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Challenges and perspectives in obstructive sleep apnoea Report by an ad hoc working group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society

Winfried Randerath, Claudio L. Bassetti, Maria R. Bonsignore, Ramon Farre, Luigi Ferini-Strambi, Ludger Grote, Jan Hedner, Malcolm Kohler, Miguel-Angel Martinez-Garcia, Stefan Mihaicuta, et al.
(2018) EUROPEAN RESPIRATORY JOURNAL. 52(3).
Author
Organization
Abstract
Obstructive sleep apnoea (OSA) is a major challenge for physicians and healthcare systems throughout the world. The high prevalence and the impact on daily life of OSA oblige clinicians to offer effective and acceptable treatment options. However, recent evidence has raised questions about the benefits of positive airway pressure therapy in ameliorating comorbidities. An international expert group considered the current state of knowledge based on the most relevant publications in the previous 5 years, discussed the current challenges in the field, and proposed topics for future research on epidemiology, phenotyping, underlying mechanisms, prognostic implications and optimal treatment of patients with OSA. The group concluded that a revision to the diagnostic criteria for OSA is required to include factors that reflect different clinical and pathophysiological phenotypes and relevant comorbidities (e.g. nondipping nocturnal blood pressure). Furthermore, current severity thresholds require revision to reflect factors such as the disparity in the apnoea-hypopnoea index (AHI) between polysomnography and sleep studies that do not include sleep stage measurements, in addition to the poor correlation between AHI and daytime symptoms such as sleepiness. Management decisions should be linked to the underlying phenotype and consider outcomes beyond AHI.
Keywords
POSITIVE AIRWAY PRESSURE, MANDIBULAR ADVANCEMENT DEVICE, EXCESSIVE, DAYTIME SLEEPINESS, QUALITY-OF-LIFE, IDIOPATHIC PULMONARY-FIBROSIS, RANDOMIZED CONTROLLED-TRIAL, FATTY LIVER-DISEASE, NON-CPAP THERAPIES, BLOOD-PRESSURE, GENERAL-POPULATION

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MLA
Randerath, Winfried, et al. “Challenges and Perspectives in Obstructive Sleep Apnoea Report by an Ad Hoc Working Group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society.” EUROPEAN RESPIRATORY JOURNAL, vol. 52, no. 3, 2018, doi:10.1183/13993003.02616-2017.
APA
Randerath, W., Bassetti, C. L., Bonsignore, M. R., Farre, R., Ferini-Strambi, L., Grote, L., … McNicholas, W. T. (2018). Challenges and perspectives in obstructive sleep apnoea Report by an ad hoc working group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society. EUROPEAN RESPIRATORY JOURNAL, 52(3). https://doi.org/10.1183/13993003.02616-2017
Chicago author-date
Randerath, Winfried, Claudio L. Bassetti, Maria R. Bonsignore, Ramon Farre, Luigi Ferini-Strambi, Ludger Grote, Jan Hedner, et al. 2018. “Challenges and Perspectives in Obstructive Sleep Apnoea Report by an Ad Hoc Working Group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society.” EUROPEAN RESPIRATORY JOURNAL 52 (3). https://doi.org/10.1183/13993003.02616-2017.
Chicago author-date (all authors)
Randerath, Winfried, Claudio L. Bassetti, Maria R. Bonsignore, Ramon Farre, Luigi Ferini-Strambi, Ludger Grote, Jan Hedner, Malcolm Kohler, Miguel-Angel Martinez-Garcia, Stefan Mihaicuta, Josep Montserrat, Jean-Louis Pepin, Dirk Pevernagie, Fabio Pizza, Olli Polo, Renata Riha, Silke Ryan, Johan Verbraecken, and Walter T. McNicholas. 2018. “Challenges and Perspectives in Obstructive Sleep Apnoea Report by an Ad Hoc Working Group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society.” EUROPEAN RESPIRATORY JOURNAL 52 (3). doi:10.1183/13993003.02616-2017.
Vancouver
1.
Randerath W, Bassetti CL, Bonsignore MR, Farre R, Ferini-Strambi L, Grote L, et al. Challenges and perspectives in obstructive sleep apnoea Report by an ad hoc working group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society. EUROPEAN RESPIRATORY JOURNAL. 2018;52(3).
IEEE
[1]
W. Randerath et al., “Challenges and perspectives in obstructive sleep apnoea Report by an ad hoc working group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society,” EUROPEAN RESPIRATORY JOURNAL, vol. 52, no. 3, 2018.
@article{8690438,
  abstract     = {{Obstructive sleep apnoea (OSA) is a major challenge for physicians and healthcare systems throughout the world. The high prevalence and the impact on daily life of OSA oblige clinicians to offer effective and acceptable treatment options. However, recent evidence has raised questions about the benefits of positive airway pressure therapy in ameliorating comorbidities. An international expert group considered the current state of knowledge based on the most relevant publications in the previous 5 years, discussed the current challenges in the field, and proposed topics for future research on epidemiology, phenotyping, underlying mechanisms, prognostic implications and optimal treatment of patients with OSA. The group concluded that a revision to the diagnostic criteria for OSA is required to include factors that reflect different clinical and pathophysiological phenotypes and relevant comorbidities (e.g. nondipping nocturnal blood pressure). Furthermore, current severity thresholds require revision to reflect factors such as the disparity in the apnoea-hypopnoea index (AHI) between polysomnography and sleep studies that do not include sleep stage measurements, in addition to the poor correlation between AHI and daytime symptoms such as sleepiness. Management decisions should be linked to the underlying phenotype and consider outcomes beyond AHI.}},
  articleno    = {{1702616}},
  author       = {{Randerath, Winfried and Bassetti, Claudio L. and Bonsignore, Maria R. and Farre, Ramon and Ferini-Strambi, Luigi and Grote, Ludger and Hedner, Jan and Kohler, Malcolm and Martinez-Garcia, Miguel-Angel and Mihaicuta, Stefan and Montserrat, Josep and Pepin, Jean-Louis and Pevernagie, Dirk and Pizza, Fabio and Polo, Olli and Riha, Renata and Ryan, Silke and Verbraecken, Johan and McNicholas, Walter T.}},
  issn         = {{0903-1936}},
  journal      = {{EUROPEAN RESPIRATORY JOURNAL}},
  keywords     = {{POSITIVE AIRWAY PRESSURE,MANDIBULAR ADVANCEMENT DEVICE,EXCESSIVE,DAYTIME SLEEPINESS,QUALITY-OF-LIFE,IDIOPATHIC PULMONARY-FIBROSIS,RANDOMIZED CONTROLLED-TRIAL,FATTY LIVER-DISEASE,NON-CPAP THERAPIES,BLOOD-PRESSURE,GENERAL-POPULATION}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{21}},
  title        = {{Challenges and perspectives in obstructive sleep apnoea Report by an ad hoc working group of the Sleep Disordered Breathing Group of the European Respiratory Society and the European Sleep Research Society}},
  url          = {{http://doi.org/10.1183/13993003.02616-2017}},
  volume       = {{52}},
  year         = {{2018}},
}
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