Reinsperger, I. and Geiger-Gritsch, S. (2019): Upper Airway Stimulation for Moderate-to-Severe Sleep Apnea. 1st Update 2019. Decision Support Document 100/ Update 2019.
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Obstructive sleep apnea is a sleep-related breathing disorder that is caused by a collapse of the upper airway. Current standard therapy is the continuous positive airway pressure therapy (CPAP), which is limited in its effectiveness due to poor compliance. A new functional therapy approach is the stimulation of the hypoglossal nerve (HNS) by an implantable device to restore the tone of the upper airway dilator muscles.
The update search for this first update did not identify any additional RCTs for assessing effectiveness. For safety assessment, we included five single-arm prospective studies and one registry study.
The inclusion in the Austrian catalogue of benefits is currently not recommended based on the available evidence. A new evaluation is proposed for the year 2021.
|Item Type:||Decision Support Document|
|Keywords:||Obstructive sleep apnea, hypoglossal nerve, electric stimulation|
|Subjects:||WB Practice of medicine > WB 300-962 Therapeutics|
W Health professions > W 100-275 Medical, dental and pharmaceutical service plans
WL Nervous system > WL 200-405 Central nervous system. Disorders. Therapeutics
WF Respiratory system
WO Surgery > WO 505 Minimally invasive surgical procedures
|Series Name:||Decision Support Document 100/ Update 2019|
|Deposited on:||15 Jul 2019 08:40|
|Last Modified:||15 Jul 2019 08:40|
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