Business in Sleep Medicine

We applaud Quan and Epstein for their candid editorial regarding the abrupt dissolution of the massive Sleep Health Centers (SHC) operation. Indeed a perfect storm combination of factors contributed to the SHC demise. This is a critical time to take stock in what sleep specialists offer, but not lose sight of several key issues surrounding care models specifically for patients with sleep apnea.

First, it is commonly assumed that out-of-center testing is cost-effective simply because it costs less than laboratory polysomnography (PSG) to implement a single night of testing. As pointed out in a recent pro-con debate in this journal, this arguably myopic cost assumption has been questioned: quantitative cost-benefit analyses show that the out of center model is not clearly more cost-effective,3–6 and may even be more expensive,7 compared with the traditional (inpatient) testing model. This should come as no surprise for several reasons. One is that the testing phase for sleep disordered breathing is only a fraction of the expense related to the chronic management costs. Moreover, as pointed out by the AASM 2007 guidelines,8 the modest sensitivity and specificity of home testing devices renders them inappropriate for all but the highest echelon of risk (specifically, 80% pre-test probability of at least moderate OSA).


  • • The massive Sleep Health Centers
  • • Single night of testing
  • • Patients with sleep apnea
  • • Highest echelon of risk

Related Conference of Business in Sleep Medicine

June 27-27, 2021

1st Neurosurgery and Neuroscience

London, UK
July 05-06, 2021

World Congress on Neurorehabilitation

Paris, France
July 13-14, 2021

12th World Congress on Alzheimers Disease & Dementia

Bangkok, Thailand
July 19-20, 2021

15th World Congress on Hematology and Oncology

Tokyo, Japan
July 19-20, 2021

14th Asia Pacific Pediatrics Congress

Singapore City, Singapore
July 19-20, 2021

World Conference on Addiction Psychiatry

Madrid, Spain
July 21-21, 2021

Neurology Research

Tokyo, Japan
July 22-22, 2021


Tokyo, Japan
August 16-17, 2021

1st World Congress on Sleep Disorders and Therapeutics

Berlin, Germany
August 27-28, 2021

12th International Conference on Dementia and Dementia Care

Amsterdam, Netherlands
September 02-03, 2021

27th World Congress on Neurology and Neurodisorders

Brisbane, Australia
September 06-07, 2021

7th World Congress on Parkinsons & Huntington Disease

Rome, Italy
September 08-09, 2021

World Neuroscience Summit

London, UK
September 22-23, 2021

International Conference on Neurosurgery & Neurology

Zurich, Switzerland
September 24-25, 2021

2nd World Neurologist Congress

Miami, USA
September 28-29, 2021


Auckland, Newzealand
September 28-29, 2021

International Congress on Neurology

Auckland, Newzealand
October 04-05, 2021

8th International Conference on ENT Surgery

London, UK
October 06-07, 2021

5th Global Congress on Spine and Spinal Disorders

London, UK
October 12-13, 2021

World Congress on Tobacco and Smoking Cessation

Sydney, Australia
October 14-15, 2021

Global Meet on Plant genomics and Biotechnology

Manila, Philippines
October 25-26, 2021

16th World Conference on Pharmaceutical Chemistry

Zurich, Switzerland
October 28-29, 2021

4th Head and Neck Conference: The Multidisciplinary Approach

Amsterdam, Netherlands
November 08-09, 2021

3rd World Congress on Nursing Education & Management

Vienna, Austria
November 08-09, 2021

9th World Congress on Depression and Anxiety

Brisbane, Australia
November 11-12, 2021

4th Annual Congress on Stroke and Neurological Disorders

Bali, Indonesia
November 25-26, 2021

16th Annual Congress on Neuroscience

Amsterdam, Netherlands
November 25-26, 2021

15th International Conference on Neuroscience and Dementia

Amsterdam, Netherlands
December 01-02, 2021

34th World Neuroscience and Neurology Conferences

Rome, Italy
December 03-04, 2021

International Conference on Neurology and Psychiatry

Paris, France
December 13-14, 2021

11th world congress on Mental Health and Neuro Infection

Abu Dhabi, UAE
February 09-10, 2022

31st World Congress on Neurology and Therapeutics

London, UK

Business in Sleep Medicine Conference Speakers

Recommended Sessions

Related Journals

Are you interested in