At-Home Polysomnography Versus In-Clinic Polysomnography for Sleep Disorders

Details

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Project Status:
Completed
Project Line:
Health Technology Review
Project Sub Line:
Rapid Review
Project Number:
RC1495-000
Expected finish date:

Question

  1. What is the diagnostic test accuracy of Level 2 Polysomnography for screening or diagnosis of any sleep disorders in adults?
  2. What is the clinical utility of Level 2 Polysomnography for screening or diagnosis of any sleep disorders in adults?
  3. What is the cost-effectiveness of Level 2 Polysomnography for the screening or diagnosis of sleep disorders in adults?

Key Message

Level 2 PSG may have moderate accuracy compared to Level 1 PSG for diagnosing obstructive sleep apnea. This conclusion was based on 1 study with limitations in reporting that reduce our certainty in the findings. There may be no significant differences in daytime sleepiness, hypertension, treatment adherence, and most quality-of-life measures for patients with OSA who were diagnosed with a Level 2 PSG compared with a Level 1 PSG (1 study). We did not find any studies on the diagnostic test accuracy or clinical utility of Level 2 PSG for the screening or diagnosing of other sleep disorders (e.g., central disorders of hypersomnolence, sleep-related movement disorders, parasomnias) that met our inclusion criteria. We did not find any studies on the cost-effectiveness of Level 2 PSG for screening or diagnosis of any sleep disorders in adults that met our inclusion criteria.