Practice parameters for the medical therapy of obstructive sleep apnea: Standards of Practice Committee of the American Academy of Sleep Medicine

Timothy Ian Morgenthaler, Sheldon Kapen, Teofilo Lee-Chiong, Cathy Alessi, Brian Boehlecke, Terry Brown, Jack Coleman, Leah Friedman, Vishesh Kapur, Judith Owens, Jeffrey Pancer, Todd Swick

Research output: Contribution to journalArticle

163 Citations (Scopus)

Abstract

Therapies for obstructive sleep apnea other than positive airway pressure, oral appliances, and surgical modifications of the upper airway are reviewed in this practice parameter. Several of these therapies such as weight loss and positional therapy hold some promise. Others, such as serotonergic agents, may gain credibility in the future but lack well-designed clinical trials. No practice parameters could be developed for a number of possible therapeutic modalities that had little or no evidence-based data on which to form a conclusion. The role of an organized, targeted weight-loss program either as a single therapy or as a supplement to PAP needs to be clarified. Although bariatric surgery is increasingly performed for refractory medically complicated obesity, its long-term effectiveness in treatment of obstructive sleep apnea in morbidly obese patients is not yet demonstrated. Positional therapy, or methods for preventing sleep in the supine position, has probably been underutilized due to lack of easily measured predictive factors and randomized controlled trials.

Original languageEnglish (US)
Pages (from-to)1031-1035
Number of pages5
JournalSleep
Volume29
Issue number8
StatePublished - Aug 1 2006

Fingerprint

Obstructive Sleep Apnea
Sleep
Medicine
Therapeutics
Serotonin Agents
Weight Reduction Programs
Bariatric Surgery
Supine Position
Weight Loss
Randomized Controlled Trials
Obesity
Clinical Trials
Pressure

Keywords

  • Bariatric surgery
  • Medical therapy
  • Obstructive sleep apnea
  • Positional therapy
  • Selective serotonergic uptake inhibitors
  • Supplementary oxygen
  • Weight reduction

ASJC Scopus subject areas

  • Physiology

Cite this

Practice parameters for the medical therapy of obstructive sleep apnea : Standards of Practice Committee of the American Academy of Sleep Medicine. / Morgenthaler, Timothy Ian; Kapen, Sheldon; Lee-Chiong, Teofilo; Alessi, Cathy; Boehlecke, Brian; Brown, Terry; Coleman, Jack; Friedman, Leah; Kapur, Vishesh; Owens, Judith; Pancer, Jeffrey; Swick, Todd.

In: Sleep, Vol. 29, No. 8, 01.08.2006, p. 1031-1035.

Research output: Contribution to journalArticle

Morgenthaler, TI, Kapen, S, Lee-Chiong, T, Alessi, C, Boehlecke, B, Brown, T, Coleman, J, Friedman, L, Kapur, V, Owens, J, Pancer, J & Swick, T 2006, 'Practice parameters for the medical therapy of obstructive sleep apnea: Standards of Practice Committee of the American Academy of Sleep Medicine', Sleep, vol. 29, no. 8, pp. 1031-1035.
Morgenthaler, Timothy Ian ; Kapen, Sheldon ; Lee-Chiong, Teofilo ; Alessi, Cathy ; Boehlecke, Brian ; Brown, Terry ; Coleman, Jack ; Friedman, Leah ; Kapur, Vishesh ; Owens, Judith ; Pancer, Jeffrey ; Swick, Todd. / Practice parameters for the medical therapy of obstructive sleep apnea : Standards of Practice Committee of the American Academy of Sleep Medicine. In: Sleep. 2006 ; Vol. 29, No. 8. pp. 1031-1035.
@article{e38f2374de4641f788bea70d6e3d43c8,
title = "Practice parameters for the medical therapy of obstructive sleep apnea: Standards of Practice Committee of the American Academy of Sleep Medicine",
abstract = "Therapies for obstructive sleep apnea other than positive airway pressure, oral appliances, and surgical modifications of the upper airway are reviewed in this practice parameter. Several of these therapies such as weight loss and positional therapy hold some promise. Others, such as serotonergic agents, may gain credibility in the future but lack well-designed clinical trials. No practice parameters could be developed for a number of possible therapeutic modalities that had little or no evidence-based data on which to form a conclusion. The role of an organized, targeted weight-loss program either as a single therapy or as a supplement to PAP needs to be clarified. Although bariatric surgery is increasingly performed for refractory medically complicated obesity, its long-term effectiveness in treatment of obstructive sleep apnea in morbidly obese patients is not yet demonstrated. Positional therapy, or methods for preventing sleep in the supine position, has probably been underutilized due to lack of easily measured predictive factors and randomized controlled trials.",
keywords = "Bariatric surgery, Medical therapy, Obstructive sleep apnea, Positional therapy, Selective serotonergic uptake inhibitors, Supplementary oxygen, Weight reduction",
author = "Morgenthaler, {Timothy Ian} and Sheldon Kapen and Teofilo Lee-Chiong and Cathy Alessi and Brian Boehlecke and Terry Brown and Jack Coleman and Leah Friedman and Vishesh Kapur and Judith Owens and Jeffrey Pancer and Todd Swick",
year = "2006",
month = "8",
day = "1",
language = "English (US)",
volume = "29",
pages = "1031--1035",
journal = "Sleep",
issn = "0161-8105",
publisher = "American Academy of Sleep Medicine",
number = "8",

