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Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea

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Screening for Obstructive Sleep Apnea in Adults: US Preventive Services Task Force Recommendation Statement.

, Kirsten Bibbins-Domingo¹, David C Grossman²

¹University of California, San Francisco.

|January 25, 2017

Summary

Current evidence is insufficient to determine the benefits and harms of screening for obstructive sleep apnea (OSA) in asymptomatic adults. Further research is needed to assess the net health impact of OSA screening.

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Area of Science:

Sleep Medicine
Preventive Cardiology
Public Health

Background:

Obstructive sleep apnea (OSA) affects millions, with prevalence potentially rising due to obesity.
Severe OSA is linked to significant health issues, including cardiovascular disease, diabetes, and mortality.
Current screening guidelines for OSA in asymptomatic individuals are under review.

Purpose of the Study:

To evaluate the evidence for screening asymptomatic adults for obstructive sleep apnea (OSA).
To inform a new US Preventive Services Task Force (USPSTF) recommendation on OSA screening.

Main Methods:

Systematic review of evidence on OSA screening accuracy, benefits, and harms in primary care.
Evaluation of treatment benefits and harms on health outcomes for OSA patients.

Main Results:

Insufficient evidence exists regarding the accuracy and effectiveness of OSA screening in asymptomatic adults.
The USPSTF could not determine the benefits or harms of screening for OSA.
The net health benefit or harm of OSA screening remains undetermined.

Conclusions:

The USPSTF found insufficient evidence to assess the benefits and harms of screening for obstructive sleep apnea (OSA) in asymptomatic adults.
A "I" statement indicates insufficient evidence for a recommendation.
More research is required to establish the value of OSA screening.