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Schiza SE, Randerath W, Sánchez-de-la-Torre M, Aliverti A, Bonsignore M, Simonds AK, Laveneziana P. Continuous professional development: elevating sleep andbreathing disorder education in Europe. Breathe (Sheff) 2020; 16:190336. [PMID: 32194769 PMCID: PMC7078742 DOI: 10.1183/20734735.0336-2019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Sleep and breathing disorders are highly prevalent, representing a growing subspecialty of respiratory medicine. The term sleep disordered breathing (SDB) encompasses a range of conditions characterised by abnormal breathing during sleep, from chronic or habitual snoring, to frank obstructive sleep apnoea (OSA) or, in some cases, central sleep apnoea (CSA) and hypoventilation syndromes. OSA is the commonest form of SDB, leading to many potential consequences and adverse clinical outcomes, including excessive daytime sleepiness, impaired daytime function, metabolic dysfunction, and an increased risk of cardiovascular disease and mortality [1]. The estimated reported prevalence of moderate-to-severe SDB (≥15 events·h−1) was 23.4% in women and 49.7% in men, and the prevalence of symptomatic OSA was 9% and 13%, respectively [2]. However, in some populations, the prevalence of OSA is substantially higher, such as in patients been evaluated for bariatric surgery (estimated range 70–80%), in patients who have had a transient ischaemic attack or stroke (estimated range 60–70%) and in patients with cardiometabolic disease [3–6]. Limited data have been reported on CSA and non-obstructive sleep-related hypoventilation, which have received considerable interest in the sleep field within the past 10 years. Even if their prevalence was noted to be quite low relative to the prevalence of OSA [7], they are quite common in specific subpopulations [8–10]. The @EuroRespSoclaunches a new sleep and breathing disorders continuous professional development programmehttp://bit.ly/30PU01P
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Affiliation(s)
- Sophia E Schiza
- Sleep Disorders Unit, Dept of Respiratory Medicine, University General Hospital, Medical School of the University of Crete, Heraklion, Crete, Greece
| | - Winfried Randerath
- Institute of Pneumology at the University of Cologne, Bethanien Hospital, Clinic for Pneumology and Allergology, Centre of Sleep Medicine and Respiratory Care, Solingen, Germany
| | - Manuel Sánchez-de-la-Torre
- Group of Precision Medicine in Chronic Diseases, Hospital Arnau de Vilanova-Santa Maria, IRBLleida, Lleida, Spain.,Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Madrid, Spain
| | - Andrea Aliverti
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milan, Italy
| | - MariaR Bonsignore
- Sleep and Chronic Respiratory Failure Clinic, University Hospital Paolo Giaccone, PROMISE Dept, University of Palermo, Palermo, Italy.,IRIB, National Research Council (CNR), Palermo, Italy
| | - Anita K Simonds
- Sleep and Ventilation Unit, Royal Brompton and Harefield NHS Foundation Trust, London, UK
| | - Pierantonio Laveneziana
- Sorbonne Université, INSERM, UMRS1158 Neurophysiologie respiratoire Expérimentale et clinique, Paris, France.,AP-HP Sorbonne Université, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée du Département Médico-Universitaire "APPROCHES", Paris, France
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Randerath W, Bassetti CL, Bonsignore MR, Farre R, Ferini-Strambi L, Grote L, Hedner J, Kohler M, Martinez-Garcia MA, Mihaicuta S, Montserrat J, Pepin JL, Pevernagie D, Pizza F, Polo O, Riha R, Ryan S, Verbraecken J, McNicholas WT. Challenges and perspectives in obstructive sleep apnoea. Eur Respir J 2018; 52:13993003.02616-2017. [DOI: 10.1183/13993003.02616-2017] [Citation(s) in RCA: 108] [Impact Index Per Article: 18.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Accepted: 04/25/2018] [Indexed: 12/21/2022]
Abstract
Obstructive sleep apnoea (OSA) is a major challenge for physicians and healthcare systems throughout the world. The high prevalence and the impact on daily life of OSA oblige clinicians to offer effective and acceptable treatment options. However, recent evidence has raised questions about the benefits of positive airway pressure therapy in ameliorating comorbidities.An international expert group considered the current state of knowledge based on the most relevant publications in the previous 5 years, discussed the current challenges in the field, and proposed topics for future research on epidemiology, phenotyping, underlying mechanisms, prognostic implications and optimal treatment of patients with OSA.The group concluded that a revision to the diagnostic criteria for OSA is required to include factors that reflect different clinical and pathophysiological phenotypes and relevant comorbidities (e.g.nondipping nocturnal blood pressure). Furthermore, current severity thresholds require revision to reflect factors such as the disparity in the apnoea–hypopnoea index (AHI) between polysomnography and sleep studies that do not include sleep stage measurements, in addition to the poor correlation between AHI and daytime symptoms such as sleepiness. Management decisions should be linked to the underlying phenotype and consider outcomes beyond AHI.
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Mitchell S, Riha RL, Rohde G, Simonds AK. Continuing professional development: introducing the ERS International Certificate in Respiratory Sleep Medicine. Breathe (Sheff) 2017; 13:11-14. [PMID: 28289446 PMCID: PMC5343602 DOI: 10.1183/20734735.001617] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Certification of specialists in respiratory sleep medicine for the purposes of continuing professional development http://ow.ly/4uX9309g3Hs.
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Affiliation(s)
- Sharon Mitchell
- ERS Education, European Respiratory Society, Lausanne, Switzerland
| | - Renata L Riha
- Dept. of Sleep Medicine, Edinburgh Royal Infirmary, Edinburgh, UK
| | - Gernot Rohde
- Dept. of Respiratory Medicine, Maastricht University Medical Centre, Maastricht, The Netherlands; Network of Excellence in Community Acquired Pneumonia (CAPNETZ Stiftung), Medizinische Hochschule Hannover, Hannover, Germany
| | - Anita K Simonds
- National Institute for Health Research (NIHR) Respiratory Biomedical Research Unit, Royal Brompton & Harefield NHS Foundation Trust, London, UK
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Sutter S, Mitchell S, Eber E, Hedlin G, Midulla F, Niculescu A, Paton JY, Ross Russell R, Gappa M. Paediatric HERMES: European accreditation of training centres in paediatric respiratory medicine. Breathe (Sheff) 2016; 12:105-10. [PMID: 27408628 PMCID: PMC4933611 DOI: 10.1183/20734735.003716] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
HERMES: European accreditation of training centres in paediatric respiratory medicine http://ow.ly/ZBmUg.
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Affiliation(s)
- Sandy Sutter
- European Respiratory Society, Lausanne, Switzerland
| | | | - Ernst Eber
- Paediatric Dept, Medical University of Graz, Graz, Austria
| | - Gunilla Hedlin
- Dept of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden
| | | | | | | | | | - Monika Gappa
- Dept of Paediatrics, Marienhospital, Wesel, Germany
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