Polysomnography for Pediatric Patients

Topic Suggestion

1. What is the decision or change you are facing or struggling with where a summary of the evidence would be helpful?

Is getting Polysomnography necessary before subjecting a pediatric patient for the surgical treatment of Tonsillectomy and Adenoidectomy for Obstructive Sleep Apnea?

2. Why are you struggling with this issue?

AASM-Recommends PSG
AAP-Recommends PSF
American Association of otolaryngology-Does not 'always' require PSG before subjecting a patient for Tonsillectomy. I do think that they have significant conflict in their decision regarding 'PSG' for high risk patients only

3. What do you want to see changed? How will you know that your issue is improving or has been addressed?

Federal agencies- should take the lead -in disseminating evidence based medical care for the public

4. When do you need the evidence report?

Thursday, 07/30/2020

5. What will you do with the evidence report?

I can use it in my daily activities in recommendations regarding approval process. This is also useful for clinicians.

Supporting Document

Clinical Practice Guideline: Tonsillectomy in Children (Update)
(PDF, 1.33 MB)

Title or short description: Polysomnogram necessity before Tonsillectomy in the treatment of Childhood OSA.

Comments or notes about this file: The Guidelines should be monitored by a federal agency as we do not have any conflicts of interest.

(Optional) About You

What is your role or perspective?

Sleep Medicine Physician

If you are you making a suggestion on behalf of an organization, please state the name of the organization:

I work for FDA as a Medical officer-However, I am NOT making the suggestion on behalf of FDA.

May we contact you if we have questions about your nomination?

Yes

Title: MD FCCP