What should be included in the follow-up of CPAP treatment for obstructive sleep apnea (OSA)?

Updated: Sep 15, 2020
  • Author: Himanshu Wickramasinghe, MD, MBBS; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

Improving treatment adherence is important to the care of OSA patients. Whereas adherence in OSA patients is comparable to that in patients taking medications, such as statins, a body of research on adherence seems to have been largely ignored and needs to be integrated into sleep medicine clinical practice.

Studies showing how to improve CPAP adherence exist as well and should be integrated into a standard CPAP follow-up program to improve adherence; the same could be said for OA therapy to the degree that some of the methods and assessment are common to both treatments.

Unlike CPAP/BiPAP treatment adherence, OA treatment adherence is not objectively measured. Therefore, studies comparing adherence between OA and CPAP/BiPAP therapy cannot be considered with confidence in the outcome. As when CPAP/BiPAP did not have objective adherence data, OA treatment adherence is probably lower than published values that have relied on patient or practitioner self-report.


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