Sairam Parthasarathy, Najib T Ayas, Richard Bogan, Dennis Hwang, Clete Kushida, Jonathan S Lown, Joseph M Ojile, Imran Patel, Bharati Prasad, David M Rapoport, Patrick Strollo, Oliver M Vanderveken, John Viviano
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引用次数: 0
Abstract
This perspective on alternatives to Positive Airway Pressure therapy for the treatment of obstructive sleep apnea summarizes the proceedings of a focus group that was conducted by the Sleep Research Society Foundation. This perspective is from a multi-disciplinary panel of experts from sleep medicine, dental sleep medicine, and otolaryngology that aims to identify the current role of Oral Appliance Therapy and hypoglossal nerve stimulation for the treatment of obstructive sleep apnea with emphasis on the U.S. practice arena. A secondary aim is to identify – from an implementation science standpoint -- the various barriers and facilitators for adoption of non-PAP treatment that includes access to care, multi-disciplinary expertise, reimbursement, regulatory aspects, current treatment guidelines, health policies and other factors related to delivery of care. The panel has contextualized the review with recent events – such as a large-scale PAP device recall compounded by supply chain woes of the pandemic -- and emerging science in the field of obstructive sleep apnea and offers solutions for multi-disciplinary approaches while identifying knowledge gaps and future research opportunities.
这篇关于治疗阻塞性睡眠呼吸暂停的气道正压疗法替代方案的观点总结了睡眠研究学会基金会开展的焦点小组会议的讨论情况。该小组由来自睡眠医学、牙科睡眠医学和耳鼻喉科的多学科专家组成,旨在确定口腔矫治器疗法和舌下神经刺激法在治疗阻塞性睡眠呼吸暂停方面的当前作用,重点关注美国的实践领域。另一个目的是从实施科学的角度确定采用非 PAP 治疗的各种障碍和促进因素,包括获得护理、多学科专业知识、报销、监管方面、现行治疗指南、卫生政策以及与提供护理相关的其他因素。专家小组结合近期发生的事件--如大规模呼吸机设备召回,以及大流行病造成的供应链困境--和阻塞性睡眠呼吸暂停领域的新兴科学,对审查内容进行了梳理,并在确定知识差距和未来研究机会的同时,提出了多学科方法的解决方案。