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Canadian Respiratory Journal
Volume 17, Issue 5, Pages 229-232
Special Article

Canadian Sleep Society/Canadian Thoracic Society position paper on the use of portable monitoring for the diagnosis of obstructive sleep apnea/hypopnea in adults

Adam Blackman,1 Catherine McGregor,2 Robert Dales,3 Helen S Driver,4 Ilya Dumov,5 Jon Fleming,6 Kristin Fraser,7 Charlie George,8 Atul Khullar,9 Joe Mink,10 Murray Moffat,11 Glendon E Sullivan,12 John A Fleetham,6 Najib Ayas,6 T Douglas Bradley,1 Michael Fitzpatrick,4 John Kimoff,13 Debra Morrison,14 Frank Ryan,6 Robert Skomro,10 Frederic Series,15 and Willis Tsai7

1University of Toronto, Toronto, Canada
2Lyndhurst Dental Centre, Lyndhurst, Canada
3University of Ottawa, Ottawa, Canada
4Queen’s University, Kingston, Canada
5York Region Sleep Disorders Centre, Richmond Hill, Ontario, Canada
6University of British Columbia, Vancouver, British Columbia, Canada
7University of Calgary, Calgary, Alberta, Canada
8University of Western Ontario, London, Ontario, Canada
9University of Alberta, Edmonton, Alberta, Canada
10University of Saskatchewan, Saskatoon, Saskatchewan, Canada
11Oshawa-Durham Sleep Laboratory, Oshawa, Ontario, Canada
12Atlantic Health Sciences Centre, Saint John, New Brunswick, Canada
13McGill University, Montreal, Quebec, Canada
14Dalhousie University, Halifax, Nova Scotia, Canada
15Laval University, Quebec City, Quebec, Canada

Copyright © 2010 Canadian Thoracic Society. This open-access article is distributed under the terms of the Creative Commons Attribution Non-Commercial License (CC BY-NC) (, which permits reuse, distribution and reproduction of the article, provided that the original work is properly cited and the reuse is restricted to noncommercial purposes.


The present position paper on the use of portable monitoring (PM) as a diagnostic tool for obstructive sleep apnea/hypopnea (OSAH) in adults was based on consensus and expert opinion regarding best practice standards from stakeholders across Canada. These recommendations were prepared to guide appropriate clinical use of this new technology and to ensure that quality assurance standards are adhered to. Clinical guidelines for the use of PM for the diagnosis and management of OSAH as an alternative to in-laboratory polysomnography published by the American Academy of Sleep Medicine Portable Monitoring Task Force were used to tailor our recommendations to address the following: indications; methodology including physician involvement, physician and technical staff qualifications, and follow-up requirements; technical considerations; quality assurance; and conflict of interest guidelines. When used appropriately under the supervision of a physician with training in sleep medicine, and in conjunction with a comprehensive sleep evaluation, PM may expedite treatment when there is a high clinical suspicion of OSAH.