ArticleBMJ open respiratory research2019
Compliance after switching from CPAP to bilevel for patients with non-compliant OSA: big data analysis.
Article in BMJ open respiratory research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Long-term follow-up of the German post-market study for upper airway stimulation for obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2020Trial
- The effect of bilevel ventilation or modified continuous positive airway pressure on treatment adherence in adults with obstructive sleep apnea: a systematic review and meta-analysis.EClinicalMedicine · 2026Article
- Obstructive Sleep Apneas and Cardiovascular Diseases.Clocks & sleep · 2026Review
- Impact of type D personality on bilevel positive airway pressure compliance and side-effects in sleep apnoea patients.ERJ open research · 2026Article
- Walking the fine line between OSA and aging.Sleep & breathing = Schlaf & Atmung · 2025Review
- CPAP resumption after a first termination and impact on all-cause mortality in France.The European respiratory journal · 2024Article
- Revitalizing CPAP adherence: lessons from THN study in patients with hypoglossal nerve stimulators.Frontiers in sleep · 2024Article
- Positive airway pressure delivery: overcoming old hurdles, exploring new frontiers.Frontiers in sleep · 2024Article
- Effect of switching from continuous to bilevel positive airway pressure on sleep quality in patients with obstructive sleep apnea: the prospective POP IN VAuto study.Journal of thoracic disease · 2023Article
- The effect of a change from face-to-face to remote positive airway pressure education for patients with sleep apnoea during the coronavirus disease-2019 pandemic: a prospective cohort study.Journal of thoracic disease · 2023Article
- The effect of transcutaneous electrical stimulation of the submental area on the cardiorespiratory response in normal and awake subjects.Frontiers in physiology · 2023Article
- CPAP setup by mail: we're not there yet.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022Article
- Switch of Nocturnal Non-Invasive Positive Pressure Ventilation (NPPV) in Obstructive Sleep Apnea (OSA).Journal of clinical medicine · 2022Article
- Treatment options in obstructive sleep apnea.Internal and emergency medicine · 2022Review
- Adherence Monitoring Using Telemonitoring Techniques.Advances in experimental medicine and biology · 2022Article
- Combination of positional therapy with positive airway pressure for titration in patients with difficult to treat obstructive sleep apnea.Sleep & breathing = Schlaf & Atmung · 2021Article
- Review
- Positive Airway Pressure Therapy Adherence with Mask Resupply: A Propensity-Matched Analysis.Journal of clinical medicine · 2021Article
- Continuous positive airway pressure-treated patients' behaviours during the COVID-19 crisis.ERJ open research · 2020Article
- Contemporary Concise Review 2019: Sleep and ventilation.Respirology (Carlton, Vic.) · 2020Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: For patients with obstructive sleep apnoea (OSA) who are initially non-compliant with continuous (automatic) positive airway pressure (CPAP/APAP) therapy, a bilevel PAP (Spont/VAuto) therapy transition pathway is available to improve therapy adherence. The aim of this retrospective study was to compare PAP therapy usage data of patients with non-compliant OSA (ncOSA) on CPAP/APAP who were switched to bilevel PAP. Methods: A PAP telemonitoring database was queried between 1 January 2015 and 31 July 2016 for eligible patients started on CPAP/APAP and non-CMS (United States Center for Medicare and Medicaid Services) compliant and switched to bilevel PAP within 90 days of starting CPAP/APAP therapy. PAP therapy data on all patients were compared before switch (CPAP/APAP) and after switch (VAuto/Spont). Results: Of the 1496 patients with ncOSA identified, 30.3% used CPAP, 62.3% APAP, and 7.4% both APAP and CPAP before switching to a bilevel mode. 47.8% patients switched to Spont mode and 52.2% to VAuto mode. PAP usage significantly improved by 0.9 h/day (p<0.001) and all other device metrics (residual apnoea-hypopnoea index and unintentional mask leak) also improved after the switch. No patients had achieved US CMS criteria for compliance before the switch, and 56.8% did after. Conclusion: This shows for the first time that there may be potential benefit from switching from CPAP/APAP to bilevel PAP for patients struggling with PAP adherence.
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