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Diagnosis
Review: screening tests are not as accurate as overnight polysomnography for the diagnosis of adult sleep apnoea

https://doi.org/10.1136/ebm.5.2.61

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    . Ross SD, Allen IE, Harrison KJ, et al. Systematic review of the literature regarding the diagnosis of sleep apnea. Evidence Report/Technology Assessment No 1. (Prepared by MetaWorks Inc. under contract no 290-97-0016.) AHCPR publication no. 99-E002. Rockville, MD: Agency for Health Care Policy and Research; February 1999..

    
 
 QUESTION: How do the accuracies of diagnostic and screening tests (radiological imaging, laboratory assays, partial night polysomnography [PSG], daytime PSG, reduced channel PSG, and clinical signs and symptoms) compare with overnight sleep laboratory PSG for identifying sleep apnoea in adults?

    Data sources

    Studies were identified by searching Medline (1980 to November 1997) and Current Contents (1997) using the terms sleep apnoea syndrome; monitoring, physiologic; airway resistance; and index. Bibliographies were scanned.

    Study selection

    English, French, German, Spanish, and Italian language studies were selected if a diagnostic test or intervention was used to support a diagnosis of sleep apnoea and ≥10 adults with any …

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    Footnotes

    • Source of funding: Agency for Health Care Policy and Research.

    • For correspondence: Dr S D Ross, MetaWorks, Inc., 470 Atlantic Avenue, Boston, MA 02210, USA. Fax +1 617 368 3590.