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© 2006 Elsevier Ltd. All rights reserved. The number of patients diagnosed with obstructive sleep apnea/hypopnea syndrome (OSAHS) is increasing, and therefore the requirement to provide sleep services for such patients is also increasing. In a cash-limited healthcare system it is important for sleep physicians to have a pragmatic and evidence-based approach to OSAHS to be able to diagnose symptomatic OSAHS accurately in conjunction with a sleep study; to identify those patients most likely to benefit from continuous positive airways pressure (CPAP) treatment; to identify those who would benefit from alternative treatment, such as a mandibular advancement device; and to determine the simplest and most effective way to initiate and continue CPAP therapy for the patient.

Original publication





Book title

Encyclopedia of Respiratory Medicine, Four-Volume Set

Publication Date



42 - 46