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Point and Counterpoint |

Rebuttal From Dr FreedmanRebuttal From Dr Freedman

Neil Freedman, MD, FCCP
Author and Funding Information

From the Division of Pulmonary, Critical Care, Allergy and Immunology, NorthShore University Health System.

CORRESPONDENCE: Neil Freedman, MD, FCCP, 2151 Waukegan Rd, Bannockburn, IL 60015; e-mail: Neilfreedman@comcast.net


FINANCIAL/NONFINANCIAL DISCLOSURES: The author has reported to CHEST that no potential conflicts of interest exist with any companies/organizations whose products or services may be discussed in this article.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;148(2):311-312. doi:10.1378/chest.15-0480
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Extract

Dr Pack1 makes several excellent points, and unlike most pro-con debates, I tend to agree with most of his arguments. I would summarize and respond to his comments as follows.

I agree that home sleep testing (HST) has a role in the management of OSA, especially for symptomatic patients with a high pretest probability of OSA. A recent large-scale study would suggest that most patients who are undergoing HST in a real-world setting are appropriate candidates for this type of testing.2 HST should not be used in patients with comorbidities that may predispose them to more complex sleep-disordered breathing as the data do not support its use in these patient populations.

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