Evidence map›Paper›PMID 42274931›Full record

SynthesisSleep & breathing = Schlaf & Atmung2026

What do patients want for their sleep apnea? A systematic review of treatment choice and preference drivers.

Antonio Moffa, Domiziana Nardelli, Francesco Iafrati, Giannicola Iannella, Annalisa Pace, Antonio Maniaci, Kenny P Pang, Claudio Vicini, Peter Baptista, Manuele Casale

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Sleep & breathing = Schlaf & Atmung, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Antonio MoffaDepartment of Otolaryngology, Fondazione Policlinico Universitario Campus Bio- Medico, Rome, 00128, Italy. a.moffa@policlinicocampus.it.ORCID http://orcid.org/0000-0002-6181-8194
Domiziana NardelliDepartment of Otolaryngology, Fondazione Policlinico Universitario Campus Bio- Medico, Rome, 00128, Italy.
Francesco IafratiDepartment of Otolaryngology, Fondazione Policlinico Universitario Campus Bio- Medico, Rome, 00128, Italy.
Giannicola IannellaOrgani di Senso Department, Sapienza University of Rome, Rome, 00161, Italy.
Annalisa PaceOrgani di Senso Department, Sapienza University of Rome, Rome, 00161, Italy.
Antonio ManiaciDepartment of Medical and Surgical Sciences and Advanced Technologies "GF Ingrassia" ENT Section, University of Catania, Catania, 95123, Italy.
Kenny P PangAsia Sleep Centre, Paragon Medical Centre, Singapore, 238859, Singapore.
Claudio ViciniDepartment ENT & Audiology, University of Ferrara, Ferrara, 44121, Italy.
Peter BaptistaENT Department, Al Zahra Private Hospital Dubai, Dubai, 23614, United Arab Emirates.
Manuele CasaleDepartment of Otolaryngology, Fondazione Policlinico Universitario Campus Bio- Medico, Rome, 00128, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review aimed to evaluate patient awareness, acceptance, and preferences regarding available treatment modalities for obstructive sleep apnea (OSA). The primary research question was how behavioral, perceptual, and communication-related factors influence treatment selection, adherence, and satisfaction in adult patients with OSA.

methodsA comprehensive systematic search of PubMed/MEDLINE, Scopus, Embase, and Web of Science was conducted from database inception to December 2025. Eligible studies included adults diagnosed with OSA who reported outcomes related to patient awareness, acceptance, or preferences toward any therapeutic option. Study selection and data synthesis followed PRISMA 2020 guidelines. Given heterogeneity across studies, findings were synthesized narratively.

resultsNine studies comprising 5,401 patients were included. Continuous positive airway pressure (CPAP) was the most widely recognized and initially preferred therapy; however, long-term adherence was inconsistent. Patient preferences were predominantly influenced by perceived therapeutic benefit, comfort, ease of use, and perceived disease severity rather than demographic or clinical variables. Less than half of patients demonstrated prior awareness of OSA or its treatment options, representing a substantial barrier to engagement. Educational interventions and shared decision-making approaches consistently improved treatment acceptance and adherence. While economic considerations played a secondary role overall, they disproportionately affected older adults and individuals with lower socioeconomic status. Alignment between patient preferences and selected therapies was associated with improved adherence and satisfaction.

conclusionPatient-centered factors, particularly perceived benefit, practicality, and effective physician communication, are critical determinants of successful OSA management. Enhancing patient education and shared decision-making may significantly improve long-term adherence and real-world treatment outcomes.

Indexed as

Patient PreferenceSleep Apnea, ObstructiveAdultContinuous Positive Airway PressureHumansPatient CompliancePatient SatisfactionContinuous positive airway pressureObstructive sleep apneaPatient educationPatient preferencesShared decision-makingTreatment adherence

Identifiers

PMID42274931

What OpenQuestion holds

Textmetadata
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.