Sleep medicine in otolaryngology units: an international survey.

Americas Clinical Competence / statistics & numerical data Europe Health Care Surveys / statistics & numerical data Hospital Departments / statistics & numerical data Humans Otolaryngologists / statistics & numerical data Otolaryngology / statistics & numerical data Otorhinolaryngologic Surgical Procedures / statistics & numerical data Sleep Wake Disorders / therapy

DISE OSA Otolaryngology Sleep surgery Survey

Journal

Sleep & breathing = Schlaf & Atmung

ISSN: 1522-1709

Titre abrégé: Sleep Breath

Pays: Germany

ID NLM: 9804161

Informations de publication

Date de publication:
12 2021

Historique:

received: 14 05 2020

accepted: 31 10 2020

revised: 16 09 2020

pubmed: 21 11 2020

medline: 5 3 2022

entrez: 20 11 2020

Statut: ppublish

Résumé

No study to date has described the overall landscape of sleep disorders management and training in otolaryngology departments of different countries. The aim of our study was to investigate and compare settings, diagnostic and therapeutic approaches and training programmes. An international online survey was developed with the collaboration of the YO-IFOS (Young Otolaryngologists-International Federation of Otorhinolaryngological Societies) to assess the current practice of otolaryngologists in the management of sleep disorders. The survey also included a session dedicated to training. A total of 126 otolaryngologists completed the survey. The larger part of responses was collected from Central/South America and Europe. The majority of responders from South/Central America (97%) declared to be certified as sleep specialist while 49% of Europeans stated the opposite. Of responders 83% perform a drug-induced sleep endoscopy (DISE) before planning a possible surgical intervention. Soft palate and base of tongue interventions were the most common procedure, respectively performed in 94% and 79% of the cases. Residents were allowed to perform soft palate surgery in 77% of the cases. Upper airway stimulation (26% vs 10%), trans-oral robotic surgery (36% vs 11%) and radiofrequency of the base of the tongue (58% vs 25%) were preferred more frequently by European responders. The highest caseloads of soft palate surgery and bi-maxillary advancement were registered in the academic institutions. Significant concordance and few interesting divergences in diagnosis and treatment of sleep disorders were observed between nationalities and types of institution. Economic resources might have played a significant role in the therapeutic choice. Trainees' lack of exposure to certain interventions and to a sufficient caseload appeared to be the main burden to overcome.

Identifiants

DOI: 10.1007/s11325-020-02243-6 PMID: 33216312

pubmed: 33216312

doi: 10.1007/s11325-020-02243-6

pii: 10.1007/s11325-020-02243-6

doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

Pagination

2141-2152

Commentaires et corrections

Type : ErratumIn

Informations de copyright

Références

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