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J Clin Sleep Med. 2017 Oct 15;13(10):1205-1207. doi: 10.5664/jcsm.6774.

Clinical Use of a Home Sleep Apnea Test: An American Academy of Sleep Medicine Position Statement.

Author information

1
Division of Sleep Medicine, Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania.
2
Carolinas Healthcare Medical Group Sleep Services, Charlotte, North Carolina.
3
University of Michigan Sleep Disorders Center, University of Michigan, Ann Arbor, Michigan.
4
Saint Thomas Medical Partners -Sleep Specialists, Nashville, Tennessee.
5
Division of Pulmonary/Sleep/Critical Care, Mayo Clinic, Rochester, Minnesota.
6
Johns Hopkins University, School of Medicine, Baltimore, Maryland.
7
University of Pittsburgh, Pittsburgh, Pennsylvania.
8
SLUCare Sleep Disorders Center.
9
Department of Neurology, Saint Louis University, St. Louis, Missouri.
10
Veteran Affairs Greater Los Angeles Health System, North Hills, California and David Geffen School of Medicine at the University of California, Los Angeles, Los Angeles, California.
11
Department of Pediatrics, Case Western Reserve University, University Hospitals - Cleveland Medical Center, Cleveland, Ohio.
12
Wayne State University, Detroit, Michigan.

Abstract

The diagnosis and effective treatment of obstructive sleep apnea (OSA) in adults is an urgent health priority. It is the position of the American Academy of Sleep Medicine (AASM) that only a physician can diagnose medical conditions such as OSA and primary snoring. Throughout this statement, the term "physician" refers to a medical provider who is licensed to practice medicine. A home sleep apnea test (HSAT) is an alternative to polysomnography for the diagnosis of OSA in uncomplicated adults presenting with signs and symptoms that indicate an increased risk of moderate to severe OSA. It is also the position of the AASM that: the need for, and appropriateness of, an HSAT must be based on the patient's medical history and a face-to-face examination by a physician, either in person or via telemedicine; an HSAT is a medical assessment that must be ordered by a physician to diagnose OSA or evaluate treatment efficacy; an HSAT should not be used for general screening of asymptomatic populations; diagnosis, assessment of treatment efficacy, and treatment decisions must not be based solely on automatically scored HSAT data, which could lead to sub-optimal care that jeopardizes patient health and safety; and the raw data from the HSAT device must be reviewed and interpreted by a physician who is either board-certified in sleep medicine or overseen by a board-certified sleep medicine physician.

KEYWORDS:

HSAT; OSA; home sleep apnea test; obstructive sleep apnea

PMID:
28942762
PMCID:
PMC5612637
DOI:
10.5664/jcsm.6774
[Indexed for MEDLINE]
Free PMC Article

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