Clinical Foundation for Efficient Treatment of Obstructive Sleep Apnea

Richard M. Dasheiff, Richard Finn

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Only a few decades ago, the entity known as obstructive sleep apnea (OSA) was unknown and untreated. Now, there is a rush to put literally millions of Americans on continuous positive airway pressure devices. Community practice standards are changing yearly under pressure from strong forces based on economic incentives for industry, government, and physicians, independent of the actual medical evidence supporting treatment and efficacy. Medicare has lowered the diagnostic threshold for diagnosis and reimbursement; the International Classification of Sleep Disorders, Revision 2 (2005) has allowed OSA to be diagnosed exclusively by a laboratory test without the patient having clinical symptoms of excessive daytime sleepiness; and industry is poised to have the public buy computer-assisted continuous positive airway pressure machines without need of a physician prescription. Because of this paradigm shift away from physician-directed diagnosis and treatment, this article will critically evaluate the present state of medical evidence regarding the clinical foundation for treatment of OSA.

Original languageEnglish (US)
Pages (from-to)2171-2182
Number of pages12
JournalJournal of Oral and Maxillofacial Surgery
Volume67
Issue number10
DOIs
StatePublished - Oct 2009

Fingerprint

Obstructive Sleep Apnea
Continuous Positive Airway Pressure
Physicians
Industry
Medicare
Prescriptions
Motivation
Therapeutics
Economics
Pressure
Equipment and Supplies

ASJC Scopus subject areas

  • Oral Surgery
  • Otorhinolaryngology
  • Surgery

Cite this

Clinical Foundation for Efficient Treatment of Obstructive Sleep Apnea. / Dasheiff, Richard M.; Finn, Richard.

In: Journal of Oral and Maxillofacial Surgery, Vol. 67, No. 10, 10.2009, p. 2171-2182.

Research output: Contribution to journalArticle

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