Woehrle, Holger and Schoebel, Christoph and Ficker, Joachim H. and Graml, Andrea and Schnepf, Jurgen and Fietze, Ingo and Young, Peter and Arzt, Michael (2024) Positive airway pressure telehealth models and long-term therapy termination: a healthcare database analysis. ERJ OPEN RESEARCH, 10 (1). ISSN 2312-0541
Full text not available from this repository. (Request a copy)Abstract
Background Telemonitoring-guided interventions can improve short-term positive airway pressure (PAP) therapy adherence, but long-term effects are unknown. This study investigated long-term PAP therapy termination in patients with sleep apnoea managed with standard care, telemonitoring-guided proactive care or telemonitoring-guided proactive care + patient engagement tool. Methods German healthcare provider data were analysed retrospectively. Individuals aged 18-100 years who started PAP from 2014 to 2019 and had device type/interface data were included. Time-to-termination periods were analysed using Kaplan-Meier plots and Cox proportional hazards regression, adjusted for age, sex, insurance type, and device and mask type. Results The per-protocol population (valid telemonitoring data) included 104 612 individuals (71% male; 95% aged >40 years). Mean follow-up was 3.3 +/- 2.0 years. The overall therapy termination rate was significantly lower in the telemonitoring-guided proactive care group versus standard care (20% versus 27%; p<0.001), and even lower in the telemonitoring-guided care + patient engagement tool group (11%; p<0.001 versus other treatment groups). Adjusted risk of therapy termination was lower versus standard care (hazard ratio 0.76, 95% confidence interval 0.74-0.78; and 0.41 (0.38-0.44) for telemonitoringguided proactive care alone + patient engagement). Age <50 or >59 years and use of a nasal pillows or full-face mask were significant predictors of therapy termination; male sex, use of telemonitoring-guided proactive care (+/- patient engagement) and private insurance were significantly associated with lower therapy termination rates. Conclusions Use of telemonitoring-guided proactive care and a patient engagement tool was associated with lower rates of PAP therapy termination.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | OBSTRUCTIVE SLEEP-APNEA; CPAP ADHERENCE; TELEMEDICINE; IMPACT |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin II |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 27 Jan 2026 06:47 |
| Last Modified: | 27 Jan 2026 06:47 |
| URI: | https://pred.uni-regensburg.de/id/eprint/64987 |
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