Table 1.

Strengths and Limitations of Traditional and Novel Practices in OSA Care

Laboratory-Based Testing	Home-Based Testing
Advantages: • Accurate assessment of the following: - Severity of OSA - Comorbid sleep disorders •Low failure rates	Advantages: •Reduced wait times •Favorable costs •Easier scalability •Straightforward results which facilitate nonspecialist involvement
Limitations: •Resource intensive and costly •Longer wait times •Limited availability of sleep laboratories •Patient discomfort	Limitations: • Poor accuracy among: - Less symptomatic patients - Patients with atypical presentations - Limited assessment of non-OSA sleep disordered breathing

Specialist-Led Care	Nonspecialist-Led Care
Advantages: •No need to alter existing care pathways and systems	Advantages: •Greater availability of providers •Cost reduction relative to specialists
Limitations: •Low availability of providers •Costs of specialist directed care •Geographic proximity to patients	Limitations: •Knowledge gaps: care of comorbid sleep disorders, non-PAP options

PAP = positive airway pressure.