(11-06-2013, 12:35 AM)Blaifarm Wrote: In anyone's experience, or maybe opinion, is the lab study more accurate or the home study? I have read several "papers" on this and am still confused. Help if you would.From interview with professor Barbara Phillips (page 9/10)
Would you like to see the diagnosis/treatment of OSA alter in any way?
Get insurance rules and regulations out of the picture! Let clinicians manage patients. Stop requiring a sleep study in order to have CPAP paid for. Stop pretending that a CPAP titration (or an in-lab PSG, for that matter) is some kind of magical test.
Is the requirement that a sleep study must be carried out in order for CPAP to be paid for likely to change anytime soon?
Beats me. Probably not if those who profit by sleep apnea testing continue to loudly proclaim that it is necessary in every single case.
What would your ideal therapy device be like?
It would be a very simple blower with flawless, non-condensing humidity, and a pressure knob that patients could adjust between about 6 and 16 cm H20. It would come with a dozen different easy-to-use masks.
Would patients in the US healthcare system accept this or would they still want more?
Most of my patients want things to be simple and straightforward.
Not Every Patient Needs to Go to the Sleep Lab