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Diagnosis
Systematic review
Individual clinical symptoms have limited utility in the diagnosis of obstructive sleep apnoea
  1. Reena Mehra
  1. Sleep Disorders Research, Neurologic Institute, Cleveland Clinic, Cleveland, Ohio, USA
  1. Correspondence to: Dr Reena Mehra, Sleep Disorders Research, Neurologic Institute, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA; reena.mehra{at}case.edu

https://doi.org/10.1136/eb-2013-101591

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    Commentary on: Myers KA, Mrkobrada M, Simel DL. Does this patient have obstructive sleep apnoea? The Rational Clinical Examination systematic review. JAMA 2013;310:731–41.OpenUrlCrossRefPubMedWeb of Science

    Context

    The accurate clinical diagnosis of obstructive sleep apnoea (OSA) has been elusive, leading to reliance on objective testing via polysomnography. However, various clinical prediction algorithms and questionnaires have been developed to estimate the pretest probability of OSA which have proven clinically useful and have served to effectively inform decisions over whether or not to proceed with objective sleep testing. These include the Berlin Questionnaire, Sleep Apnoea Clinical Score and the STOP-Bang questionnaires.1–3

    Methods

    The authors performed a systematic review of the literature from 1966 to 2013 to examine the …

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    Footnotes

    • Competing interests RM reports grants from NIH, personal fees from Care Core Medical Advisory Board, personal fees from American Academy of Sleep Medicine. Case Western Reserve University has received positive airway pressure machines and associated supplies from Philips Respironics for NIH-funded research, for which RM serves as the Principal Investigator.