1 / 15

Implementing NICE guidance

Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome. Implementing NICE guidance. 2008. NICE technology appraisal guidance 139. What this presentation covers. Definitions Recommendations Clinical need Costs and savings DH Funding waiver

cassidy-rosales
Télécharger la présentation

Implementing NICE guidance

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Continuous positive airway pressure for the treatment of obstructive sleep apnoea/hypopnoea syndrome Implementing NICE guidance 2008 NICE technology appraisal guidance 139

  2. What this presentation covers • Definitions • Recommendations • Clinical need • Costs and savings • DH Funding waiver • Discussion • Implementation

  3. Definitions • Apnoea – a temporary absence or cessation of breathing • OSAHS – a condition in which a person experiences repeated episodes of apnoea because of a narrowing or closure of the pharyngeal airway during sleep, resulting in daytime symptoms, especially excessive sleepiness • CPAP – continuous positive airway pressure

  4. Recommendation:moderate or severe OSAHS • CPAP is recommended as a treatment option for adults with moderate or severe symptomatic OSAHS.

  5. Recommendation:mild OSAHS • CPAP is only recommended as a treatment option for adults with mild OSAHS if: • they have symptoms that affect their quality of life and ability to go about their daily activities, and • lifestyle advice and any other relevant treatment options have been unsuccessful or are considered inappropriate.

  6. Recommendation:diagnosis and treatment • The diagnosis and treatment of OSAHS, and the monitoring of the response, should be carried out by a specialist service with appropriately trained medical and support staff.

  7. OSAHS symptoms and associated problems • Excessive daytime sleepiness • Impaired alertness • Cognitive impairment • Snoring • Other possible symptoms • Impact on partners and quality of life • Association with cardiovascular disease and road traffic accidents

  8. Risk factors for OSAHS • Increasing age • Gender • Obesity • Specific craniofacial characteristics • Enlarged tonsils or tongue

  9. Treatment of OSAHS • Treatment aims • Lifestyle management, including weight loss • Dental devices • Surgery

  10. CPAP technology • Types of CPAP: • fixed • auto-titrating • Non-adherence to treatment

  11. Costs per 100,000 population

  12. Possible barriers to treatment • Low recognition of the problem • Inadequate access to services • Intolerance of CPAP treatment

  13. For discussion • Which recommendations will require a change in practice for you? • Are there existing practices that are no longer recommended, allowing transfer of resources? • What is the current level of service provision? – consider both the short- and long-term needs of patients • How do we do effectively support patients? • What additional training is needed for primary care?

  14. Access tools online • Costing tools: • costing report • costing template • Implementation advice • Audit support • Available from: www.nice.org.uk/TA139

  15. Access the appraisal online • Quick reference guide – a summary www.nice.org.uk/TA139quickrefguide • Full guidance – all of the evidence and rationale www.nice.org.uk/TA139guidance • ‘Understanding NICE guidance’ – a plain English version www.nice.org.uk/TA139publicinfo

More Related