Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review
Positive airway pressure (PAP) therapy is a commonly prescribed treatment for pediatric obstructive sleep apnea (OSA). Negative health consequences associated with untreated OSA make understanding the utilization of PAP therapy imperative. The aim of this review was to describe PAP use in children a...
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| Veröffentlicht in: | Sleep medicine reviews 2020-06, Vol.51, p.101273-101273, Article 101273 |
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| container_title | Sleep medicine reviews |
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| creator | Watach, Alexa J. Xanthopoulos, Melissa S. Afolabi-Brown, Olufunke Saconi, Bruno Fox, Kathleen A. Qiu, Maylene Sawyer, Amy M. |
| description | Positive airway pressure (PAP) therapy is a commonly prescribed treatment for pediatric obstructive sleep apnea (OSA). Negative health consequences associated with untreated OSA make understanding the utilization of PAP therapy imperative. The aim of this review was to describe PAP use in children and adolescents with OSA, explore factors that influence use, and describe published scientific or clinical approaches to improve use. Among 20 studies, average PAP adherence was 56.9% (range, 24–87%). PAP use averaged 4.0 h (SD = 3.1) to 5.2 h (SD = 3.4) per night. Cautious consideration of summary estimates of PAP use is necessary as studies were heterogeneous and adherence definitions widely varied across studies. Age, sex, and developmental delay were the only factors associated with PAP use in more than one study. The majority of approaches to improve use were program evaluations rather than scientifically tested interventions. This review identified critical gaps in the existing literature and sets forth a research agenda for the future. |
| doi_str_mv | 10.1016/j.smrv.2020.101273 |
| format | Article |
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Negative health consequences associated with untreated OSA make understanding the utilization of PAP therapy imperative. The aim of this review was to describe PAP use in children and adolescents with OSA, explore factors that influence use, and describe published scientific or clinical approaches to improve use. Among 20 studies, average PAP adherence was 56.9% (range, 24–87%). PAP use averaged 4.0 h (SD = 3.1) to 5.2 h (SD = 3.4) per night. Cautious consideration of summary estimates of PAP use is necessary as studies were heterogeneous and adherence definitions widely varied across studies. Age, sex, and developmental delay were the only factors associated with PAP use in more than one study. The majority of approaches to improve use were program evaluations rather than scientifically tested interventions. This review identified critical gaps in the existing literature and sets forth a research agenda for the future.</description><identifier>ISSN: 1087-0792</identifier><identifier>EISSN: 1532-2955</identifier><identifier>DOI: 10.1016/j.smrv.2020.101273</identifier><identifier>PMID: 32120165</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Adherence ; Adolescent ; Child ; Compliance ; Continuous Positive Airway Pressure - instrumentation ; Humans ; Obstructive sleep apnea ; Pediatric ; Pediatrics ; Positive airway pressure ; Sleep Apnea, Obstructive - therapy ; Treatment Adherence and Compliance - statistics & numerical data ; Treatment Outcome</subject><ispartof>Sleep medicine reviews, 2020-06, Vol.51, p.101273-101273, Article 101273</ispartof><rights>2020 Elsevier Ltd</rights><rights>Copyright © 2020 Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c455t-5f8aaab213e050321fc89e8235f283b48491afcceaada6ae2677636f10b7558e3</citedby><cites>FETCH-LOGICAL-c455t-5f8aaab213e050321fc89e8235f283b48491afcceaada6ae2677636f10b7558e3</cites><orcidid>0000-0002-2470-4526</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1087079220300162$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32120165$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Watach, Alexa J.</creatorcontrib><creatorcontrib>Xanthopoulos, Melissa S.</creatorcontrib><creatorcontrib>Afolabi-Brown, Olufunke</creatorcontrib><creatorcontrib>Saconi, Bruno</creatorcontrib><creatorcontrib>Fox, Kathleen A.</creatorcontrib><creatorcontrib>Qiu, Maylene</creatorcontrib><creatorcontrib>Sawyer, Amy M.</creatorcontrib><title>Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review</title><title>Sleep medicine reviews</title><addtitle>Sleep Med Rev</addtitle><description>Positive airway pressure (PAP) therapy is a commonly prescribed treatment for pediatric obstructive sleep apnea (OSA). Negative health consequences associated with untreated OSA make understanding the utilization of PAP therapy imperative. The aim of this review was to describe PAP use in children and adolescents with OSA, explore factors that influence use, and describe published scientific or clinical approaches to improve use. Among 20 studies, average PAP adherence was 56.9% (range, 24–87%). PAP use averaged 4.0 h (SD = 3.1) to 5.2 h (SD = 3.4) per night. Cautious consideration of summary estimates of PAP use is necessary as studies were heterogeneous and adherence definitions widely varied across studies. Age, sex, and developmental delay were the only factors associated with PAP use in more than one study. The majority of approaches to improve use were program evaluations rather than scientifically tested interventions. This review identified critical gaps in the existing literature and sets forth a research agenda for the future.