What are the AASM Choosing Wisely® recommendations regarding insomnia?

Updated: Sep 11, 2018
  • Author: Jasvinder Chawla, MD, MBA; Chief Editor: Selim R Benbadis, MD  more...
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Answer

In 2014, as part of the Choosing Wisely® initiative from the American Board of Internal Medicine Foundation (ABIM), the AASM recommended that physicians avoid polysomnography (PSG) in patients with chronic insomnia unless symptoms suggest a comorbid sleep disorder. It further recommended that hypnotics be avoided as primary therapy for chronic insomnia in adults. Instead, clinicians should offer cognitive-behavioral therapy (CBT), reserving medication for adjunctive treatment when necessary. [106]


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