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. 2007 Feb;136(2):236-40.
doi: 10.1016/j.otohns.2006.08.007.

Treatment compliance in patients lost to follow-up after polysomnography

Affiliations

Treatment compliance in patients lost to follow-up after polysomnography

Ho-Sheng Lin et al. Otolaryngol Head Neck Surg. 2007 Feb.

Abstract

Objectives: Studies on positive airway pressure (PAP) compliance typically focus only on patients who returned for follow-up. In this study, we examined patients who failed to follow-up after their initial polysomnogram (PSG) and PAP titration to determine their treatment status in terms of PAP usage.

Study design: On retrospective chart review, we identified 57 patients who, based on PSG findings and symptoms, required the use of PAP but failed to follow-up after titration. Twenty-five of these patients were successfully contacted and agreed to an interview.

Results: Only 7 (28%) patients were using PAP on a regular basis. The remaining 18 (72%) patients were noncompliant.

Conclusions: A significant proportion (24%) of OSA patients who required treatment with PAP were lost to follow-up after polysomnography. This group of patients has previously been ignored in the literature. We showed in this study that majority (72%) of these patients were not being treated adequately for OSA.

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