Diagnosis of snoring and obstructive sleep apnea: a review of the accuracy
Chatsis V, Spry C
Record ID 32011001275
English
Authors' recommendations:
There is a lack of evidence-based articles for the diagnosis of primary snoring, therefore the included studies primarily focus on devices used for the diagnosis of OSA (the diagnosis of primary snoring is made when OSA is excluded). Both the American and Canadian guidelines state that polysomnography is the gold standard for the diagnosis of OSA. Portable monitoring devices should only be used in patients with a moderate to high probability of the syndrome, and without any severe co-morbid illnesses. The meta-analysis by Ghegan and colleagues also concluded that portable monitoring devices may underestimate the severity of sleep apnea. Therefore, portable devices should only be used to screen snoring patients who are very likely to have OSA, and the diagnosis of OSA should be confirmed with PSG monitoring. The routine use of radiologic imaging techniques for use in diagnosis of OSA or when fitting oral appliances is not supported by the Canadian or American guidelines. Additional research is required to develop monitoring devices or screening tools that will accurately rule out OSA in patients who snore.
Details
Project Status:
Completed
Year Published:
2009
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Canada
MeSH Terms
- Humans
- Sleep
- Sleep Apnea Syndromes
- Snoring
Contact
Organisation Name:
Canadian Agency for Drugs and Technologies in Health
Contact Address:
600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;
Contact Name:
requests@cadth.ca
Contact Email:
requests@cadth.ca
Copyright:
Canadian Agency for Drugs and Technologies in Health (CADTH)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.