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Comment & Response
July 2016

Screening and Follow-up of Children Who Snore When Polysomnography is Not Available—Reply

Author Affiliations
  • 1Division of Pediatric Otolaryngology–Head and Neck Surgery, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio
  • 2Department of Otolaryngology–Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio
JAMA Otolaryngol Head Neck Surg. 2016;142(7):711-712. doi:10.1001/jamaoto.2016.0468

In Reply I thank Dr Villa et al1 for their comments regarding our article2 and appreciate their bringing my attention to their work to develop and validate the sleep clinical record.35 I agree with these authors that, while sleep studies are considered to have the best combination of sensitivity and specificity to diagnose obstructive sleep apnea (OSA), their routine use to diagnose all children suspected of OSA is neither cost-effective nor feasible.

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