The pro/con perspective article by Ishman1 on the use of polysomnography (PSG) in snoring children analyzes a clinical question that faces numerous primary care physicians, otolaryngologists, and sleep medicine clinicians on a daily basis: “Should I order a sleep study for this child knowing it is an expensive and limited resource?” The scope of the issue is vast, involving hundreds of thousands of children annually in the United States alone. Thus, there have been substantial efforts made to develop clinical practice guidelines to assist the evaluating clinician in making an appropriate recommendation to the patient and family. However, as presented by Dr Ishman, there are many conflicting points within these guidelines that may confuse the matter further.
Brietzke SE. Pragmatic Use of Polysomnography in Snoring Children. JAMA Otolaryngol Head Neck Surg. 2016;142(2):181-182. doi:10.1001/jamaoto.2015.2951