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The Impact of Device Modifications and Pressure Delivery on Adherence
Roo Killick1, Nathaniel S Marshall2
1Woolcock Institute of Medical Research, The University of Sydney, 431 Glebe Pt Road, Glebe, Sydney, New South Wales 2037, Australia.
Abstract:
This article reviews the evidence to date examining whether adherence to positive airway pressure (PAP) therapy is affected by any device modifications to pressure delivery. To date there is no robust evidence from systematic reviews and meta-analyses indicating that any modification to standard fixed-pressure PAP makes a clinically significant difference to patient adherence to therapy. The main modifications are reviewed in this article and whether improving pressure could drive adherence, in turn improving patient outcomes, is discussed.
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