PDF(Pubmed)
Abstract：
This perspective on alternatives to positive airway pressure (PAP) therapy for the treatment of obstructive sleep apnea (OSA) summarizes the proceedings of a focus group that was conducted by the Sleep Research Society Foundation. This perspective is from a multidisciplinary panel of experts from sleep medicine, dental sleep medicine, and otolaryngology that aims to identify the current role of oral appliance therapy and hypoglossal nerve stimulation for the treatment of OSA with emphasis on the US practice arena. A secondary aim is to identify-from an implementation science standpoint-the various barriers and facilitators for adoption of non-PAP treatment that includes access to care, multidisciplinary expertise, reimbursement, regulatory aspects, current treatment guidelines, health policies, and other factors related to the delivery of care. The panel has contextualized the review with recent events-such as a large-scale PAP device recall compounded by supply chain woes of the pandemic-and emerging science in the field of OSA and offers solutions for multidisciplinary approaches while identifying knowledge gaps and future research opportunities.
摘要：
关于气道正压通气（PAP）治疗阻塞性睡眠呼吸暂停（OSA）的替代方法的观点总结了由睡眠研究学会基金会进行的焦点小组的程序。这个观点来自睡眠医学的多学科专家小组，牙科睡眠医学，和耳鼻喉科，旨在确定口腔矫治器疗法和舌下神经刺激在OSA治疗中的当前作用，重点是美国的实践领域。次要目标是从实施科学的角度确定采用包括获得护理在内的非PAP治疗的各种障碍和促进因素，多学科专业知识，报销,监管方面，目前的治疗指南，卫生政策,以及与提供护理相关的其他因素。该小组将审查与最近的事件联系起来，例如大规模的PAP设备召回，再加上大流行的供应链困境，以及OSA领域的新兴科学，并为多学科方法提供解决方案，同时确定知识差距和未来的研究机会。
