Obstructive Sleep Apnea; Oropharynx; Oral Appliance; CPAP; Surgery
Abstract :
[en] Introduction and Aim: A shift in Obstructive Sleep Apnea (OSA) funding was implemented in Belgium on January 1, 2017. Funding was allowed for moderate to severe OSA and the rules shifted for treatments delivery and monitoring by authorised medical opinion. Multidisciplinary Sleep Clinics have long existed, bringing together sleep specialists, dentists, orthodontists and surgeons. We aimed to assess whether a shift in treatment funding was associated with a change in the multidisciplinary sleep practice.
Material and Methods: Sample consisted of all patients discussed in the sleep multidisciplinary team meetings of the University Hospital of Liege from January 2016 to December 2018. Interrupted times series, Mann-Whitney U tests and descriptive statistics were produced.
Results: There were no differences in patients age, male sex preponderance, body mass index, clinical presentation and level of obstruction. Baseline OSA severity was significantly lower (mean apnea-hypopnea index and mean oxygen desaturation index lowered respectively with p = 0.0189 and p = 0.0466) after the funding rules changed. Oral appliance and ENT surgery were more often offered after the shift in funding.
Conclusion: Sleep multidisciplinary team meeting changed patient selection and management after the implementation of the new funding rules for OSA. The shift in funding often resulted in treatment options change, reaching more people and offering more options.
Research Center/Unit :
d‐BRU - Dental Biomaterials Research Unit - ULiège [BE]
Disciplines :
Otolaryngology
Author, co-author :
VERMEIRE, Pierre ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
FANIELLE, Julien ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de neurologie
BRUWIER, Annick ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service d'orthopédie dento-faciale
GILON, Yves ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Service de chirurgie plastique et maxillo-faciale
HENDRIX, Charlotte ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service d'orthopédie dento-faciale
LEFEBVRE, Philippe ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Pepinster, Caroline ; Centre Hospitalier Universitaire de Liège - CHU > Département de dentisterie > Service d'orthopédie dento-faciale
Puertas, Francisco-Javier ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de neurologie
QUAEDVLIEG, Valérie ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de pneumologie - allergologie
Raskin, Sylviane ; Université de Liège - ULiège > Département de sciences dentaires > Département de sciences dentaires
ROGISTER, Florence ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale
Tombu, Sophie ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques
POIRRIER, Anne-Lise ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ORL, d'audiophonologie et de chir. cervico-faciale