Evidence map›Paper›PMID 28966740›Full record

ArticleSleep science (Sao Paulo, Brazil)

Acceptance and Adherence to Continuous Positive Airway Pressure Therapy in patients with Obstructive Sleep Apnea (OSA) in a Southeast Asian privately funded healthcare system.

Cheah Hooi Ken Lee, Leong Chai Leow, Pei Rong Song, HuiHua Li, Thun How Ong

Registry-linked trialAbstract read
In one paragraph

Article in Sleep science (Sao Paulo, Brazil). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05489562 (Use of Intraoral Suction and Its Effects on Obstructive Sleep Apnea), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05489562 naunknown statusnot on this map

Use of Intraoral Suction and Its Effects on Obstructive Sleep Apnea

TypeinterventionalSponsorVA Boston Healthcare SystemRan2023 to 2024Enrolled40ConditionsObstructive Sleep Apnea of AdultArmsIntraoral Suction
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Cheah Hooi Ken LeeSingapore General Hospital, Respiratory and Critical Care Medicine - Singapore - Singapore - Singapura.
Leong Chai LeowSingapore General Hospital, Respiratory and Critical Care Medicine - Singapore - Singapore - Singapura.
Pei Rong SongSingapore General Hospital, Respiratory and Critical Care Medicine - Singapore - Singapore - Singapura.
HuiHua LiSingapore General Hospital, Health Services Research - Singapore - Singapore - Singapura.
Thun How OngSingapore General Hospital, Respiratory and Critical Care Medicine - Singapore - Singapore - Singapura.

Funding

Research Training in Pediatric Critical Care MedicineT32HD049303 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JEFFREY R FINEMAN · 2006 to 2026
$3.1M
6 · The paper itself

Abstract

backgroundThere is limited data on long term Continuous Positive Airway Pressure (CPAP) adherence in Southeast Asian countries. This is a prospective study on CPAP adherence among Obstructive sleep apnea (OSA) patients in a Southeast Asian privately funded healthcare system.

methodsPatients with moderate-severe OSA who had been initiated on CPAP at least one year previously were contacted for a scripted telephone interview to assess compliance and factors associated with CPAP adherence.

resultsOf 135 consecutive patients diagnosed to have moderate to severe OSA, 78 (57.8%) were initiated on CPAP treatment while 57 (42.2%) rejected CPAP upfront. 41 (52.6%) who initiated CPAP remained adherent at one year. OSA severity (AHI, ODI) and symptomatic improvement after CPAP were associated with better adherence. Presence of machine related side effects was associated with lower adherence. Inconvenience, cost and poor disease perception were reported as major barriers to uptake of CPAP therapy.

conclusionsIn this Southeast Asian privately funded healthcare system, almost half of all patients with significant OSA rejected CPAP treatment upfront, but adherence among those who started CPAP is comparable to other reports. Challenges with CPAP acceptance as well as CPAP adherence need to be addressed to improve outcomes.

Indexed as

Asia, SoutheasternPatient ComplianceSleep Apnea, Obstructive

Identifiers

PMID28966740
PMCPMC5612037

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.