These articles published in the Journal of Clinical Sleep Medicine in 2019 received the most online pageviews. As the official, peer-reviewed journal of the American Academy of Sleep Medicine, the Journal of Clinical Sleep Medicine is a monthly, online publication that features original scientific investigations, reviews, case reports and commentaries applicable to the clinical diagnosis and treatment of sleep disorders.
- Treatment of adult obstructive sleep apnea with positive airway pressure: an American Academy of Sleep Medicine clinical practice guideline
This AASM guideline, based on a systematic review, meta-analysis, and GRADE assessment, establishes clinical practice recommendations for positive airway pressure (PAP) treatment of obstructive sleep apnea (OSA) in adults.
- NightBalance sleep position treatment device versus auto-adjusting positive airway pressure for treatment of positional obstructive sleep apnea
Treatment with a sleep position treatment device resulted in non-inferior treatment efficacy and greater adherence compared with auto-adjusting positive airway pressure (APAP) in patients with exclusive positional OSA.
- Chronic opioid therapy and sleep: an American Academy of Sleep Medicine position statement
This AASM position statement advises that medical providers need to be aware that chronic opioid therapy can alter sleep architecture and cause respiratory depression, increasing the risk for sleep-disordered breathing.
- Validation of a consumer sleep wearable device with actigraphy and polysomnography in adolescents across sleep opportunity manipulations
Although sleep estimation in adolescents was comparable between the Fitbit Alta HR and a research-grade actigraph, sleep staging still lags polysomnography (PSG) and needs further work.
- Long-term effects of an unguided online cognitive behavioral therapy for chronic insomnia
Unguided internet cognitive behavioral therapy for insomnia (CBT-I) appears to have sustained effects on sleep, daytime functioning, and beliefs about sleep up to 18 months after the intervention period.
- The presence of snoring as well as its intensity is underreported by women
In a population of individuals referred for PSG, women tended to underreport the fact that they snore and to underestimate the loudness of their snoring.
- Disruption in health care (and sleep medicine): “It’s the end of the world as we know it…and I feel fine.”
This editorial by AASM Past President Dr. Douglas Kirsch describes how sleep medicine is primed for more disruption in the years ahead, which may promote patient-centered care.
- Polysomnography reference values in healthy newborns
This study provides reference values in healthy newborns to assist with PSG interpretation and clinical decision making on major interventions at this vulnerable age.
- Effect of three hypopnea scoring criteria on OSA prevalence and associated comorbidities in the general population
The method used for scoring hypopneas significantly influences the prevalence of OSA and its association with cardiometabolic outcomes.
- Workplace interventions to promote sleep health and an alert, healthy workforce
This paper reviews the literature on employer-initiated sleep interventions in workplace settings, identifies gaps in the literature, and provides strategic workplace policy considerations to reduce sleep deprivation and improve the safety and productivity of workers.