The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Trends in CPAP adherence over twenty years of data collection: A flattened curve
Open accessAbstract
Background: Obstructive sleep apnea (OSA) is a common disorder, and continuous airway positive pressure (CPAP) is considered to be the gold standard of therapy. CPAP however is known to have problems with adherence, with many patients eventually abandoning the device. The purpose of this paper is to assess secular trends in CPAP adherence over the long term to see if there have been meaningful improvements in adherence in light of the multiple interventions proposed to do so. Methods: A comprehensive systematic literature review was conducted using the Medline-Ovid, Embase, and Pubmed databases, searching for data regarding CPAP adherence over a twenty year timeframe (1994–2015). Data was assessed for quality and then extracted. The main outcome measure was reported CPAP non-adherence. Secondary outcomes included changes in CPAP non-adherence when comparing short versus long-term, and changes in terms of behavioral counseling. Results: Eighty-two papers met study inclusion/exclusion criteria. The overall CPAP non-adherence rate based on a 7-h/night sleep time that was reported in studies conducted over the twenty year time frame was 34.1 %. There was no significant improvement over the time frame. Behavioral intervention improved adherence rates by ∼1 h per night on average. Conclusions: The rate of CPAP adherence remains persistently low over twenty years worth of reported data. No clinically significant improvement in CPAP adherence was seen even in recent years despite efforts toward behavioral intervention and patient coaching. This low rate of adherence is problematic, and calls into question the concept of CPAP as gold-standard of therapy for OSA.
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Citations
Cites
Epidemiology of Obstructive Sleep Apnea: A Population Health Perspective
Young, T., Peppard, P. E., & Gottlieb, D. J. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2109080 · Cited by 4,244
Social support and patient adherence to medical treatment: a meta-analysis.
DiMatteo, M. R. (2004) · Health Psychology · doi:10.1037/0278-6133.23.2.207 · Cited by 2,107
Adherence to Continuous Positive Airway Pressure Therapy: The Challenge to Effective Treatment
Weaver, T. E., & Grunstein, R. R. (2008) · Proceedings of the American Thoracic Society · doi:10.1513/pats.200708-119mg · Cited by 1,680 · cited 1×
“Despite numerous advances in machine dynamics including quieter pumps, softer masks, and improved portability, adherence to CPAP continues to be a problem frequently encountered in clinician’s offices, with adherence rates generally ranging from 30 to 60 % [7, 8].”
BackgroundKaneko, Y., Floras, J. S., Usui, K., Plante, J., Tkacova, R., Kubo, T., Ando, S.-I., & Bradley, T. D. (2003) · New England Journal of Medicine · doi:10.1056/nejmoa022479 · Cited by 1,051
Continuous positive airways pressure for obstructive sleep apnoea in adults
Giles, T., Lasserson, T., Smith, B., White, J., Wright, J., & Cates, C. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd001106.pub2 · Cited by 1,001
Jenkinson, C., Davies, R. J., Mullins, R., & Stradling, J. R. (1999) · The Lancet · doi:10.1016/s0140-6736(98)10532-9 · Cited by 826
Barbé, F., Durán-Cantolla, J., Sánchez-de-la-Torre, M., Martínez-Alonso, M., Carmona, C., Barceló, A., Chiner, E., Masa, J. F., Gonzalez, M., Marín, J. M., et al. (2012) · JAMA · doi:10.1001/jama.2012.4366 · Cited by 792
FACCENDA, J. F., MACKAY, T. W., BOON, N. A., & DOUGLAS, N. J. (2001) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.163.2.2005037 · Cited by 631
Controlled Trial of Continuous Positive Airway Pressure in Obstructive Sleep Apnea and Heart Failure
Mansfield, D. R., Gollogly, N. C., Kaye, D. M., Richardson, M., Bergin, P., & Naughton, M. T. (2004) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200306-752oc · Cited by 617
Evaluation of Positive Airway Pressure Treatment for Sleep Related Breathing Disorders in Adults
Gay, P., Weaver, T., Loube, D., & Iber, C. (2006) · Sleep · doi:10.1093/sleep/29.3.381 · Cited by 614
Cited by
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
Self-citationSchweitzer, P. K., Rosenberg, R., Zammit, G. K., Gotfried, M., Chen, D., Carter, L. P., Wang, H., Lu, Y., Black, J., Malhotra, A., et al. (2019) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201806-1100oc · Cited by 320
Dauvilliers, Y., Verbraecken, J., Partinen, M., Hedner, J., Saaresranta, T., Georgiev, O., Tiholov, R., Lecomte, I., Tamisier, R., Lévy, P., et al. (2020) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201907-1284oc · Cited by 268
Predictors of Continuous Positive Airway Pressure Adherence in Patients with Obstructive Sleep Apnea
Mehrtash, M., Bakker, J. P., & Ayas, N. (2019) · Lung · doi:10.1007/s00408-018-00193-1 · Cited by 231
Age and Sex Disparities in Adherence to CPAP
Patel, S. R., Bakker, J. P., Stitt, C. J., Aloia, M. S., & Nouraie, S. M. (2021) · Chest · doi:10.1016/j.chest.2020.07.017 · Cited by 122
Metadata
- Authors
- Rotenberg, B. W., Murariu, D., & Pang, K. P.
- Venue
- Journal of Otolaryngology - Head & Neck Surgery
- Publisher
- SAGE Publications
- Published
- 2016-01
- Volume
- 45
- Issue
- 1
- Pages
- 43-43
- ISSN
- 1916-0208 (ISSN-L)
- 1916-0216
- OpenAlex
- W2514061538
- Cited by
- 742
- References
- 34
- FWCI
- 20.99
- Type
- journal article
- Language
- en
- Open access
- gold
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