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Singapore consensus statements on the management of obstructive sleep apnoea.

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Názov: Singapore consensus statements on the management of obstructive sleep apnoea.
Autori: Leow, Leong Chai1 leow.leong.chai@singhealth.com.sg, Lee, Chuen Peng2, Venkateswaran, Sridhar3, Chung Lim, Michael Teik4, Teoh, Oon Hoe5, Chang, Ruth6, Chee, Yam Cheng6, Chong, Khai Beng6, Chua, Ai Ping7, Gooley, Joshua8, Han, Hong Juan9, Kamaruddin, Nur Izzianie1, Khoo, See Meng10, Koh, Lynn Huiting11, Loh, Shaun Ray Han1, Lye, Kok Weng12, Ignatius, Mark13, Mok, Yingjuan14, Ng, Jing Hao15, Ong, Thun How1
Zdroj: Annals of the Academy of Medicine, Singapore. Oct2025, Vol. 54 Issue 10, p627-643. 17p.
Predmety: *SLEEP apnea syndromes, *INTERPROFESSIONAL collaboration, *MEDICAL screening, *MEDICAL protocols, *DIAGNOSIS, *MEDICAL care
Geografický termín: SINGAPORE
Abstrakt: Introduction: Obstructive sleep apnoea (OSA) is common in Singapore, with moderate to severe OSA affecting around 30% of residents. These consensus statements aim to provide scientifically grounded recommendations for the management of OSA, standar- dise the management of OSA in Singapore and promote multidisciplinary collaboration. Methods: An expert panel, which was convened in 2024, identified several areas of OSA management that require guidance. The expert panel reviewed the current literature and developed consensus statements, which were later independently voted on using a 3-point Likert scale (agree, neutral or disagree). Consensus (total ratings of agree and neutral) was set a priori at ≥80% agreement. Any statement not reaching consensus was excluded. Results: The final consensus included 49 statements that provide guidance on the screening, diagnosis and management of adults with OSA. Additionally, 23 statements on the screening, diagnosis and management of paediatric OSA achieved consensus. These 72 consensus statements considered not only the latest clinical evidence but also the benefits and harms, resource implications, feasibility, acceptability and equity impact of the recommendations. Conclusion: The statements presented in this paper aim to guide clinicians based on the most updated evidence and collective expert opinion from sleep specialists in Singapore. These recommendations should augment clinical judgement rather than replace it. Management decisions should be individualised, taking into account the patient's clinical characteristics, as well as patient and caregiver concerns and preferences. [ABSTRACT FROM AUTHOR]
Databáza: Academic Search Index
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Abstrakt:Introduction: Obstructive sleep apnoea (OSA) is common in Singapore, with moderate to severe OSA affecting around 30% of residents. These consensus statements aim to provide scientifically grounded recommendations for the management of OSA, standar- dise the management of OSA in Singapore and promote multidisciplinary collaboration. Methods: An expert panel, which was convened in 2024, identified several areas of OSA management that require guidance. The expert panel reviewed the current literature and developed consensus statements, which were later independently voted on using a 3-point Likert scale (agree, neutral or disagree). Consensus (total ratings of agree and neutral) was set a priori at ≥80% agreement. Any statement not reaching consensus was excluded. Results: The final consensus included 49 statements that provide guidance on the screening, diagnosis and management of adults with OSA. Additionally, 23 statements on the screening, diagnosis and management of paediatric OSA achieved consensus. These 72 consensus statements considered not only the latest clinical evidence but also the benefits and harms, resource implications, feasibility, acceptability and equity impact of the recommendations. Conclusion: The statements presented in this paper aim to guide clinicians based on the most updated evidence and collective expert opinion from sleep specialists in Singapore. These recommendations should augment clinical judgement rather than replace it. Management decisions should be individualised, taking into account the patient's clinical characteristics, as well as patient and caregiver concerns and preferences. [ABSTRACT FROM AUTHOR]
ISSN:03044602
DOI:10.47102/annals-acadmedsg.2025153