Core Concepts
Primary care physicians face challenges in diagnosing sleep apnea due to underdiagnosis and symptom undervaluation by patients, but advancements in diagnostic tools and technology are making diagnosis more feasible.
Abstract
Obstructive Sleep Apnea Diagnosis Challenges
Underdiagnosis of OSA despite high prevalence.
Importance of primary care physicians in identifying OSA.
Challenges in diagnosing OSA highlighted at ERS Congress 2023.
Patients' undervaluation of common symptoms like snoring and daytime sleepiness.
Busy schedules of physicians leading to symptom-focused evaluations.
Risk Factors and Diagnosis Tools
Risk factors for OSA include structural and nonstructural elements.
Importance of comprehensive physical examination.
Questionnaires like STOP and STOP-BANG for symptom assessment.
Epworth Sleepiness Scale for self-assessment.
Importance of assessing comorbidities linked to cardiovascular risk.
Occupation and Treatment Prioritization
Occupation's role in prioritizing patients for sleep study services.
Challenges in gaining access to sleep study services and CPAP therapy.
Role of family physicians in CPAP compliance and effectiveness monitoring.
Home Testing and Future Innovations
Challenges of overnight polysomnography and long waiting lists.
Potential of home-based sleep testing with innovative sensors.
Importance of specialized teams for accurate diagnosis.
New technologies enabling cost-effective and user-friendly diagnostic sleep tests.
Stats
"Sleep apnea is underdiagnosed because the most common symptoms, like excessive daytime sleepiness or snoring, are undervalued by patients."
"Factors might include obesity, neck circumference, Mallampati score, and nasal and pharyngeal problems."
"Patients are classified as being at low, intermediate, or high risk for OSA."
"Patients with resistant hypertension, pulmonary hypertension, and recurrent atrial fibrillation following cardioversion/ablation should be prioritized for diagnostic testing for OSA."
"There are many patients that still are not diagnosed despite having severe sleep apnea, with symptoms and comorbidities."
Quotes
"Sleep apnea is underdiagnosed because the most common symptoms, like excessive daytime sleepiness or snoring, are undervalued by patients." - Cláudia Sofia De Almeida Vicente Ferreira
"You should include the occupation in the patient's profile. What is he doing? Is he sitting at a desk, or is he working at height, driving, or operating machines? These workers are high-risk patients." - Cláudia Sofia De Almeida Vicente Ferreira
"The issue about sleep diagnosis is that up to now, there was no such devices available." - Renaud Tamisier