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Physician practices in the diagnostic evaluation of suspected Obstructive Sleep Apnea (OSA)

Publication ,  Journal Article
Layish Daniel, T; Govert, JA; Radtke, RA
Published in: Chest
October 1, 1996

Purpose: To determine if physician training alters diagnostic testing for suspected OSA. Methods: Questionnaires were mailed to a random national sample of 2000 board-certified physicians from various specialties. Physicians were asked which diagnostic test they typically ordered first for suspected OSA. We used chi-square analysis to test for association between specialty (or sleep board certification) and diagnostic test ordered. Results: SL=Sleep Lab Polysomnogram (PSG); OXI=Overnight Pulse Oximetry; SPL=Split Night PSG (with CPAP titration); AMB=Ambulatory PSG MIS=Miscellaneous First test ordered for suspected OSA by specialty: SL AMB OXI SPL MIS Neurology 61% 2% 9% 20% 8% (n=89) Otolaryngology 51% 23% 7% 18% 1% (n=90) Primary Care 68% 11% 15% 6% 0% (n=62) Pulmonary 48% 4% 7% 38% 2% (n=130) (p<0.001 for differences between groups) By certification by the American Board of Sleep Medicine: Boarded 55% 4% 4% 33% 4% (n=171) Not Boarded 55% 13% 11% 19% 2% (n=249) (p<0.001 for differences between groups) Conclusions: Physician training impacts significantly on the diagnostic evaluation of OSA. Clinical Implications: Prospective studies are warranted to assess the cost-effectiveness and outcomes of these different diagnostic approaches.

Duke Scholars

Published In

Chest

ISSN

0012-3692

Publication Date

October 1, 1996

Volume

110

Issue

4 SUPPL.

Related Subject Headings

  • Respiratory System
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences
 

Citation

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Layish Daniel, T., Govert, J. A., & Radtke, R. A. (1996). Physician practices in the diagnostic evaluation of suspected Obstructive Sleep Apnea (OSA). Chest, 110(4 SUPPL.).
Layish Daniel, T., J. A. Govert, and R. A. Radtke. “Physician practices in the diagnostic evaluation of suspected Obstructive Sleep Apnea (OSA).” Chest 110, no. 4 SUPPL. (October 1, 1996).
Layish Daniel T, Govert JA, Radtke RA. Physician practices in the diagnostic evaluation of suspected Obstructive Sleep Apnea (OSA). Chest. 1996 Oct 1;110(4 SUPPL.).
Layish Daniel, T., et al. “Physician practices in the diagnostic evaluation of suspected Obstructive Sleep Apnea (OSA).” Chest, vol. 110, no. 4 SUPPL., Oct. 1996.
Layish Daniel T, Govert JA, Radtke RA. Physician practices in the diagnostic evaluation of suspected Obstructive Sleep Apnea (OSA). Chest. 1996 Oct 1;110(4 SUPPL.).
Journal cover image

Published In

Chest

ISSN

0012-3692

Publication Date

October 1, 1996

Volume

110

Issue

4 SUPPL.

Related Subject Headings

  • Respiratory System
  • 3202 Clinical sciences
  • 3201 Cardiovascular medicine and haematology
  • 1103 Clinical Sciences