Practice Guidelines

ACP Releases Guideline on the Management of OSA

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Am Fam Physician. 2014 Jul 1;90(1):56.

Key Points for Practice

  • Physicians should encourage all persons with OSA who are overweight or obese to lose weight.

  • CPAP is the recommended initial treatment for OSA.

  • Use of a mandibular advancement device is an alternative treatment for those who prefer it or if CPAP leads to adverse effects

From the AFP Editors

Obstructive sleep apnea (OSA) affects persons of all ages, and rates are likely increasing because of higher rates of obesity, which is a risk factor for OSA. Management is based on type and severity of symptoms and on patient education about the benefits vs. adverse effects associated with the treatment options. The American College of Physicians (ACP) has developed a guideline to assist physicians in choosing the best initial treatment for adults with OSA.


Continuous positive airway pressure (CPAP) is the recommended initial treatment for OSA in addition to weight loss. It improves Epworth

Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

A collection of Practice Guidelines published in AFP is available at

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