WORKING GROUPS The Spokane Regional Sleep Apnea Network is an open alliance of local healthcare providers and organizations interested in working together to increase awareness of sleep-disordered breathing in adults and children, offer patient support through regularly scheduled face-to-face meetings, provide clinical and research updates to the primary care teams and promote more effective communication channels between the various specialties involved in the management of patients with sleep apnea. Coordinator Contact: Dr. Liana Groza, DDS FAGD (Spokane Sleep Apnea Dentistry ) E-mail: drgroza@spokanesleepapneadentistry.com Spokane A.W.A.K.E. Committee Spokane chapter of the American Sleep Apnea Association patient support network http://www.sleepapnea.org/support/a.w.a.k.e.-network-map.html Current Members:
Cardiometabolic Group Focuses on the impact of sleep-disordered breathing on cardiovascular disease and diabetes See 2009 AASM Guidelines below for populations at high risk of OSA and clinical management recommendations: Force, Adult Obstructive Sleep Apnea Task, and American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. Journal of Clinical Sleep Medicine: JCSM: official publication of the American Academy of Sleep Medicine 5.3 (2009): 263 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2699173/ Cognitive Function Group Focuses on the connection between sleep-disordered breathing and stroke/post-stroke rehabilitation, Alzheimer's disease, mood disorders and related conditions References: Daulatzai, M A. Death by a thousand cuts in Alzheimer’s disease: hypoxia—the prodrome. Neurotoxicity research. 2013; 24:216-43 NIH News April 8, 2010 "Sleep Apnea Tied to Increased Risk of Stroke" http://www.nih.gov/news/health/apr2010/nhlbi-08.htm Dyken, M. E., Somers, V. K., Yamada, T., Ren, Z. Y., & Zimmerman, M. B. Investigating the relationship between stroke and obstructive sleep apnea. Stroke. 1996; 27:401-7. Sleep-breathing Problems May Signal Earlier Cognitive Decline, But CPAP Use May Prevent It http://www.sleepreviewmag.com/2015/04/sleep-breathing-problems-may-signal-earlier-cognitive-decline-cpap-use-may-prevent/ Stein, Pamela S., Stephen Scheff, and D. R. Dawson. "Alzheimer’s disease and periodontal disease: mechanisms underlying a potential bidirectional relationship." Grand Rounds Oral Systemic Med 1.3 (2006): 14-24. Povitz, Marcus, et al. "Effect of treatment of obstructive sleep apnea on depressive symptoms: systematic review and meta-analysis." PLoS Med11.11 (2014): e1001762. Cheng, Philip, et al. "Sleep‐disordered breathing in major depressive disorder." Journal of sleep research 22.4 (2013): 459-462. Hayley, Amie C., et al. "The relationships between insomnia, sleep apnoea and depression: findings from the American National Health and Nutrition Examination Survey, 2005–2008." Australian and New Zealand journal of psychiatry 49.2 (2015): 156-170. Wheaton, Anne G., et al. "Sleep disordered breathing and depression among US adults: National Health and Nutrition Examination Survey, 2005–2008."Sleep 35.4 (2012): 461-467. Hall, Martica H., Christopher E. Kline, and Sara Nowakowski. "Insomnia and sleep apnea in midlife women: prevalence and consequences to health and functioning." F1000prime reports 7 (2015). Pediatric Sleep Apnea Group
__________________________________________________________________________ Robert A. Schoumacher, MD Professor of Pediatrics & Otolaryngology Director of LeBonheur Pediatric and Adolescent Sleep Disorders Center University of Tennessee Health Science Center FOR PEDIATRICIANS: How to start the conversation at well-child visits click HERE or download PDF _______________________________________________________________________________________________ References: Capdevila, Oscar Sans, et al. "Pediatric obstructive sleep apnea: complications, management, and long-term outcomes." Proceedings of the American Thoracic Society 5.2 (2008): 274-282. http://www.researchgate.net/profile/David_Gozal2/publication/5602603_Pediatric_obstructive_sleep_apnea_complications_management_and_long-term_outcomes/links/00b4952617e2939b23000000.pdf Koren, Dorit, Katie L. O’Sullivan, and Babak Mokhlesi. "Metabolic and glycemic sequelae of sleep disturbances in children and adults." Current diabetes reports15.1 (2015): 1-10. http://www.researchgate.net/profile/Dorit_Koren2/publication/268336495_Metabolic_and_Glycemic_Sequelae_of_Sleep_Disturbances_in_Children_and_Adults/links/54bd2d3c0cf27c8f2814b077.pdf Estrada, Elizabeth, et al. "Children's Hospital Association Consensus Statements for Comorbidities of Childhood Obesity." Childhood Obesity 10.4 (2014): 304-317. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120655/ Karen Bonuck, Katherine Freeman, Ronald D. Chervin and Linzhi Xu. Sleep-Disordered Breathing in a Population-Based Cohort: Behavioral Outcomes at 4 and 7 Years. Pediatrics; originally published online March 5, 2012; http://pediatrics.aappublications.org/content/early/2012/02/29/peds.2011-1402 Youssef, Nagy A., et al. "Is obstructive sleep apnea associated with ADHD."Ann Clin Psychiatry 23.3 (2011): 213-224. https://www.aacp.com/pdf%2F0811%2F0811ACP_Youssef.pdf ADHD or Sleep Disorder: Are We Getting It Wrong? https://www.psychologytoday.com/blog/sleep-newzzz/201305/adhd-or-sleep-disorder-are-we-getting-it-wrong Workforce Wellness and Performance Group See article in the Journal of Business February 25, 2016 Special Report on the Future of Health Care, discussing the hidden economic cost of untreated sleep apnea to both employers and employees and the benefits of early detection through employer-based wellness programs. "Cardiometabolic prevention targets sleep disorders" Liana Groza, DDS Read full article at http://www.spokanejournal.com/local-news/cardiometabolic-prevention-targets-sleep-disorders/ or download PDF below |
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TAKE A SELF-ASSESSMENT TEST http://www.stopbang.ca/osa/screening.php
JOIN THE CONVERSATION PATIENTS Take a risk assessment test, join an online support forum and help shape apnea research at MyApnea.org  Join one of our face-to-face Spokane A.W.A.K.E. sessions to meet local providers and other patients  A.W.A.K.E. Network PROVIDERS Sign up for one of our Working Groups |
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