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Approach to outpatient management of adult sleep apnea
Canadian Family Physician, 10/16/08

Skjodt NM - The author presents an approach encompassing family practice barriers to care, evidence-based enhancement of ambulatory diagnostic skills, and a balancing of new ambulatory and standard laboratory technology. Adjusted neck circumference predicts the probability of sleep apnea: risk is low with adjusted measurements below 43 cm, intermediate between 43 and 47.9 cm, and high above 48 cm. In 2005 a Canadian study showed no difference between home- or laboratory-based sleep apnea testing on compliance or improvements in sleep apnea–specific quality of life.

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