Diagnosis of Obstructive Sleep Apnea in Adults
Authors: Timothy I. Morgenthaler
Journal: Annals of Internal Medicine (2015)

Letters17 March 2015Diagnosis of Obstructive Sleep Apnea in AdultsTimothy I. Morgenthaler, MDTimothy I. Morgenthaler, MDFrom Mayo Clinic Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5062 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:The American College of Physicians' (ACP's) clinical practice guideline about the diagnosis of obstructive sleep apnea (OSA) in adults (1) addresses a prevalent and serious medical illness that deserves the attention of internists. Although ACP's clinical guideline and that of the American Academy of Sleep Medicine (AASM) share some similarities, substantial differences are of concern to the AASM.The ACP's recommendation to limit home sleep apnea testing to situations “when polysomnography [PSG] is not available for diagnostic testing” is overly restrictive and inconsistent with the AASM clinical guideline. Home sleep apnea testing interpreted by a sleep specialist ...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. Epstein LJ, Kristo D, Strollo PJ, Friedman N, Malhotra A, Patil SP, et al; Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009;5:263-76. [PMID: 19960649] CrossrefMedlineGoogle Scholar3. Young T, Finn L, Peppard PE, Szklo-Coxe M, Austin D, Nieto FJ, et al. Sleep disordered breathing and mortality: eighteen-year follow-up of the Wisconsin sleep cohort. Sleep. 2008;31:1071-8. [PMID: 18714778] MedlineGoogle Scholar4. American Academy of Sleep Medicine. International Classification of Sleep Disorders: Diagnostic and Coding Manual. 3rd ed. Darien, IL: American Academy of Sleep Medicine; 2014. Google Scholar5. Kushida CA, Littner MR, Morgenthaler T, Alessi CA, Bailey D, Coleman J, et al. Practice parameters for the indications for polysomnography and related procedures: an update for 2005. Sleep. 2005;28:499-521. [PMID: 16171294] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Mayo Clinic Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota.Disclaimer: The opinion expressed here reflects the positions and policies of the AASM and the author.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L14-0594. 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 , Paul Shekelle , and 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 , Paul Shekelle , and Can the United States Buy Better Advance Care Planning? Scott D. Halpern and Ezekiel J. Emanuel Diagnosis of Obstructive Sleep Apnea in Adults Jordanna M. Hostler , David C. Hostler , and Aaron B. Holley 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 Paul Shekelle , Jon-Erik C. Holty , Thomas D. Denberg , and Amir Qaseem Diagnosis of Obstructive Sleep Apnea in Adults Jordanna M. Hostler , David C. Hostler , and Aaron B. Holley Metrics Cited byExcessive daytime sleepiness due to obstructive sleep apnea 17 March 2015Volume 162, Issue 6Page: 455KeywordsDisclosurePolysomnographyPopulation statisticsPrevention, policy, and public healthSleepSleep apneaSleep disordersTreatment guidelinesType 2 diabetes ePublished: 17 March 2015 Issue Published: 17 March 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...