Schoebel, Christoph and Woehrle, Holger and Ficker, Joachim H. and Graml, Andrea and Zeman, Florian and Fietze, Ingo and Young, Peter and Arzt, Michael (2025) Effects of Mask Change/Renewal on Adherence to Positive Airway Analysis of a Large Telemedicine Database. ANNALS OF THE AMERICAN THORACIC SOCIETY, 22 (1). pp. 130-137. ISSN 2329-6933, 2325-6621
Full text not available from this repository. (Request a copy)Abstract
Rationale: Adherence to positive airway pressure (PAP) therapy is a common and challenging issue. Although some studies have looked at the impact of initial mask selection, there is a lack of data regarding the impact of a change in mask on adherence to PAP therapy. Objective(s): This study investigated the impact of a mask change or renewal on mid-term PAP adherence. Methods: German homecare provider data were retrospectively analyzed. Patients aged >= 18 years who started PAP therapy in 2014-2019, had data on the type of device and interface (mask) used, and had mask change/renewal within <= 1 year after starting PAP were eligible. Mask change was defined as switching to a different mask type, while mask renewal referred to supply of a replacement mask of the same type. The primary endpoint was change in PAP usage after mask change/renewal, overall and in patient subgroups based on previous PAP usage (<4 and >= 4 h/night). Results: 12,551 patients were included (71% male; age 62 +/- 12 years); previous PAP usage was <4 h/night (n=3,510) or >= 4 h/night (n=9,041). After mask change/renewal, there was no change in device usage overall or in patients with previous usage >= 4 h/night. However, in those with PAP usage <4 h/night, mask change/renewal was associated with increased device usage (+55 min [+57 min for change, +39 min for renewal) and increased the proportion of days with PAP usage >= 4 h/night by 19% (+20% for change, +12% for renewal). In this patient subgroup, early mask change/renewal (within 90 days), higher levels of previous device usage and older age were significant predictors of improving device usage to >= 4 h/night after mask change/renewal. Conclusions: For patients with low PAP adherence on their existing mask system, early intervention to change or renew the mask was associated with clinically relevant improvements in device usage.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | OBSTRUCTIVE SLEEP-APNEA; PRESSURE ADHERENCE; AMERICAN ACADEMY; CPAP; IMPACT; TRIAL; PREDICTORS; THERAPY; positive airway pressure; adherence; mask; sleep-disordered breathing |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin II Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Klinische Studien |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Sep 2026 09:22 |
| Last Modified: | 22 Sep 2026 09:22 |
| URI: | https://pred.uni-regensburg.de/id/eprint/66638 |
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