Evidence map›Paper›PMID 40255531›Full record

ArticleOpen respiratory archives

Home Respiratory Therapies in Patients With Obstructive Sleep Apnea: A Value-based Care Model in Spain.

Irene Cano-Pumarega, Candela Caballero-Eraso, Valentín Cabriada, Mar Mosteiro, Juan Fernando Masa, Ferran Barbé

Abstract read
In one paragraph

Article in Open respiratory archives. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

6 authors.

Irene Cano-PumaregaFunctional Sleep and Epilepsy Unit, Pulmonology Service, Ramón y Cajal University Hospital, IRYCIS. Madrid, Spain.
Candela Caballero-ErasoCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERes), Instituto de Salud Carlos III, Madrid, Spain.
Valentín CabriadaPulmonology Department, Cruces University Hospital, Bilbao, Spain.
Mar MosteiroPulmonology Department, Álvaro Cunqueiro University Hospital, EOXI, Vigo, Spain.
Juan Fernando MasaCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERes), Instituto de Salud Carlos III, Madrid, Spain.
Ferran BarbéCentro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERes), Instituto de Salud Carlos III, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This document proposes a value-based care model to improve adherence and health outcomes in patients with obstructive sleep apnea (OSA) treated with CPAP. The current care model for OSA management adopts a uniform, volume-based approach for all patients, limiting personalized care and reducing service quality without providing objective outcome data. The value-based care model proposed here focuses on guiding all interventions towards improving treatment adherence, aiming to enhance health outcomes by increasing patients' quality of life and comfort with treatment. Key strategies to be implemented include education and support programs at the beginning of treatment, enhancing comfort in mask use, telemonitoring of adherence, patient involvement in the treatment progress, patient stratification based on adherence, and identifying individuals who may benefit from alternative treatments. A results-based funding model is also recommended to optimize resource allocation. Expected outcomes from these measures include a reduction in home visits and in-person consultations for stable patients, fewer non-adherent patients, more optimally treated patients, and overall improvements in treatment quality and effectiveness. Key indicators to evaluate the success of this approach include quality of life (measured through quality-of-life questionnaires), adherence levels (via telemonitoring), and CPAP comfort. Collectively, these strategies allow for a comprehensive approach, optimizing resources and ensuring personalized care that improves the experience and outcomes of OSA patients.

Indexed as

AdherenceHome respiratory therapiesObstructive sleep apneaQuality of lifeTelemonitoringValue-based care model

Identifiers

PMID40255531
PMCPMC12008641

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.