[Consensus paper on the diagnosis and treatment of sleep disordered breathing].
Diagnosis and treatment of sleep disordered breathing (SDB) undergo substantial changes, both in terms of increasing scientific knowledge and also in terms of patient provision and socio-economic aspects. Increasing evidence shows the relevance of SDB on morbidity and mortality of affected patients. The precise differentiation of different phenotypes of SDBs has improved substantially in recent years. These proceedings influence the approach to the patients suspected of suffering from SDB. The scientific advances on the one hand are facing intentions to simplify diagnostical processes and treatment initiation and intentions to translate duties of physicians to non-medical personnel on the other hand. This consensus paper presents the principals of diagnosis, treatment initiation and provision, including the role of different participants of the healthcare system, and compares different treatment options. Major aspects include the differentiation of the diagnostical process in screening, affirmation of diagnosis and differential diagnosis. In addition, it focusses on the relevance of the pretest probability and describes a therapeutical algorithm.
Krankenhaus Bethanien gGmbH, Institut für Pneumologie an der Universität Witten/Herdecke, Solingen.
W J
WJ
Randerath
Praxis für Innere Medizin, Pneumologie, Allergologie und Schlafmedizin, Reinbek.
H
H
Hein
Klinik und Poliklinik für Innere Medizin II, Universitätsklinikum Regensburg.
M
M
Arzt
Krankenhaus der Augustinerinnen, Köln.
W
W
Galetke
HELIOS Klinik Hagen-Ambrock, Hagen.
G
G
Nilius
Charité-Universitätsmedizin Berlin, Schlafmedizinisches Zentrum, Berlin.
T
T
Penzel
HELIOS Klinikum Wuppertal.
K
K
Rasche
HELIOS Klinik Hagen-Ambrock, Hagen.
K-H
KH
Rühle
Hephata-Klinik, Schwalmstadt.
G
G
Mayer
D005858:Germany; D006801:Humans; D017286:Polysomnography / Q000592:standards*; D011175:Positive-Pressure Respiration / Q000592:standards*; D017410:Practice Guidelines as Topic; D015272:Pulmonary Medicine / Q000592:standards*; D012129:Respiratory Function Tests / Q000592:standards*; D012891:Sleep Apnea Syndromes / Q000175:diagnosis* / Q000628:therapy*; D056508:Sleep Medicine Specialty / Q000592:standards*