2020
DOI: 10.1007/s11325-020-02033-0
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Abstract: Purpose This study aimed to evaluate the 10-year adherence to and identify the predictors of dropout from continuous positive airway pressure (CPAP) treatment for patients with moderate-to-severe obstructive sleep apnea (OSA). Methods We retrospectively analyzed the continuity, dropout, or other behaviors of 181 patients who initiated CPAP treatment at the Tokyo Dental College Ichikawa General Hospital from January 2003 to June 2005. Results Among a total of 181 patients, 56 (30.9%) dropped out of the treatmen… Show more

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Cited by 15 publications
(7 citation statements)
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References 27 publications
(37 reference statements)
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“…Some studies have shown that BMI has no effect on the efficacy of CPAP therapy ( 56 , 57 ). However, others have concluded that BMI does affect the efficacy of CPAP therapy ( 58 , 59 ), in agreement with our results. Tangugsorn's research ( 60 ) based on cephalometric analyses has shown that nonobese patients with OSA tend to have craniofacial bone structure malformations, whereas obese patients with OSA primarily show abnormalities in upper airway soft tissue.…”
Section: Discussionsupporting
confidence: 93%
“…Some studies have shown that BMI has no effect on the efficacy of CPAP therapy ( 56 , 57 ). However, others have concluded that BMI does affect the efficacy of CPAP therapy ( 58 , 59 ), in agreement with our results. Tangugsorn's research ( 60 ) based on cephalometric analyses has shown that nonobese patients with OSA tend to have craniofacial bone structure malformations, whereas obese patients with OSA primarily show abnormalities in upper airway soft tissue.…”
Section: Discussionsupporting
confidence: 93%
“…Studies assessing medium to long-term adherence (3 to 10 years) in the adult general population show heterogeneity with adherence rates between 52% and 85%. [24][25][26] In pediatric patients, a large cloud database study showed PAP adherence at 90 days of 61.8%. 11 Reassuringly, a 24-month follow-up study in children showed stable adherence at greater than 50%.…”
Section: Discussionmentioning
confidence: 99%
“…Many studies have reported that continued CPAP therapy reduces mortality [26,27], and that persistence affects life prognosis [28]. Continuing CPAP therapy is very important in the treatment of OSAS, and it is needed for at least 3 years to show demonstrable benefit [16]. Therefore, in this study, OSAS patients treated with CPAP therapy were followed for 3 years, and risk factors for CPAP dropout were examined.…”
Section: Discussionmentioning
confidence: 99%
“…Therefore, it is expected that the discontinuation of treatment increases the risk of worsening the condition, alongside various other complications. A previous study [ 16 ] investigating the risk factors for CPAP therapy dropout revealed an association with body mass index (BMI). However, some other studies [ 17 , 18 , 19 ] have reported that BMI does not affect the continuation of CPAP therapy, and there remains no consensus.…”
Section: Introductionmentioning
confidence: 99%