Sleep Disorders

Jan 15, 2017 Issue
In Patients with Vascular Disease, Treating Sleep Apnea Does Not Reduce the Risk of Cardiovascular Events [POEMs]

Compared with usual care, the use of CPAP provides a modest improvement in daytime sleepiness, but does not reduce the likelihood of cardiovascular events, even in a high-risk population.

Sep 1, 2016 Issue
Diagnosis and Treatment of Obstructive Sleep Apnea in Adults [Article]

Loud snoring, gasping during sleep, morning headache, and daytime sleepiness can predict sleep apnea. Learn which sleep study is the diagnostic standard, and which positive airway pressure therapy is first-line treatment.

Jun 15, 2016 Issue
Suvorexant (Belsomra) for Insomnia [STEPS]

Suvorexant effectively increases total sleep time and decreases time to sleep onset. Because of its risk of abuse, significant incidence of next-day impairment, and high cost, it should be reserved for use in patients for whom other insomnia therapies, such as cognitive behavior therapy and lifestyle changes, have failed.

Jan 1, 2016 Issue
CBT Effective for Chronic Insomnia [POEMs]

A five-component approach to changing patients' beliefs and behaviors surrounding sleep is effective, at least in the short term, in getting persons to fall asleep and stay asleep, although total sleep time is not increased.

Dec 15, 2015 Issue
Nonpharmacologic Management of Chronic Insomnia [Article]

Nonpharmacologic behavioral interventions are effective and recommended as an initial approach to the treatment of chronic insomnia. Learn more about the varying approaches.

Dec 1, 2015 Issue
An Oral Appliance Does Not Improve Sleep in Patients with Less Severe Sleep Apnea [POEMs]

An oral appliance does not improve daytime sleepiness or other measures of a good night's sleep. It does, however, decrease apnea scores, snoring, and restless legs. Although not studied, these improvements may be valuable for bed partners who sleep each night enduring patients' lower limb restlessn...

Jul 1, 2014 Issue
ACP Releases Guideline on the Management of OSA [Practice Guidelines]

The American College of Physicians (ACP) has developed a guideline to assist physicians in choosing the best initial treatment for adults with Obstructive Sleep Apnea (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.

Mar 1, 2014 Issue
Common Sleep Disorders in Children [Article]

Up to 50% of children will experience a sleep problem. Early identification of sleep problems may prevent negative consequences, such as daytime sleepiness, irritability, behavioral problems, learning difficulties, motor vehicle crashes in teenagers, and poor academic performance. Obstructive sleep ...

Oct 1, 2013 Issue
Early Adenotonsillectomy and Watchful Waiting Are Both Options for Children with Sleep Apnea [POEMs]

Early surgery provides some symptomatic benefit and greater normalization of polysomnographic findings (a disease-oriented outcome) than watchful waiting for children with obstructive sleep apnea. However, many of the children in the watchful waiting group improved during the study period, and there...

Aug 15, 2013 Issue
Management of Common Sleep Disorders [Article]

Sleep disorders are common and affect sleep quality and quantity, leading to increased morbidity. Patients with sleep disorders can be categorized as those who cannot sleep, those who will not sleep, those with excessive daytime sleepiness, and those with increased movements during sleep. Insomnia, ...

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