}

TY - JOUR

T1 - Practice parameters for the medical therapy of obstructive sleep apnea

T2 - Standards of Practice Committee of the American Academy of Sleep Medicine

AU - Morgenthaler, Timothy Ian

AU - Kapen, Sheldon

AU - Lee-Chiong, Teofilo

AU - Alessi, Cathy

AU - Boehlecke, Brian

AU - Brown, Terry

AU - Coleman, Jack

AU - Friedman, Leah

AU - Kapur, Vishesh

AU - Owens, Judith

AU - Pancer, Jeffrey

AU - Swick, Todd

PY - 2006/8/1

Y1 - 2006/8/1

N2 - Therapies for obstructive sleep apnea other than positive airway pressure, oral appliances, and surgical modifications of the upper airway are reviewed in this practice parameter. Several of these therapies such as weight loss and positional therapy hold some promise. Others, such as serotonergic agents, may gain credibility in the future but lack well-designed clinical trials. No practice parameters could be developed for a number of possible therapeutic modalities that had little or no evidence-based data on which to form a conclusion. The role of an organized, targeted weight-loss program either as a single therapy or as a supplement to PAP needs to be clarified. Although bariatric surgery is increasingly performed for refractory medically complicated obesity, its long-term effectiveness in treatment of obstructive sleep apnea in morbidly obese patients is not yet demonstrated. Positional therapy, or methods for preventing sleep in the supine position, has probably been underutilized due to lack of easily measured predictive factors and randomized controlled trials.

AB - Therapies for obstructive sleep apnea other than positive airway pressure, oral appliances, and surgical modifications of the upper airway are reviewed in this practice parameter. Several of these therapies such as weight loss and positional therapy hold some promise. Others, such as serotonergic agents, may gain credibility in the future but lack well-designed clinical trials. No practice parameters could be developed for a number of possible therapeutic modalities that had little or no evidence-based data on which to form a conclusion. The role of an organized, targeted weight-loss program either as a single therapy or as a supplement to PAP needs to be clarified. Although bariatric surgery is increasingly performed for refractory medically complicated obesity, its long-term effectiveness in treatment of obstructive sleep apnea in morbidly obese patients is not yet demonstrated. Positional therapy, or methods for preventing sleep in the supine position, has probably been underutilized due to lack of easily measured predictive factors and randomized controlled trials.

KW - Bariatric surgery

KW - Medical therapy

KW - Obstructive sleep apnea

KW - Positional therapy

KW - Selective serotonergic uptake inhibitors

KW - Supplementary oxygen

KW - Weight reduction

UR - http://www.scopus.com/inward/record.url?scp=33747462560&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33747462560&partnerID=8YFLogxK

M3 - Article

C2 - 16944671

AN - SCOPUS:33747462560

VL - 29

SP - 1031

EP - 1035

JO - Sleep

JF - Sleep

SN - 0161-8105

IS - 8

ER -