Primary Care and Early Airway Detection

Front-line clinicians can identify airway dysfunction early because it often presents as “common complaints,” not sleep complaints—enabling earlier referral and prevention.

  • Diagnosis and Management of Childhood Obstructive Sleep Apnea Syndrome.

    Marcus CL, et al.

    Establishes pediatric OSA as a common, underrecognized condition and emphasizes early screening and referral in primary care.

    [Pediatrics (2012)]

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  • Pediatric Sleep Questionnaire (PSQ): Prediction of Sleep Apnea and Outcomes.

    Chervin RD, Hedger K, Dillon JE, Pituch KJ.

    Validates a practical screening tool for identifying sleep-disordered breathing and behavioral correlates in pediatric primary care.

    [Sleep Medicine (2000)]

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  • Sleep-Disordered Breathing: Surgical Outcomes in Prepubertal Children.

    Guilleminault C, Li KK, Khramtsov A, Pelayo R, Martinez S.

    Demonstrates that early identification and treatment of airway obstruction improves sleep and daytime function.

    [Laryngoscope (2004)]

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  • Prevalence and Persistence of Sleep-Disordered Breathing Symptoms in Young Children.

    Bonuck K, Chervin RD, Cole TJ, et al.

    Shows that SDB symptoms often begin early and persist if not identified and addressed.

    [Pediatrics (2011)]

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  • Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea.

    Kapur VK, et al.

    Provides primary care–relevant guidance on identifying and referring adults with suspected OSA.

    [Journal of Clinical Sleep Medicine (2017)]

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  • Identification by Primary Care of Patients With Obstructive Sleep Apnea.

    Mold JW, Quattlebaum C, Schinnerer EM, Boeckman L.

    Demonstrates that OSA is commonly missed in primary care without structured screening.

    [Sleep Medicine (2011)]

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  • Increased Prevalence of Sleep-Disordered Breathing in Adults.

    Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM.

    Establishes the widespread prevalence of undiagnosed SDB in adults seen routinely in primary care.

    [American Journal of Epidemiology (2013)]

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  • Diagnosis and Management of Obstructive Sleep Apnea: A Review.

    Gottlieb DJ, Punjabi NM.

    High-level review reinforcing the role of front-line clinicians in recognizing airway-related disease.

    [JAMA (2020)]

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  • The Role of Primary Care in Identifying Obstructive Sleep Apnea.

    Redline S, et al.

    Highlights missed opportunities for early detection and prevention of downstream disease.

    [Chest (2010)]

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  • Sleep-Disordered Breathing in Children: A Population-Based Study.

    Bixler EO, Vgontzas AN, Lin HM, et al.

    Shows pediatric SDB is common and often undiagnosed, supporting routine screening in pediatric primary care.

    [American Journal of Respiratory and Critical Care Medicine (2009)]

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  • Understanding Nasal Breathing: The Key to Evaluating and Treating Sleep-Disordered Breathing in Adults and Children.

    Catalano P, Walker J.

    Establishes nasal airway function as foundational to upper airway health and reinforces the ENT’s role in early, proactive airway evaluation rather than symptom-only management.

    [Current Trends in Otolaryngology (2018)]

    View Article

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https://pubmed.ncbi.nlm.nih.gov/22926173/
https://pubmed.ncbi.nlm.nih.gov/10963961/
https://pubmed.ncbi.nlm.nih.gov/15280721/
https://pubmed.ncbi.nlm.nih.gov/21300674/
https://pubmed.ncbi.nlm.nih.gov/28162150/
https://pubmed.ncbi.nlm.nih.gov/21371809/
https://pubmed.ncbi.nlm.nih.gov/24077098/
https://pubmed.ncbi.nlm.nih.gov/32735338/
https://pubmed.ncbi.nlm.nih.gov/20154084/
https://pubmed.ncbi.nlm.nih.gov/19234105/
https://amchealthgroup.com/site/wp-content/uploads/2024/03/Current-Trends-in-Oto.pdf