European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea
Treatment of obstructive sleep apnoea (OSA) in adults is evolving, as new therapies have been explored and introduced in clinical practice, while other approaches have been refined or reconsidered. In this European Respiratory Society (ERS) guideline on non-continuous positive airway pressure (CPAP)...
| Main Authors: | , , , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
European Respiratory Society
2021-12-01
|
| Series: | European Respiratory Review |
| Online Access: | http://err.ersjournals.com/content/30/162/210200.full |
| _version_ | 1819283828508721152 |
|---|---|
| author | Winfried Randerath Johan Verbraecken Christel A.L. de Raaff Jan Hedner Simon Herkenrath Winfried Hohenhorst Tina Jakob Oreste Marrone Marie Marklund Walter T. McNicholas Rebecca L. Morgan Jean-Louis Pepin Sofia Schiza Nicole Skoetz Dan Smyth Jörg Steier Thomy Tonia Wojciech Trzepizur Piet-Heijn van Mechelen Peter Wijkstra |
| author_facet | Winfried Randerath Johan Verbraecken Christel A.L. de Raaff Jan Hedner Simon Herkenrath Winfried Hohenhorst Tina Jakob Oreste Marrone Marie Marklund Walter T. McNicholas Rebecca L. Morgan Jean-Louis Pepin Sofia Schiza Nicole Skoetz Dan Smyth Jörg Steier Thomy Tonia Wojciech Trzepizur Piet-Heijn van Mechelen Peter Wijkstra |
| author_sort | Winfried Randerath |
| collection | DOAJ |
| description | Treatment of obstructive sleep apnoea (OSA) in adults is evolving, as new therapies have been explored and introduced in clinical practice, while other approaches have been refined or reconsidered. In this European Respiratory Society (ERS) guideline on non-continuous positive airway pressure (CPAP) therapies for OSA, we present recommendations determined by a systematic review of the literature. It is an update of the 2011 ERS statement on non-CPAP therapies, advanced into a clinical guideline. A multidisciplinary group of experts, including pulmonary, surgical, dentistry and ear–nose–throat specialists, methodologists and patient representatives considered the most relevant clinical questions (for both clinicians and patients) relating to the management of OSA. Eight key clinical questions were generated and a systematic review was conducted to identify published randomised clinical trials that answered these questions. We used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to assess the quality of the evidence and the strength of recommendations. The resulting guideline addresses gastric bypass surgery, custom-made dual-block mandibular advancement devices, hypoglossal nerve stimulation, myofunctional therapy, maxillo-mandibular osteotomy, carbonic anhydrase inhibitors and positional therapy. These recommendations can be used to benchmark quality of care for people with OSA across Europe and to improve outcomes. |
| first_indexed | 2024-12-24T01:37:41Z |
| format | Article |
| id | doaj.art-e00b7a21c4e040759442341d5a771f6f |
| institution | Directory Open Access Journal |
| issn | 0905-9180 1600-0617 |
| language | English |
| last_indexed | 2024-12-24T01:37:41Z |
| publishDate | 2021-12-01 |
| publisher | European Respiratory Society |
| record_format | Article |
| series | European Respiratory Review |
| spelling | doaj.art-e00b7a21c4e040759442341d5a771f6f2022-12-21T17:22:08ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172021-12-013016210.1183/16000617.0200-20210200-2021European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoeaWinfried Randerath0Johan Verbraecken1Christel A.L. de Raaff2Jan Hedner3Simon Herkenrath4Winfried Hohenhorst5Tina Jakob6Oreste Marrone7Marie Marklund8Walter T. McNicholas9Rebecca L. Morgan10Jean-Louis Pepin11Sofia Schiza12Nicole Skoetz13Dan Smyth14Jörg Steier15Thomy Tonia16Wojciech Trzepizur17Piet-Heijn van Mechelen18Peter Wijkstra19 Bethanien Hospital, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Institute of Pneumology at the University of Cologne, Solingen, Germany Antwerp University Hospital and University of Antwerp, Edegem (Antwerp), Belgium Amsterdam UMC, Dept of Surgery, Amsterdam, The Netherlands Dept of Sleep Medicine, Respiratory Medicine and Allergology, Sahlgrenska University Hospital, Gothenburg, Sweden Bethanien Hospital, Clinic of Pneumology and Allergology, Center for Sleep Medicine and Respiratory Care, Institute of Pneumology at the University of Cologne, Solingen, Germany Alfried Krupp Hospital, Dept of Otolaryngology, Essen, Germany Evidence-based Oncology, Dept I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Dusseldorf, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany National Research Council of Italy, Institute for Biomedical Research and Innovation, Palermo, Italy Dept of Odontology, Faculty of Medicine, Umeå University, Umeå, Sweden School of Medicine, University College Dublin, Dublin, Ireland Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada