ArticleThe Laryngoscope2025
Comprehensive Management of Obstructive Sleep Apnea With CPAP in a Surgical Otolaryngology Practice.
Article in The Laryngoscope, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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Who cites it
2 citing papers in PubMed.
- Downstream Impact of a Sleep Surgery Program; Optimizing Patient Care and Generating Clinical Volume.The Laryngoscope · 2026Article
- Comprehensive Management of Obstructive Sleep Apnea With CPAP in a Surgical Otolaryngology Practice.The Laryngoscope · 2025Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aims to investigate the medical management of obstructive sleep apnea (OSA) utilizing continuous positive airway pressure (CPAP) by the Otolaryngology departments within a tertiary care institution.
methodsData was retrospectively reviewed from electronic medical records over 12 months. Patients were categorized into two cohorts based on the department managing their treatment with CPAP therapy: Otolaryngology or Sleep Medicine. Loss to follow-up was defined as the absence of a follow-up appointment within the first 12 months after prescription. Two-tailed t-tests and multivariable regression analysis were performed.
resultsOf 242 total patients included, 65 (26.9%) received CPAP from Otolaryngology and 177 (73.1%) from Sleep Medicine. Otolaryngology patients exhibited significantly higher CPAP compliance, defined as usage ≥ 4 h/night over 30 days, over the first 30 (88% vs. 47%, p < 0.001) and over the last 30 (54% vs. 37%, p = 0.031) days of usage, respectively, compared to General Sleep patients. Loss to follow-up rates did not differ between the two cohorts. Multivariable analysis found White race to be associated with higher CPAP compliance over the first 30 days (OR 6.39, 95% CI 1.29-46.5, p = 0.03). Management of CPAP by Otolaryngology was independently associated with increased CPAP compliance over the first (OR 8.02, 95% CI 3.80-19.1, p < 0.001) and last 30 days (OR 1.99, 95% CI 1.06-3.75, p = 0.032), respectively.
conclusionComprehensive management of OSA, including both medical and surgical interventions, can be successfully performed by the Otolaryngologist-Head and Neck Surgeon. LEVEL OF EVIDENCE: 3:
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