Sleep Department, ENT and Allergy Associates, New York, NY, USA.
Clinical Neurophysiology, School of Medicine, Cairo University, Egypt.
Sleep Med. 2022 Jan;89:19-22. doi: 10.1016/j.sleep.2021.10.007. Epub 2021 Oct 15.
Guidelines for the evaluation and management of sleep disorders from national societies provide recommendations that may be regionally appropriate but may not always be practical or relevant in other parts of the world. A task force of experts from the World Sleep Society's (WSS) International Sleep Medicine Guidelines Committee and Sleep and Breathing Disorders Taskforce reviewed the American Academy of Sleep Medicine's Clinical Practice Guideline on the Treatment of Adult Obstructive Sleep Apnea (OSA) with Positive Airway Pressure with respect to its relevance and applicability to the practice of sleep medicine by sleep specialists in various regions of the world. To improve the evaluation of the guideline, surveys were sent by the senior author and the WSS to approximately 800 sleep doctors around the world to query the availability of OSA treatments in their respective region. The task force and the WSS guidelines committee endorsed the AASM's CPAP guidelines with respect to the indications for PAP therapy, utilization of different PAP modalities, and concurrent strategies to improve outcomes, noting appropriate caveats for universal applicability.
来自各国学会的睡眠障碍评估和管理指南提供的建议可能适用于特定地区,但在世界其他地区可能并不实际或相关。世界睡眠学会(WSS)国际睡眠医学指南委员会和睡眠与呼吸障碍工作组的一个专家工作组审查了美国睡眠医学学会(AASM)关于成人阻塞性睡眠呼吸暂停(OSA)治疗的临床实践指南,该指南涉及到其对世界不同地区睡眠专家的睡眠医学实践的相关性和适用性。为了改进对该指南的评估,资深作者和 WSS 向全球大约 800 名睡眠医生发送了调查,询问他们所在地区 OSA 治疗的可用性。工作组和 WSS 指南委员会认可了 AASM 的 CPAP 指南,包括 PAP 治疗的适应证、不同 PAP 模式的利用以及改善治疗效果的并发策略,并注意到普遍适用性的适当警告。