Obstructive sleep-disordered breathing consists of a spectrum ranging from
the upper airway resistance syndrome to complete apnea. Although this disor
der is relatively common, it is still under-recognized, resulting in a sign
ificant increase in morbidity and mortality. This article describes the rat
ionale for treating this disorder. Then, using the best available evidence,
develops a systemic approach to the problem, covering recognition, diagnos
is, and treatment.