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Standardprozeduren für Erwachsene in akkreditierten Schlafmedizinischen Zentren in Europa

Standardised procedures for adults in accredited European sleep medicine centres

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Zusammenfassung

Es werden standardisierte Prozeduren (SOPs) in der Schlafmedizin beschrieben und damit eine Fortsetzung der bisher publizierten europäischen Leitlinien zur Akkreditierung von Schlafmedizinischen Zentren (SMZ) und zur Zertifizierung von Fachleuten in der Schlafmedizin erstellt. Das Ziel ist es, hiermit Qualitätsstandards in der europäischen Schlafmedizin zu definieren. Diese Publikation ist Teil eines breiteren Aktionsplans der European Sleep Research Society (ESRS).

Ein aktualisierter Teil weist auf die Kosteneffektivität der Schlafmedizin und ihre Bedeutung für die Ressourcenallokation in der öffentlichen Gesundheitsversorgung hin. Der daran anschließende Teil des Artikels stellt die deutsche Übersetzung der europäischen Leitlinie dar: Fischer J, Dogas Z, Bassetti CL et al. (2012) Standard procedures for adults in accredited sleep medicine centres in Europe. J Sleep Res 21:357–368.

Die hier vorgestellten standardisierten Prozeduren in akkreditierten SMZ berücksichtigen das diagnostische und therapeutische Vorgehen bei Patienten mit Schlafstörungen und basieren auf dem Prinzip der evidenzbasierten Medizin (EbM). Ergänzend wurden einige der SOPs im Rahmen eines formalen Konsensusprozesses von schlafmedizinischen Fachleuten der europäischen Nationalen Gesellschaften für Schlafmedizin (ANSS) beschlossen. Für den hier dargestellten zeitlichen und personellen Arbeitsaufwand der Fachleute im SMZ wurde ebenfalls Konsens erzielt. Die endgültigen Empfehlungen sind als „Standardpraxis“, „Prozedur die sinnvoll sein kann“, „Prozedur die nicht sinnvoll ist“ oder „Prozedur mit nicht ausreichender Information“ bezeichnet. Die hier behandelten SOPs schließen sowohl subjektive als auch objektive Messungen und auch Empfehlungen für Nachuntersuchungen und zur Patientensicherheit in der Schlafmedizin ein. Es besteht das umfassende Ziel, mit diesen Standardprozeduren die Excellence in der Praxis und die Qualitätssicherung in der Schlafmedizin in Europa weiter zu entwickeln.

Abstract

The present paper describes standardised operating procedures (SOP) within clinical sleep medicine. As such, it is a continuation of the previously published European Guidelines for the Accreditation of Sleep Medicine Centres (SMC) and European Guidelines for the Certification of Professionals in Sleep Medicine, aimed at creating standards of practice in European sleep medicine. It is also part of a broader action plan of the European Sleep Research Society (ESRS).

In an updated section, the cost-effectiveness of sleep medicine and its relevance for resource allocation of general health care is emphasized. The following section of this paper is the translation of the guideline of the ESRS into German language: Fischer J, Dogas Z, Bassetti CL et al. (2012) Standard procedures for adults in accredited sleep medicine centres in Europe. J Sleep Res 2012; 21:357–368.

In the current paper, the SOPs in sleep medicine centres regarding the diagnostic and therapeutic management of patients evaluated at SMC, accredited according to the European Guidelines, are primarily based on prevailing evidence-based medicine principles. In addition, parts of the SOPs are based on a formalized consensus procedure applied by a group of Sleep Medicine Experts from the European National Sleep Societies (ANSS). For the workload of the professionals in different SOPs, consensus was also achieved. The final recommendations for SOPs are categorized either as “standard practice”, “procedure that could be useful”, “procedure that is not useful” or “procedure with insufficient information available”. The SOPs described here include both subjective and objective testing, as well as recommendations for follow-up visits and for ensuring patient-safety in sleep medicine. The overall goal of the current SOPs is the further development of excellence in practice and quality assurance of sleep medicine in Europe.

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Danksagung

Die Autoren sind den Präsidenten, Delegierten und Mitgliedern der ANSS die den Text durchgesehen und hilfreiche Kommentare abgegeben haben und an der Delphi-Runde und der Konsens- Konferenz in Lissabon teilgenommen haben zu großem Dank verpflichtet:

Wolfgang Mallin, Reinhold Kerbel, Birgit Högl (Austrian Sleep Research Association), Robert Poirrier (Belgian Association for Sleep research and Sleep medicine), Slavcho Slavchev (Bulgarian Society of Sleep Medicine), John Shneerson, Neil Stanley (British Sleep Society), Karel Šonka (Czech Sleep Research and Sleep Medicine Society), Hans Hamburger, Gerard Kerkhof (Dutch Society for Sleep and Wake Research), Tuuliki Hion (Estonian Association of Sleep Medicine), Sari-Leena Himanen (Finnish Sleep Research Society), Marie-Pia d’Ortho (French Society for Sleep Research and Sleep Medicine), Geert Mayer (German Sleep Society), Constantin Soldatos (Hellenic Sleep Research Association), Zoltan Szakacs (Hungarian Society for Sleep Medicine), Thorarinn Gislason (Icelandic Sleep Research Society), Walter McNicholas (Irish Sleep Society), Gian Luigi Gigli (Italian Association of Sleep Medicine), Roberto Amici, Cristiano Violani (Italian Society of Sleep Research), Børge Sivertsen (Norwegian Sleep Association), Vanda Liesiene (Lithuanian Sleep Society), Andrzej Kukwa (Polish Sleep Research Society), Marta Gonçalvez (Portugese Sleep Association), Leja Dolenc Grošelj (Slovenian Sleep Society), Diego García-Borreguero (Spanish Sleep Society), Johannes Mathis (Swiss Society of Sleep Research, Sleep Medicine and Chronobiology), Sadik Ardıç (Turkish Sleep Medicine Society).

Der ESRS Vorstand und das ESRS Sleep Medicine Committee haben der endgültigen Version dieses Artikels zugestimmt.

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  1. Med. Klinik I, Abt. Pneumologie und Schlafmedizinisches Zentrum, Krankenhaus Landshut-Achdorf, Achdorfer Weg 3, 84036, Landshut, Deutschland

    J. Fischer & S. Brenner

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  1. J. Fischer
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  2. S. Brenner
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Correspondence to J. Fischer.

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Fischer, J., Brenner, S. Standardprozeduren für Erwachsene in akkreditierten Schlafmedizinischen Zentren in Europa. Somnologie 17, 291–303 (2013). https://doi.org/10.1007/s11818-013-0640-y

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  • DOI: https://doi.org/10.1007/s11818-013-0640-y

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