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Comment and Response |

Management Setting of Obstructive Sleep Apnea—Reply

Ching Li Chai-Coetzer, MBBS, PhD1; Nick A. Antic, MBBS, PhD1; R. Doug McEvoy, MBBS, MD1
[+] Author Affiliations
1Adelaide Institute for Sleep Health, Repatriation General Hospital, Adelaide, South Australia
JAMA. 2013;310(1):97. doi:10.1001/jama.2013.7277.
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In Reply Dr Fleishman states that in the United States, there is little role for primary care in the management of OSA because an extensive system of sleep centers is sufficiently meeting this need. We are not aware of any data to verify his assertions. The rapid increase in obesity is likely to have substantially increased the burden of OSA in the United States because the prevalence of moderate to severe OSA is now almost 20% elsewhere.1,2 It is unrealistic to expect sleep physicians alone to address this substantial burden of disease.

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July 3, 2013
Jeremy A. Weingarten, MD; Robert C. Basner, MD
1Division of Pulmonary and Critical Care Medicine, New York Methodist Hospital, Brooklyn
2Division of Pulmonary, Allergy, and Critical Care Medicine, Columbia University College of Physicians and Surgeons, New York, New York
JAMA. 2013;310(1):96-97. doi:10.1001/jama.2013.7271.
July 3, 2013
Samuel A. Fleishman, MD
1Cape Fear Valley Medical Center, Fayetteville, North Carolina
JAMA. 2013;310(1):96. doi:10.1001/jama.2013.7274.
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