The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Compliance with continuous positive airway pressure therapy: assessing and improving treatment outcomes
Abstract
Although nasal continuous positive airway pressure (CPAP) is generally effective in correcting sleep-related respiratory disturbance and associated daytime sequelae in obstructive sleep apnea syndrome (OSAS), resistance to and intolerance of CPAP poses a serious limitation to its use. Failure to comply with treatment has been reported to be as high as 25 to 50%, with patients typically abandoning therapy during the first 2 to 4 weeks of treatment. Reasons for discontinuing CPAP therapy have been primarily related to issues of mask discomfort, nasal dryness and congestion, and difficulty adapting to the pressure. Although there has been great variability in the reported rates of CPAP compliance, there have been few systematic studies to evaluate barriers to CPAP compliance or ways to improve compliance. Early identification of CPAP-related tolerance problems or barriers, psychological factors, and the predictive value of pretreatment background variables ( ie, age and gender) may enhance compliance with therapy. An important goal for OSAS management is the development of intervention strategies and educational approaches that minimize side effects and maximize patient compliance. A new classification is presented, along with suggestions and ideas for intervention.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“However, approximately 25-50% of patients with OSA will either refuse the offer of PAP therapy, or will not tolerate it.11”
Citations
Cites
A New Method for Measuring Daytime Sleepiness: The Epworth Sleepiness Scale
Johns, M. W. (1991) · Sleep · doi:10.1093/sleep/14.6.540 · Cited by 17,364
The Occurrence of Sleep-Disordered Breathing among Middle-Aged Adults
Young, T., Palta, M., Dempsey, J., Skatrud, J., Weber, S., & Badr, S. (1993) · New England Journal of Medicine · doi:10.1056/nejm199304293281704 · Cited by 10,183
Nieto, F. J. (2000) · JAMA · doi:10.1001/jama.283.14.1829 · Cited by 3,369
Sullivan, C., Berthon-Jones, M., Issa, F., & Eves, L. (1981) · The Lancet · doi:10.1016/s0140-6736(81)92140-1 · Cited by 2,731
Mortality and Apnea Index in Obstructive Sleep Apnea
He, J., Kryger, M. H., Zorick, F. J., Conway, W. A., & Roth, T. G. (1988) · CHEST Journal · doi:10.1378/chest.94.1.9 · Cited by 1,515
Objective Measurement of Patterns of Nasal CPAP Use by Patients with Obstructive Sleep Apnea
Kribbs, N. B., Pack, A. I., Kline, L. R., Smith, P. L., Schwartz, A. R., Schubert, N. M., Redline, S., Henry, J. N., Getsy, J. E., & Dinges, D. F. (1993) · American Review of Respiratory Disease · doi:10.1164/ajrccm/147.4.887 · Cited by 1,339
Daytime Sleepiness, Snoring, and Obstructive Sleep Apnea
Johns, M. W. (1993) · CHEST Journal · doi:10.1378/chest.103.1.30 · Cited by 1,118
Obstructive sleep apnoea syndrome as a risk factor for hypertension: population study
Lavie, P. (2000) · BMJ · doi:10.1136/bmj.320.7233.479 · Cited by 1,019
Katan, M., & van de Bovenkamp, P. (1987) · The Lancet · doi:10.1016/s0140-6736(87)91641-2 · Cited by 967
Population-Based Study of Sleep-Disordered Breathing as a Risk Factor for Hypertension
Young, T. B. (1997) · Archives of Internal Medicine · doi:10.1001/archinte.1997.00440360178019 · Cited by 967
Research works printed but not linked: 10
- Young, 1997, Arch Intern Med, 157, 1746, 10.1001/archinte.157.15.1746 · DOI
- Strobel, 1997, Am J Respir Crit Care Med, 155, A133
- Kline, 1999, Sleep, 22, S230
- Grunstein, 1996, Sleep Res, 25, 211
- Sforza, 1995, Sleep, 18, 195
- Stepnowsky, 2000, Sleep, 23, A287
- Zozula, 2001, Sleep, 24, A9
- Nino-Murcia, 1989, West J Med, 150, 165
- Issa, 1985, Am Rev Respir Dis, 131, A108
- Speer, 1997, Sleep Res, 26, 216
Cited by
Sorted by citations
Wozniak, D. R., Lasserson, T. J., & Smith, I. (2014) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd007736.pub2 · Cited by 388
International Consensus Statement on Obstructive Sleep Apnea
Chang, J. L., Goldberg, A. N., Alt, J. A., Mohammed, A., Ashbrook, L., Auckley, D., Ayappa, I., Bakhtiar, H., Barrera, J. E., Bartley, B. L., et al. (2023) · International Forum of Allergy & Rhinology · doi:10.1002/alr.23079 · Cited by 350
Practice Parameters for the Medical Therapy of Obstructive Sleep Apnea
Standards of Practice Committee of the American Academy of Sleep Medicine, Morgenthaler, T. I., Kapen, S., Lee-Chiong, T., Alessi, C., Boehlecke, B., Brown, T., Coleman, J., Friedman, L., Kapur, V., et al. (2006) · Sleep · doi:10.1093/sleep/29.8.1031 · Cited by 299
Early Predictors of CPAP Use for the Treatment of Obstructive Sleep Apnea
Lewis, K. E., Seale, L., Bartle, I. E., Watkins, A. J., & Ebden, P. (2004) · Sleep · doi:10.1093/sleep/27.1.134 · Cited by 242
Veasey, S. C., Guilleminault, C., Strohl, K. P., Sanders, M. H., Ballard, R. D., & Magalang, U. J. (2006) · SLEEP · doi:10.1093/sleep/29.8.1036 · Cited by 217
Metadata
- Authors
- Zozula, R., & Rosen, R.
- Affiliations
- Robert Wood Johnson University Hospital (US)
- Corresponding author
- Zozula, Rochelle
- Venue
- Current Opinion in Pulmonary Medicine
- Published
- 2001-11
- Volume
- 7
- Issue
- 6
- Pages
- 391-398
- ISSN
- 1070-5287 (ISSN-L)
- OpenAlex
- W2328579826
- Cited by
- 189
- References
- 52
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 8 · 2021: 9 · 2020: 12 · 2019: 5 · 2018: 7 · 2017: 7 · 2016: 5 · 2015: 8 · 2014: 11 · 2013: 2 · 2012: 8
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Pulmonary Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07hl003635-02)
- National Heart, Lung, and Blood Institute (K07 HL 03635)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Obstructive Sleep Apnea Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
- Keywords
- CPAP adherence, continuous positive airway pressure, obstructive sleep apnea, CPAP intolerance, mask discomfort, nasal dryness, patient education, barriers to treatment, medication adherence, psychological factors
- MeSH terms
- Humans, Patient Compliance, Patient Education as Topic, Positive-Pressure Respiration, Sleep Apnea Syndromes, Treatment Refusal, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
