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Consensus Statements among European Sleep Surgery Experts on Snoring and Obstructive Sleep Apnea: Part 2
Ewa Olszewska1, Andrea De Vito2, Carlos O'Connor-Reina3
1Department of Otolaryngology, Sleep Apnea Surgery Center, Medical University of Bialystok, 15-276 Bialystok, Poland.
Journal of Clinical Medicine
|April 13, 2024
Summary
Achieving consensus on surgical management and peri-operative care for snoring and obstructive sleep apnea (OSA) remains a challenge for sleep surgeons. Further research and discussion are needed to improve agreement on these critical patient care decisions.
Area of Science:
- Otolaryngology
- Sleep Medicine
- Surgical Consensus
Background:
- Significant variability exists in surgical management and peri-operative care for snoring and obstructive sleep apnea (OSA).
- Establishing consensus among sleep surgeons is crucial for optimizing patient outcomes.
Purpose of the Study:
- To reach consensus on decision-making for surgical management of snoring and OSA.
- To establish consensus on peri-operative considerations for patients with snoring and OSA.
Main Methods:
- A modified Delphi method was employed with eight European sleep surgery experts.
- Multiple rounds of statement review and consensus-building were conducted over five rounds.
- Consensus levels were determined based on agreement among panelists for 71 statements.
Main Results:
- Consensus was reached on 60.6% of surgical management statements and 55.3% of peri-operative statements among all eight panelists.
- Lower consensus levels were observed with fewer participating panelists.
- A total of 71 statements, including sub-statements, were finalized.
Conclusions:
- The study highlights a need for enhanced literature review and expert discussion to improve consensus among sleep surgeons.
- Further efforts are required to standardize surgical and peri-operative management for snoring and OSA.
- Addressing variability in decision-making is essential for improving care for patients with snoring and OSA.
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