Multidisciplinary care for Obstructive Sleep Apnea in the age of “personalized” sleep medicine

Reference:
Thornton A, Maijer R, Ewert C. multidisciplinary care for Obstructive Sleep Apnea in the age of “personalized” sleep medicine. Sleep Medicine 2019. DOI: 10.1016/j.sleep.2019.11.1069

Objectives:
In Canada, recommendations have been published to guide multidisciplinary collaboration between sleep physicians and dentist for the management of obstructive sleep apnea (OSA). However, the responsibility of managing treatment outcomes often falls to primary care physicians (PCPs). P4 medicine (Personalized, Predictive, Preventative and Participatory) has recently been proposed to improve care for OSA.  This case study demonstrates how P4 medicine can guide collaboration between PCPs and dentists on the care of patients with sleep disorders.

Conclusions:
Regular follow-up testing to monitor objective outcomes is needed to ensure long-term treatment efficacy.

Practical Significance:

  1. By involving the patient in collecting his own sleep data, he became re-engaged in his care and was more willing to return to the sleep clinic for further assessment.
  2. Clinical-grade, mobile health technologies play an important role in P4 medicine and facilitate interprofessional collaboration.

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Multidisciplinary care for Obstructive Sleep Apnea in the age of “personalized” sleep medicine