EFCR Sleep and Respiration Unit CHU Grenoble, Grenoble, France Sleep Disorders Unit, Dept of Respiratory Medicine, Medical School, University of Crete, Greece Evidence-based Oncology, Dept I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Dusseldorf, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany European Lung Foundation, Sheffield, UK Lane Fox Unit and Sleep Disorders Centre at Guy's & St Thomas’ NHS Foundation Trust, Centre for Human & Applied Physiological Sciences, King's College London, London, UK Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland Dept of Respiratory and Sleep Medicine, Angers University hospital, Angers, France European Lung Foundation, Sheffield, UK Dept of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands Treatment of obstructive sleep apnoea (OSA) in adults is evolving, as new therapies have been explored and introduced in clinical practice, while other approaches have been refined or reconsidered. In this European Respiratory Society (ERS) guideline on non-continuous positive airway pressure (CPAP) therapies for OSA, we present recommendations determined by a systematic review of the literature. It is an update of the 2011 ERS statement on non-CPAP therapies, advanced into a clinical guideline. A multidisciplinary group of experts, including pulmonary, surgical, dentistry and ear–nose–throat specialists, methodologists and patient representatives considered the most relevant clinical questions (for both clinicians and patients) relating to the management of OSA. Eight key clinical questions were generated and a systematic review was conducted to identify published randomised clinical trials that answered these questions. We used the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach to assess the quality of the evidence and the strength of recommendations. The resulting guideline addresses gastric bypass surgery, custom-made dual-block mandibular advancement devices, hypoglossal nerve stimulation, myofunctional therapy, maxillo-mandibular osteotomy, carbonic anhydrase inhibitors and positional therapy. These recommendations can be used to benchmark quality of care for people with OSA across Europe and to improve outcomes.http://err.ersjournals.com/content/30/162/210200.full |
| spellingShingle | Winfried Randerath Johan Verbraecken Christel A.L. de Raaff Jan Hedner Simon Herkenrath Winfried Hohenhorst Tina Jakob Oreste Marrone Marie Marklund Walter T. McNicholas Rebecca L. Morgan Jean-Louis Pepin Sofia Schiza Nicole Skoetz Dan Smyth Jörg Steier Thomy Tonia Wojciech Trzepizur Piet-Heijn van Mechelen Peter Wijkstra European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea European Respiratory Review |
| title | European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea |
| title_full | European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea |
| title_fullStr | European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea |
| title_full_unstemmed | European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea |
| title_short | European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea |
| title_sort | european respiratory society guideline on non cpap therapies for obstructive sleep apnoea |
| url | http://err.ersjournals.com/content/30/162/210200.full |
| work_keys_str_mv | AT winfriedranderath europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT johanverbraecken europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT christelalderaaff europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT janhedner europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT simonherkenrath europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT winfriedhohenhorst europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT tinajakob europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT orestemarrone europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT mariemarklund europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT waltertmcnicholas europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT rebeccalmorgan europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT jeanlouispepin europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT sofiaschiza europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT nicoleskoetz europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT dansmyth europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT jorgsteier europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT thomytonia europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT wojciechtrzepizur europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT pietheijnvanmechelen europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea AT peterwijkstra europeanrespiratorysocietyguidelineonnoncpaptherapiesforobstructivesleepapnoea |