Authors' objectives: In the context of the medical control of healthcare spending, the aim of this assessment requested by the Caisse nationale d'assurance maladie des travailleurs salariés (CNAMTS [National Health Insurance fund for salaried workers]) is to specify the indications and nonindications for polysomnography and respiratory polygraphy and the conditions for carrying out these examinations.

Authors' recommendations: The content of these two procedures was first of all defined and a distinction was made between the medical part and the technical part. The main indications and non-indications for polysomnography and respiratory polygraphy were listed for the following categories of sleep disorder: respiratory sleep disorders (including obstructive sleep apnoea/hypopnoea syndrome), insomnia, central hypersomnia, parasomnia, circadian rhythm disorders and sleep-related motor disorders. The following conditions for carrying out the examinations were specified: - supervision methods: the two procedures can be carried out unsupervised, subject to certain conditions; - interpretation of the examinations: it cannot be based solely on an automated analysis; that automated analysis can be only the first step in producing the final analysis of the examinations; it cannot replace a systematic manual analysis of the raw data for all parameters by a doctor with expertise in sleep medicine; - presentation of the results: for each examination, a complete record must be produced on the responsibility of the doctor who interprets the results; the report lists the main items that such a record must contain. - professional expertise: this has been specified for each of the parts (technical and medical) of the two procedures. The results of the review of the economic literature carried out in this report did not provide any guidance for decisions regarding the place of polysomnography and respiratory polygraphy, or indeed much simpler examinations consisting of just one or two measurements. The detailed conclusions of this assessment report can be consulted in the short text published on the HAS website.

Project Status: Completed

Year Published: 2012

URL for published report: http://www.has-sante.fr/portail/upload/docs/application/pdf/2012-06/place_et_conditions_de_realisation_de_la_polysomnographie_et_de_la_polygraphie_respiratoire_dans_les_troubles_du_sommeil_-_rapport_devaluation_2012-06-01_11-50-8_440.pdf

English language abstract: An English language summary is available

Publication Type: Not Assigned

Country: France

Organisation Name: Haute Autorité de Santé

Contact Address: 2 avenue du Stade de France, 93218 Saint-Denis La Plaine Cedex, France. Tel: +33 01 55 93 71 88; Fax: +33 01 55 93 74 35;

Contact Name: has.seap.secretariat@has-sante.fr

Contact Email: has.seap.secretariat@has-sante.fr