</description><subject>Adherence</subject><subject>Adolescent</subject><subject>Child</subject><subject>Compliance</subject><subject>Continuous Positive Airway Pressure - instrumentation</subject><subject>Humans</subject><subject>Obstructive sleep apnea</subject><subject>Pediatric</subject><subject>Pediatrics</subject><subject>Positive airway pressure</subject><subject>Sleep Apnea, Obstructive - therapy</subject><subject>Treatment Adherence and Compliance - statistics & numerical data</subject><subject>Treatment Outcome</subject><issn>1087-0792</issn><issn>1532-2955</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1v1DAQhiMEoqXwBzggH7lk64914iCEVFUFKlVqD3C2Js6k9SqJg8fZav99vd1S0Qsnf73zeDRPUXwUfCW4qE43KxrjdiW5fLyQtXpVHAutZCkbrV_nPTd1yetGHhXviDac82YtqrfFkZJCZoI-LrqbQD75LTLw8R52bI5ItMR87u4w4uSQ-YnN2HlI0TsWWkpxcY8lNCDODOYJ4Qs7Y7SjhCOknCIXZj_dsohbj_fvizc9DIQfntaT4vf3i1_nP8ur6x-X52dXpVtrnUrdGwBopVDINc899s40aKTSvTSqXZt1I6B3DgE6qABlVdeVqnrB21prg-qk-Hbgzks7YudwShEGO0c_QtzZAN6-fJn8nb0NW2syWhuTAZ-fADH8WZCSHT05HAaYMCxkpaq5VlrKJkflIepiIIrYP38juN3rsRu712P3euxBTy769G-DzyV_feTA10MA85jy6KIl5_cSOh_RJdsF_z_-A2JfpFY</recordid><startdate>20200601</startdate><enddate>20200601</enddate><creator>Watach, Alexa J.</creator><creator>Xanthopoulos, Melissa S.</creator><creator>Afolabi-Brown, Olufunke</creator><creator>Saconi, Bruno</creator><creator>Fox, Kathleen A.</creator><creator>Qiu, Maylene</creator><creator>Sawyer, Amy M.</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2470-4526</orcidid></search><sort><creationdate>20200601</creationdate><title>Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review</title><author>Watach, Alexa J. ; Xanthopoulos, Melissa S. ; Afolabi-Brown, Olufunke ; Saconi, Bruno ; Fox, Kathleen A. ; Qiu, Maylene ; Sawyer, Amy M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c455t-5f8aaab213e050321fc89e8235f283b48491afcceaada6ae2677636f10b7558e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adherence</topic><topic>Adolescent</topic><topic>Child</topic><topic>Compliance</topic><topic>Continuous Positive Airway Pressure - instrumentation</topic><topic>Humans</topic><topic>Obstructive sleep apnea</topic><topic>Pediatric</topic><topic>Pediatrics</topic><topic>Positive airway pressure</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Treatment Adherence and Compliance - statistics & numerical data</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Watach, Alexa J.</creatorcontrib><creatorcontrib>Xanthopoulos, Melissa S.</creatorcontrib><creatorcontrib>Afolabi-Brown, Olufunke</creatorcontrib><creatorcontrib>Saconi, Bruno</creatorcontrib><creatorcontrib>Fox, Kathleen A.</creatorcontrib><creatorcontrib>Qiu, Maylene</creatorcontrib><creatorcontrib>Sawyer, Amy M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Sleep medicine reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Watach, Alexa J.</au><au>Xanthopoulos, Melissa S.</au><au>Afolabi-Brown, Olufunke</au><au>Saconi, Bruno</au><au>Fox, Kathleen A.</au><au>Qiu, Maylene</au><au>Sawyer, Amy M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review</atitle><jtitle>Sleep medicine reviews</jtitle><addtitle>Sleep Med Rev</addtitle><date>2020-06-01</date><risdate>2020</risdate><volume>51</volume><spage>101273</spage><epage>101273</epage><pages>101273-101273</pages><artnum>101273</artnum><issn>1087-0792</issn><eissn>1532-2955</eissn><abstract>Positive airway pressure (PAP) therapy is a commonly prescribed treatment for pediatric obstructive sleep apnea (OSA). Negative health consequences associated with untreated OSA make understanding the utilization of PAP therapy imperative. The aim of this review was to describe PAP use in children and adolescents with OSA, explore factors that influence use, and describe published scientific or clinical approaches to improve use. Among 20 studies, average PAP adherence was 56.9% (range, 24–87%). PAP use averaged 4.0 h (SD = 3.1) to 5.2 h (SD = 3.4) per night. Cautious consideration of summary estimates of PAP use is necessary as studies were heterogeneous and adherence definitions widely varied across studies. Age, sex, and developmental delay were the only factors associated with PAP use in more than one study. The majority of approaches to improve use were program evaluations rather than scientifically tested interventions. This review identified critical gaps in the existing literature and sets forth a research agenda for the future.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>32120165</pmid><doi>10.1016/j.smrv.2020.101273</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-2470-4526</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adherence Adolescent Child Compliance Continuous Positive Airway Pressure - instrumentation Humans Obstructive sleep apnea Pediatric Pediatrics Positive airway pressure Sleep Apnea, Obstructive - therapy Treatment Adherence and Compliance - statistics & numerical data Treatment Outcome |
| title | Positive airway pressure adherence in pediatric obstructive sleep apnea: A systematic scoping review |
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