Evidence map›Paper›PMID 40964221›Full record

ArticleSleep science (Sao Paulo, Brazil)2025

Comparative Study on CPAP Compliance: PAP-NAP Followed by CPAP Trial vs. CPAP Trial Alone.

Liang Chye Goh, Nesha Rajendram, Bryan Way Wern Lim, Jeyanthi Kulasegarah, Revadi Govindaraju, Chun Ian Soo, Chee Kuan Wong

Abstract read
In one paragraph

Article in Sleep science (Sao Paulo, Brazil), 2025. 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

7 authors.

Liang Chye GohDepartment of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0002-3059-7253
Nesha RajendramDepartment of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Bryan Way Wern LimDepartment of Medicine, School of Medicine, University of Galway, Galway, Ireland.
Jeyanthi KulasegarahDepartment of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Revadi GovindarajuDepartment of Otorhinolaryngology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Chun Ian SooRespiratory Unit, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.
Chee Kuan WongRespiratory Unit, Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To assess the effectiveness of allocating positive airway pressure nap (PAP-NAP) prior to continuous positive airway pressure (CPAP) trial compared with CPAP trial alone in improving CPAP therapy adherence among individuals diagnosed with obstructive sleep apnea (OSA) in our Southeast Asian cohort. Materials and Methods: A total of 133 adults with OSA were divided into 2 groups: 1 received PAP-NAP before a CPAP trial, and the other underwent a CPAP trial alone. The correlation between CPAP adherence and polysomnographic data was investigated. Results: The PAP-NAP group showed better CPAP compliance (above 90%) and adherence (66.64% ± 31.96%) compared with the CPAP-only group (57.90% ± 34.86%). Both groups experienced reductions in apnea hypopnea index (AHI), with the PAP-NAP group having lower residual AHI. Compliance was defined as usage of CPAP > 4H in 14 days. Conclusion: Positive airway pressure naps prior to a CPAP trial increases short-term CPAP adherence and influences mask selection. Personalized CPAP approaches like PAP-NAP can enhance patient acceptance and motivation. Further research is recommended to investigate long-term adherence.

Indexed as

adherenceAsiacomplianceCPAPobstructive sleep apneasoutheastern

Identifiers

PMID40964221
PMCPMC12440585

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Registered trials

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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.