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Article Dans Une Revue European Respiratory Review Année : 2021

European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea

Winfried Randerath
Johan Verbraecken
Christel A.L. de Raaff
  • Fonction : Auteur
Jan Hedner
  • Fonction : Auteur
Simon Herkenrath
  • Fonction : Auteur
Winfried Hohenhorst
  • Fonction : Auteur
Tina Jakob
  • Fonction : Auteur
Oreste Marrone
  • Fonction : Auteur
Marie Marklund
  • Fonction : Auteur
Walter Mcnicholas
Rebecca Morgan
Sofia Schiza
  • Fonction : Auteur
Nicole Skoetz
  • Fonction : Auteur
Dan Smyth
  • Fonction : Auteur
Jörg Steier
Thomy Tonia
  • Fonction : Auteur
Wojciech Trzepizur
  • Fonction : Auteur
Piet-Heijn van Mechelen
  • Fonction : Auteur
Peter Wijkstra
  • Fonction : Auteur

Résumé

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.

Dates et versions

hal-03577292 , version 1 (16-02-2022)

Identifiants

Citer

Winfried Randerath, Johan Verbraecken, Christel A.L. de Raaff, Jan Hedner, Simon Herkenrath, et al.. European Respiratory Society guideline on non-CPAP therapies for obstructive sleep apnoea. European Respiratory Review, 2021, 30 (162), pp.210200. ⟨10.1183/16000617.0200-2021⟩. ⟨hal-03577292⟩
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