.Reg Vastra Gotaland, Dept Hlth Care Dev, S-40544 Gothenburg, Sweden.,Department for Health Care Development, Region of Västra Götaland, 40544 Gothenburg, Sweden (författare)
  • Isaksson, G.Aleris Sleep Apnea Care, S-11361 Stockholm, Sweden. (författare)
  • Murto, T.Umeå Univ Hosp, Sleep Apnea Unit, Resp Med, S-90185 Umeå, Sweden.,Sleep Apnea Unit, Respiratory Medicine, Umeå University Hospital, 90185 Umeå, Sweden (författare)
  • Nilsson, Z.Ystad Hosp, ENT Dept, Sleep Apnea Unit, S-27182 Ystad, Sweden.,Sleep Apnea Unit, ENT Department, Ystad Hospital, 271 82 Ystad, Sweden (författare)
  • Spaak, J.Karolinska Institutet (författare)
  • Stillberg, G.Sleep Apnea Unit, S-70212 Örebro, Sweden.,Sleep Apnea Unit, Capio, 70212 Örebro, Sweden (författare)
  • Soderberg, K.Sleep Apnea Patient Org Apne Sverige, S-13332 Saltsjoebaden, Sweden.,Sleep Apnea Patient Organisation (Apne Sverige), 13332 Saltsjoebaden, Sweden (författare)
  • Tegelberg, A.Sleep Apnea Patient Assoc Apnefoereningen Syd, S-14630 Tullinge, Sweden.,Sleep Apnea Patient Association (Apnefoereningen Syd), 14630 Tullinge, Sweden (författare)
  • Theorell-Haglöw, JennyUppsala universitet,Malmö universitet,Odontologiska fakulteten (OD),Faculty of Odontology, Malmö University, 205 06 Malmö, Sweden,Lungmedicin och allergologi(Swepub:uu)jethe020 (författare)
  • Ulander, Martin,1980-Linköpings universitet,Medicinska fakulteten,Avdelningen för neurobiologi,Region Östergötland, Neurofysiologiska kliniken US,Dept Clin Neurophysiol, S-58185 Linköping, Sweden.(Swepub:liu)marul57 (författare)
  • Hedner, Jan A,1953Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine,Gothenburg Univ, Inst Med, Sahlgrenska Acad, Ctr Sleep & Wake Disorders, S-40530 Gothenburg, Sweden.;Sahlgrens Univ Hosp, Pulm Med, S-41345 Gothenburg, Sweden.,Center for Sleep and Wake Disorders, Institute of Medicine, Sahlgrenska Academy, Gothenburg University, 405 30 Gothenburg, Sweden; Pulmonary Medicine, Sahlgrenska University Hospital, 413 45 Gothenburg, Sweden(Swepub:gu)xhedja (författare)
  • Göteborgs universitetInstitutionen för medicin (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Diagnostics: MDPI AG13:62075-4418

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