Diagnosis of Obstructive Sleep Apnea in Adults
Authors: Jordanna M. Hostler, David C. Hostler, Aaron B. Holley
Journal: Annals of Internal Medicine (2015)

Letters17 March 2015Diagnosis of Obstructive Sleep Apnea in AdultsJordanna M. Hostler, MD, David C. Hostler, MD, MPH, and Aaron B. Holley, MDJordanna M. Hostler, MDFrom Walter Reed National Military Medical Center, Bethesda, Maryland.Search for more papers by this author, David C. Hostler, MD, MPHFrom Walter Reed National Military Medical Center, Bethesda, Maryland.Search for more papers by this author, and Aaron B. Holley, MDFrom Walter Reed National Military Medical Center, Bethesda, Maryland.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5062-2 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail My candle burns at both ends;It will not last the night;But ah, my foes, and oh, my friends—It gives a lovely light.—Edna St. Vincent MillayTO THE EDITOR:We read with concern the ACP clinical guideline about the diagnosis of OSA (1). This guideline offers PSG as a solitary tool for sleep-related symptoms; the guideline's broad application could result in unnecessary testing and treatment.Polysomnography performed with current technologies and scored using the criteria recommended by the AASM in 2012 will yield an average apnea–hypopnea index that is 3-fold higher than that obtained with the equipment and scoring criteria available ...References1. Qaseem A, Dallas P, Owens DK, Starkey M, Holty JE, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. Diagnosis of obstructive sleep apnea in adults: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2014;161:210-20. [PMID: 25089864] doi:10.7326/M12-3187 LinkGoogle Scholar2. Ruehland WR, Rochford PD, O'Donoghue FJ, Pierce RJ, Singh P, Thornton AT. The new AASM criteria for scoring hypopneas: impact on the apnea hypopnea index. Sleep. 2009;32:150-7. [PMID: 19238801] CrossrefMedlineGoogle Scholar3. Guerrero A, Embid C, Isetta V, Farre R, Duran-Cantolla J, Parra O, et al. Management of sleep apnea without high pretest probability or with comorbidities by three nights of portable sleep monitoring. Sleep. 2014;37:1363-73. [PMID: 25083017] doi:10.5665/sleep.3932 CrossrefMedlineGoogle Scholar4. Rosen R, Mahowald M, Chesson A, Doghramji K, Goldberg R, Moline M, et al. The Taskforce 2000 survey on medical education in sleep and sleep disorders. Sleep. 1998;21:235-8. [PMID: 9595601] CrossrefMedlineGoogle Scholar5. National Sleep Foundation. 2008 Sleep in America Poll: Summary of Findings. (Prepared by WBA Research.) Washington, DC: National Sleep Foundation; 2008. Accessed at http://sleepfoundation.org/sites/default/files/2008%20POLL%20SOF.pdf on 8 September 2014. Google Scholar Author, Article, and Disclosure InformationAuthors: Jordanna M. Hostler, MD; David C. Hostler, MD, MPH; Aaron B. Holley, MDAffiliations: From Walter Reed National Military Medical Center, Bethesda, Maryland.Disclaimer: The views represented in this letter are those of the authors and do not reflect the policies of the U.S. Department of Defense or the U.S. Army.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0593. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoDiagnosis of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Paul Dallas , Douglas K. Owens , Melissa Starkey , Jon-Erik C. Holty , and Paul Shekelle , for the Clinical Guidelines Committee of the American College of Physicians* Diagnosis of Obstructive Sleep Apnea in Adults: A Clinical Practice Guideline From the American College of Physicians Amir Qaseem , Paul Dallas , Douglas K. Owens , Melissa Starkey , Jon-Erik C. Holty , and Paul Shekelle , for the Clinical Guidelines Committee of the American College of Physicians* Diagnosis of Obstructive Sleep Apnea in Adults Timothy I. Morgenthaler Diagnosis of Obstructive Sleep Apnea in Adults Paul Shekelle , Jon-Erik C. Holty , Thomas D. Denberg , and Amir Qaseem Diagnosis of Obstructive Sleep Apnea in Adults Timothy I. Morgenthaler Diagnosis of Obstructive Sleep Apnea in Adults Paul Shekelle , Jon-Erik C. Holty , Thomas D. Denberg , and Amir Qaseem Metrics Cited byThe contribution of chronic intermittent hypoxia to OSAHS: From the perspective of serum extracellular microvesicle proteins 17 March 2015Volume 162, Issue 6Page: 455-456KeywordsBurnsDisclosureObstructive sleep apneaOxygenPolysomnographyRestless legs syndromeSleepSleep apneaSleep disordersTreatment guidelines ePublished: 17 March 2015 Issue Published: 17 March 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...