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Master Thesis

Quels sont les freins identifiables au diagnostic du syndrome d’apnée obstructive du sommeil chez les médecins généralistes en Isère ?

Abstract : Introduction.Obstructive sleep apnea syndrome (OSAS) is the repetition of apneas and hypopneas during sleep. These repeated respiratory events lead to nocturnal micro-awakenings with a completely disrupted sleep architecture and significant repercussions on the quality of life of patients. OSA is considered underdiagnosed in the general population. The objective of this study is to identify the obstacles to the diagnosis of OSA in general practitioners in Isère today. Methods.This is a qualitative study with semi-structured interviews carried out with twelve general practitioners from Isère. Interviews were recorded, transcribed and an open analysis was performed by each researcher followed by triangulation. Results. The study highlights two main results. There is an underdiagnosis in a context where OSA is not mentioned by the doctor for lack of vigilance more than for lack of knowledge. When OSA is mentioned, the management does not go as far as the diagnosis. This is linked to the treatment by continuous positive airway pressure (CPAP) deemed too binding by the doctor. Conclusion Public health campaigns as well as initial training could accentuate the place of OSA as a cardiovascular risk factor. The various existing treatments and their evolution could be the subject of media coverage among doctors in order to improve their diagnosis of OSA.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03454906
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Monday, November 29, 2021 - 2:14:19 PM
Last modification on : Wednesday, December 1, 2021 - 3:28:53 AM

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  • HAL Id : dumas-03454906, version 1

Citation

Camille Valéry, Mathilde Fischer. Quels sont les freins identifiables au diagnostic du syndrome d’apnée obstructive du sommeil chez les médecins généralistes en Isère ?. Médecine humaine et pathologie. 2021. ⟨dumas-03454906⟩

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