Setting up an autonomic unit within the neurological department: a position statement of the European Federation of Autonomic Societies

Habek M, Fanciulli A, Pavy-Le Traon A, Struhal W, Krbot Skorić M, Crnošija L, Adamec I, Bozzali M, Falup-Pecurariu C, Jordan J, Kaal E, Wenning GK, Calandra Buonaura G, Chiaro G, Cortelli P, Guaraldi P, Hilz MJ, Iodice V, Terkelsen AJ, Kamondi A, Milner MSD, Carneiro DR, Rocchi C, Rocha I, Rzepiński Ł, Stanković I, Tijero B, Thijs RD (2026)

Publication Type: Journal article

Publication year: 2026

Journal

DOI: 10.1007/s10286-026-01187-3

Abstract

Purpose: The growing recognition of autonomic nervous system (ANS) dysfunction across a broad spectrum of neurological and systemic diseases calls for structured, multidisciplinary care. This position statement by the European Federation of Autonomic Societies aims to provide guidance on establishing an autonomic unit within a neurology department. Methods: A Task Force appointed by the European Federation of Autonomic Societies board in October 2022 proposed staffing and equipment requirements for autonomic units, based on a literature review, survey data from ANS laboratories, and existing diagnostic guidelines. These propositions were integrated into the initial 25 questions and refined using a modified Delphi method to achieve expert consensus. Consensus was predefined as ≥ 80% agreement. Statements that did not reach consensus were revised and reassessed in subsequent rounds. Results: After three rounds of Delphi surveys, expert consensus was achieved on the minimal and optimal requirements for autonomic unit personnel, technical equipment, and the availability of multidisciplinary care. Conclusion: This European Federation of Autonomic Societies position statement presents practical, expert-based recommendations to promote the development of autonomic units across various healthcare systems. By establishing minimum and optimal standards for staffing, equipment, and interdisciplinary collaboration, the document offers a clear framework for standardizing clinical care and supporting collaborative research. This statement serves as a foundational resource for clinicians, administrators, and policymakers committed to strengthening the ANS care infrastructure.

Authors with CRIS profile

Involved external institutions

Zagreb University Hospital Centre / Klinički bolnički centar Zagreb (KBC) Croatia (HR) Medizinische Universität Innsbruck Austria (AT) Centre Hospitalier Universitaire (CHU) de Toulouse France (FR) University of Turin / Università degli Studi di Torino (UNITO) Italy (IT) Transilvania University of Brasov / Universitatea Transilvania din Brașov Romania (RO) Deutsches Zentrum für Luft- und Raumfahrt e.V. (DLR) / German Aerospace Center Germany (DE) Maasstad Ziekenhuis Netherlands (NL) IRCCS Istituto delle Scienze Neurologiche di Bologna (ISNB) Italy (IT) National Hospital For Neurology and Neurosurgery United Kingdom (GB) University of Bologna / Università di Bologna Italy (IT) Aarhus University Hospital / Aarhus Universitetshospital Denmark (DK) Semmelweis University / Semmelweis Egyetem Hungary (HU) Universidad de Málaga / University of Malaga Spain (ES) Centro Hospitalar e Universitário de Coimbra (CHUC) Portugal (PT) Karl Landsteiner Privatuniversität für Gesundheitswissenschaften GmbH Austria (AT) Policlinico Tor Vergata Italy (IT) 10th Military Research Hospital and Polyclinic / 10 Wojskowy Szpital Kliniczny z Polikliniką Poland (PL) University Clinical Centre of Serbia / Univerzitetski Klinički Centar Srbije / Универзитетски клинички центар Србије Serbia (RS) Biocruces Health Research Institute Spain (ES) Stichting Epilepsie Instellingen Nederland (SEIN) Netherlands (NL) University of Lisbon / Universidade de Lisboa (ULisboa) Portugal (PT)

How to cite

APA:

Habek, M., Fanciulli, A., Pavy-Le Traon, A., Struhal, W., Krbot Skorić, M., Crnošija, L.,... Thijs, R.D. (2026). Setting up an autonomic unit within the neurological department: a position statement of the European Federation of Autonomic Societies. Clinical Autonomic Research. https://doi.org/10.1007/s10286-026-01187-3

MLA:

Habek, Mario, et al. "Setting up an autonomic unit within the neurological department: a position statement of the European Federation of Autonomic Societies." Clinical Autonomic Research (2026).

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