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Trends in CPAP adherence over twenty years of data collection: a flattened curve

Overview of attention for article published in Journal of Otolaryngology - Head & Neck Surgery, August 2016
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  • In the top 5% of all research outputs scored by Altmetric
  • One of the highest-scoring outputs from this source (#1 of 629)
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (87th percentile)

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66 news outlets
blogs
2 blogs
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9 X users

Citations

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486 Dimensions

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376 Mendeley
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Title
Trends in CPAP adherence over twenty years of data collection: a flattened curve
Published in
Journal of Otolaryngology - Head & Neck Surgery, August 2016
DOI 10.1186/s40463-016-0156-0
Pubmed ID
Authors

Brian W. Rotenberg, Dorian Murariu, Kenny P. Pang

Abstract

Obstructive sleep apnea (OSA) is a common disorder, and continuous airway positive pressure (CPAP) is considered to be the gold standard of therapy. CPAP however is known to have problems with adherence, with many patients eventually abandoning the device. The purpose of this paper is to assess secular trends in CPAP adherence over the long term to see if there have been meaningful improvements in adherence in light of the multiple interventions proposed to do so. A comprehensive systematic literature review was conducted using the Medline-Ovid, Embase, and Pubmed databases, searching for data regarding CPAP adherence over a twenty year timeframe (1994-2015). Data was assessed for quality and then extracted. The main outcome measure was reported CPAP non-adherence. Secondary outcomes included changes in CPAP non-adherence when comparing short versus long-term, and changes in terms of behavioral counseling. Eighty-two papers met study inclusion/exclusion criteria. The overall CPAP non-adherence rate based on a 7-h/night sleep time that was reported in studies conducted over the twenty year time frame was 34.1 %. There was no significant improvement over the time frame. Behavioral intervention improved adherence rates by ~1 h per night on average. The rate of CPAP adherence remains persistently low over twenty years worth of reported data. No clinically significant improvement in CPAP adherence was seen even in recent years despite efforts toward behavioral intervention and patient coaching. This low rate of adherence is problematic, and calls into question the concept of CPAP as gold-standard of therapy for OSA.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 376 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 1 <1%
Mexico 1 <1%
Unknown 374 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 39 10%
Student > Ph. D. Student 32 9%
Student > Bachelor 32 9%
Researcher 31 8%
Other 30 8%
Other 89 24%
Unknown 123 33%
Readers by discipline Count As %
Medicine and Dentistry 124 33%
Nursing and Health Professions 29 8%
Psychology 12 3%
Neuroscience 10 3%
Biochemistry, Genetics and Molecular Biology 9 2%
Other 49 13%
Unknown 143 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 520. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 September 2023.
All research outputs
#48,544
of 25,457,858 outputs
Outputs from Journal of Otolaryngology - Head & Neck Surgery
#1
of 629 outputs
Outputs of similar age
#990
of 355,287 outputs
Outputs of similar age from Journal of Otolaryngology - Head & Neck Surgery
#1
of 8 outputs
Altmetric has tracked 25,457,858 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 629 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 5.1. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 355,287 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 8 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them