Priority 1 from the Obstructive Sleep Apnea (Saskatchewan,Canada) PSP

UNCERTAINTY:How can a diagnosis of Obstructive Sleep Apnea (OSA) be made easier to obtain?  (JLA PSP Priority 1)
Overall ranking 1
JLA question ID 0118/1
Explanatory note Obstructive Sleep Apnea is often under-diagnosed, in part because access to facility-based tests like polysomnography can be limited while the demand for testing often exceeds capacity, resulting in long wait-times. Inadequate public funding for diagnostic services has resulted in a strong reliance on private services in some jurisdictions. Delays in diagnosis may particularly affect people who live in rural or remote areas. 
Evidence

Rosen IM, Kirsch DB, Chervin RD, Carden KA, Ramar K, Aurora RN, Kristo DA, Malhotra RK, Martin JL, Olson EJ, Rosen CL, Rowley JA; American Academy of Sleep
Medicine Board of Directors. Clinical Use of a Home Sleep Apnea Test: An American Academy of Sleep Medicine Position Statement. J Clin Sleep Med. 2017
Oct 15;13(10):1205-1207. doi: 10.5664/jcsm.6774. PMID: 28942762; PMCID:
PMC5612637.

Health Research Classification System category Respiratory
Extra information provided by this PSP
Original uncertainty examples Is there an easier way to detect that a sleep test that has a 2 year waitlist? ~  Why wasn't I diagnosed and treated as soon as I needed it - should have been treated at least ten years sooner!
Submitted by Patients x 6, Family members x 2, clinicians x 1
PSP information
PSP unique ID 0118
PSP name Obstructive Sleep Apnea PSP
Total number of uncertainties identified by this PSP. 39  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 28 January 2021