Clinical Practice Guidelines

Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults

Epstein LJ, Kristo D, Strollo PJ, et al. J Clin Sleep Med 2009; 5(3): 263-276

The 2009 American Academy of Sleep Medicine guideline emphasizes three core elements: (1) a diagnostic strategy involving sleep-oriented history, physical exam, and objective testing to determine OSA presence and severity before treatment; (2) collaborative treatment planning including PAP devices, oral appliances, behavioral modifications, surgery, or adjunctive treatments; and (3) ongoing long-term management with regular follow-up to monitor therapy adherence and symptom resolution.

Use of polysomnography and home sleep apnea tests for the longitudinal management of obstructive sleep apnea in adults: an American Academy of Sleep Medicine clinical guidance statement

Caples SM, Anderson WM, Calero K, et al. J Clin Sleep Med. 2021 Jun 1;17(6):1287-1293

Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline

Patil SP, Ayappa IA, Caples SM, et al. J Clin Sleep Med. 2019; 15(2): 335-343

Clinical Practice Guideline for the Treatment of Obstructive Sleep Apnea and Snoring with Oral Appliance Therapy: An Update for 2015

Ramar K, Dort LC, Katz SG, et al. J Clin Sleep Med. 2015; 11(7): 773-827

Practice parameters for the surgical modifications of the upper airway for obstructive sleep apnea in adults

Aurora RN, Casey KR, Kristo D, et al. Sleep. 2010; 33(10): 1408-1413

Practice parameters for the medical therapy of obstructive sleep apnea

Morgenthaler TI, Kapen S, Lee-Chiong T, et al. Sleep. 2006; 29(8): 1031-1035

The treatment of central sleep apnea syndromes in adults: practice parameters with an evidence-based literature review and meta-analyses

Aurora RN, Chowdhuri S, Ramar K, et al. Sleep. 2012; 35(1): 17-40

Management of obstructive sleep apnea in adults: A clinical practice guideline from the American College of Physicians

Qaseem A, Holty JE, Owens DK, et al. Ann Intern Med. 2014; 161(3): 210-220

The 2014 American College of Physicians guideline presents three recommendations: encourage weight loss in overweight or obese patients with OSA; recommend continuous positive airway pressure (CPAP) as initial therapy; and offer mandibular advancement devices as alternatives for patients preferring them or experiencing CPAP-related adverse effects.