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Multidisciplinary Respiratory Medicine
Published in: Multidisciplinary Respiratory Medicine 1/2018

Open Access 01-12-2018 | Review

From CPAP to tailored therapy for obstructive sleep Apnoea

Authors: Kate Sutherland, Kristina Kairaitis, Brendon J. Yee, Peter A. Cistulli

Published in: Multidisciplinary Respiratory Medicine | Issue 1/2018

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Abstract

Obstructive Sleep Apnoea (OSA) is a common sleep disorder that is associated with daytime symptoms and a range of comorbidity and mortality. Continuous Positive Airway Pressure (CPAP) therapy is highly efficacious at preventing OSA when in use and has long been the standard treatment for newly diagnosed patients. However, CPAP therapy has well recognised limitations in real world effectiveness due to issues with patient acceptance and suboptimal usage. There is a clear need to enhance OSA treatment strategies and options. Although there are a range of alternative treatments (e.g. weight loss, oral appliances, positional devices, surgery, and emerging therapies such as sedatives and oxygen), generally there are individual differences in efficacy and often OSA will not be completely eliminated. There is increasing recognition that OSA is a heterogeneous disorder in terms of risk factors, clinical presentation, pathophysiology and comorbidity. Better characterisation of OSA heterogeneity will enable tailored approaches to therapy to ensure treatment effectiveness. Tools to elucidate individual anatomical and pathophysiological phenotypes in clinical practice are receiving attention. Additionally, recognising patient preferences, treatment enhancement strategies and broader assessment of treatment effectiveness are part of tailoring therapy at the individual level. This review provides a narrative of current treatment approaches and limitations and the future potential for individual tailoring to enhance treatment effectiveness.
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Metadata
Title
From CPAP to tailored therapy for obstructive sleep Apnoea
Authors
Kate Sutherland
Kristina Kairaitis
Brendon J. Yee
Peter A. Cistulli
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Multidisciplinary Respiratory Medicine / Issue 1/2018
Electronic ISSN: 2049-6958
DOI
https://doi.org/10.1186/s40248-018-0157-0

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