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Cost-Effectiveness of Continuous Positive Airway Pressure Therapy Versus Other Treatments of Obstructive Sleep Apnea. Sleep Med Clin 2022; 17:559-567. [DOI: 10.1016/j.jsmc.2022.07.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Sawyer AM, Wallace DM, Buenaver LF, Watach AJ, Blase A, Saconi B, Patel SR, Kuna ST, Punjabi NM. Where to Next for Optimizing Adherence in Large-Scale Trials of Continuous Positive Airway Pressure? Sleep Med Clin 2021; 16:125-144. [PMID: 33485525 DOI: 10.1016/j.jsmc.2020.10.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Large-scale randomized trials of positive airway pressure (PAP) efficacy have been largely negative but PAP adherence was notably suboptimal across the trials. To address this limitation, evidence-based PAP adherence protocols embedded within the larger trial protocol are recommended. The complexity of such protocols depends on adequacy of resources, including funding and inclusion of behavioral scientist experts on the scientific team, and trial-specific considerations (eg, target population) and methods. Recommendations for optimizing PAP adherence in large-scale trials are set forth that address rigor and reproducibility.
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Affiliation(s)
- Amy M Sawyer
- Department of Biobehavioral Health Science, University of Pennsylvania School of Nursing, 418 Curie Boulevard, Claire Fagin Hall, Room 349, Philadelphia, PA 19104, USA; Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, PA, USA; University of Pennsylvania Perelman School of Medicine, Center for Sleep and Circadian Neurobiology, Philadelphia, PA, USA.
| | - Douglas M Wallace
- Department of Neurology, Sleep Medicine Division, University of Miami Miller School of Medicine, 1201 Northwest 16th Street, Room A212, Miami, FL 33125, USA; Miami Veterans Affairs HealthCare System, Miami, FL, USA
| | - Luis F Buenaver
- Johns Hopkins Behavioral Sleep Medicine Program, Johns Hopkins University School of Medicine, 5510 Nathan Shock Drive, Suite 100, Baltimore, MD 21224-6823, USA
| | - Alexa J Watach
- University of Pennsylvania Perelman School of Medicine, Center for Sleep and Circadian Neurobiology, Philadelphia, PA, USA; University of Pennsylvania School of Nursing, 418 Curie Boulevard, Claire Fagin Hall, Room 349, Philadelphia, PA 19104, USA
| | - Amy Blase
- ResMed Corporation, 9001 Spectrum Center Boulevard, San Diego, CA 92123, USA
| | - Bruno Saconi
- University of Pennsylvania School of Nursing, 418 Curie Boulevard, Claire Fagin Hall, Philadelphia, PA 19104, USA
| | - Sanjay R Patel
- Center for Sleep and Cardiovascular Outcomes Research, University of Pittsburgh, 3609 Forbes Avenue, 2nd Floor, Room 108, Pittsburgh, PA 15213, USA
| | - Samuel T Kuna
- University of Pennsylvania Perelman School of Medicine, Center for Sleep and Circadian Neurobiology, Philadelphia, PA, USA; Sleep Medicine, Sleep Medicine Section (111P), Corporal Michael J. Crescenz Veterans Affairs Medical Center, 3900 Woodland Avenue, Philadelphia, PA 19104, USA
| | - Naresh M Punjabi
- Division of Pulmonary, Critical Care, and Sleep Medicine, University of Miami, Miller School of Medicine, 1951 NW 7th Avenue, Miami, FL 33136, USA
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Mansukhani MP, Somers VK, Shafazand S. PAP and Cardiovascular Events in Adults With Sleep Apnea: Is PAP Useful? J Clin Sleep Med 2017; 13:1487-1489. [PMID: 29151429 DOI: 10.5664/jcsm.6858] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Accepted: 10/27/2017] [Indexed: 11/13/2022]
Affiliation(s)
- Meghna P Mansukhani
- Mayo Clinic College of Medicine and Science, Center for Sleep Medicine, Mayo Clinic, Rochester, Minnesota
| | - Virend K Somers
- Mayo Clinic College of Medicine and Science, Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota
| | - Shirin Shafazand
- Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, University of Miami Miller School of Medicine, Miami, Florida
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Wickwire EM. Making Dollars and Sense of SAVE. J Clin Sleep Med 2017; 13:765-766. [PMID: 28260592 DOI: 10.5664/jcsm.6606] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2017] [Accepted: 02/15/2017] [Indexed: 11/13/2022]
Affiliation(s)
- Emerson M Wickwire
- Department of Psychiatry and Sleep Disorders Center, Division of Pulmonary and Critical Care Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, Maryland
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Bianchi MT, Thomas RJ, Westover MB. An open request to epidemiologists: please stop querying self-reported sleep duration. Sleep Med 2017; 35:92-93. [PMID: 28284821 DOI: 10.1016/j.sleep.2017.02.001] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Accepted: 02/08/2017] [Indexed: 11/28/2022]
Affiliation(s)
- Matt T Bianchi
- Neurology Department, Massachusetts General Hospital, Wang 720, Boston, MA 02114, USA; Division of Sleep Medicine, Harvard Medical School, Boston, MA 02115, USA.
| | - Robert J Thomas
- Division of Sleep Medicine, Harvard Medical School, Boston, MA 02115, USA; Division of Pulmonary, Critical Care & Sleep, Department of Medicine, Beth Israel, Deaconess Medical Center, Boston, MA 02215, USA
| | - M Brandon Westover
- Neurology Department, Massachusetts General Hospital, Wang 720, Boston, MA 02114, USA
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