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Consensus Statements among European Sleep Surgery Experts on Snoring and Obstructive Sleep Apnea: Part 1 Definitions
Ewa Olszewska1, Andrea De Vito2, Peter Baptista3
1Department of Otolaryngology, Sleep Apnea Surgery Center, Medical University of Bialystok, 15-276 Bialystok, Poland.
European sleep surgeons reached consensus on snoring and obstructive sleep apnea (OSA) definitions and diagnosis using the Delphi method. This process refined statements, improving agreement among experts in this evolving field.
Area of Science:
- Sleep Medicine
- Surgical Practice
- Medical Consensus Building
Background:
- Variability in knowledge and practices exists among sleep surgeons regarding snoring and obstructive sleep apnea (OSA).
- Establishing standardized definitions and diagnostic criteria is crucial for this relatively new and evolving field.
Purpose of the Study:
- To achieve expert consensus on the definitions and diagnosis of snoring and obstructive sleep apnea (OSA) among European sleep surgeons.
- To develop a standardized set of statements through a rigorous consensus-building process.
Main Methods:
- The Delphi method was employed, involving five rounds of iterative feedback among eight European sleep surgery experts.
- Statements were developed based on existing literature and refined based on expert responses, including agreement levels and anonymized comments.
Main Results:
- Initial consensus was low, with only 45% of statements reaching agreement among all eight panelists in the first round.
- After five rounds, consensus significantly improved, with 66.7% of the final 99 statements achieving agreement among all eight panelists.
Conclusions:
- The Delphi method proved effective for expert interaction and achieving consensus on key statements related to snoring and OSA.
- This study provides a foundation for standardized definitions and diagnostic approaches in sleep surgery.
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