Patient-centered care in obstructive sleep apnea: A vision for the future

Abstract

Obstructive sleep apnea is a common condition, with multiple potential neurocognitive, cardiovascular, and metabolic consequences. Efficacious treatment is available, but patient engagement is typically required for treatment to be effective. Patients with sleep apnea are phenotypically diverse and have individual needs, preferences, and values that impact treatment decisions. There has been a shift in obstructive sleep apnea management from diagnosis to chronic care management. Making treatment decisions that incorporate an individual patient's values and preferences and are personalized for that patient's biology has the potential to improve patient outcomes. A patient-centered care approach in obstructive sleep apnea is reviewed including 1) determining patient-specific needs to guide treatment decisions, 2) understanding patient values, preferences, and other factors impacting treatment decisions and using shared decision-making, 3) enhancing patient education and support to improve treatment adherence, 4) promoting patient engagement, 5) optimizing care coordination, continuity of care, and access to care, and 6) determining and assessing patient-centered outcomes.

Non-invasive Ventilation in Children With Neuromuscular Disease

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From CPAP to tailored therapy for obstructive sleep Apnoea

“…This is an area requiring further research to understand the balance between efficacy and effectiveness in individual patients. This highlights the need for patient-centred care approaches and incorporating patient preferences and values and empowering the patient with knowledge to contribute to their own treatment decisions [ 129 ].…”

Obstructive sleep apnea in outpatient care - What to do with?

“…Obstrukční spánková apnoe (OSA) je relativně časté onemocnění s potenciálními neurokognitivními, kardiovaskulárními a metabolickými následky [1]. Obstrukční spánková apnoe je společně s centrální spánkovou apnoe a hypoventilací související se spánkem dle doporučení Americké akademie spánkové medicíny (AASM) z roku 2017 řazena mezi poruchy dýchání ve spánku [2].…”