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The Management of Chronic Insomnia Disorder and Obstructive Sleep Apnea: Synopsis of the 2019 U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guidelines
- Source :
- Annals of Internal Medicine. 172:325-336
- Publication Year :
- 2020
- Publisher :
- American College of Physicians, 2020.
-
Abstract
- Description In September 2019, the U.S. Department of Veterans Affairs (VA) and the U.S. Department of Defense (DoD) approved a new joint clinical practice guideline for assessing and managing patients with chronic insomnia disorder and obstructive sleep apnea (OSA). This guideline is intended to give health care teams a framework by which to screen, evaluate, treat, and manage the individual needs and preferences of VA and DoD patients with either of these conditions. Methods In October 2017, the VA/DoD Evidence-Based Practice Work Group initiated a joint VA/DoD guideline development effort that included clinical stakeholders and conformed to the Institute of Medicine's tenets for trustworthy clinical practice guidelines. The guideline panel developed key questions, systematically searched and evaluated the literature, created three 1-page algorithms, and advanced 41 recommendations using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) system. Recommendations This synopsis summarizes the key recommendations of the guideline in 3 areas: diagnosis and assessment of OSA and chronic insomnia disorder, treatment and management of OSA, and treatment and management of chronic insomnia disorder. Three clinical practice algorithms are also included.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
MEDLINE
Polysomnography
01 natural sciences
03 medical and health sciences
0302 clinical medicine
Sleep Initiation and Maintenance Disorders
Health care
Internal Medicine
medicine
Humans
Hypnotics and Sedatives
030212 general & internal medicine
0101 mathematics
Veterans Affairs
Sleep Apnea, Obstructive
Cognitive Behavioral Therapy
Continuous Positive Airway Pressure
medicine.diagnostic_test
business.industry
010102 general mathematics
Sleep apnea
General Medicine
Guideline
United States Department of Defense
medicine.disease
United States
Cognitive behavioral therapy
United States Department of Veterans Affairs
Systematic review
Family medicine
business
Subjects
Details
- ISSN :
- 15393704 and 00034819
- Volume :
- 172
- Database :
- OpenAIRE
- Journal :
- Annals of Internal Medicine
- Accession number :
- edsair.doi.dedup.....8907c96595725b81f1bf4edb2a270858