Sleep & breathing = Schlaf & Atmung · 2026
What do patients want for their sleep apnea? A systematic review of treatment choice and preference drivers.
СтатьяСистематический обзорНазвание и аннотация: Перевод пока не подготовлен
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Moffa Antonio, Nardelli Domiziana, Iafrati Francesco, Iannella Giannicola, Pace Annalisa, Maniaci Antonio, Pang Kenny P, Vicini Claudio, Baptista Peter, Casale Manuele
Аннотация
PURPOSE: This systematic review aimed to evaluate patient awareness, acceptance, and preferences regarding available treatment modalities for obstructive sleep apnea (OSA). The primary research question was how behavioral, perceptual, and communication-related factors influence treatment selection, adherence, and satisfaction in adult patients with OSA.
METHODS: A comprehensive systematic search of PubMed/MEDLINE, Scopus, Embase, and Web of Science was conducted from database inception to December 2025. Eligible studies included adults diagnosed with OSA who reported outcomes related to patient awareness, acceptance, or preferences toward any therapeutic option. Study selection and data synthesis followed PRISMA 2020 guidelines. Given heterogeneity across studies, findings were synthesized narratively.
RESULTS: Nine studies comprising 5,401 patients were included. Continuous positive airway pressure (CPAP) was the most widely recognized and initially preferred therapy; however, long-term adherence was inconsistent. Patient preferences were predominantly influenced by perceived therapeutic benefit, comfort, ease of use, and perceived disease severity rather than demographic or clinical variables. Less than half of patients demonstrated prior awareness of OSA or its treatment options, representing a substantial barrier to engagement. Educational interventions and shared decision-making approaches consistently improved treatment acceptance and adherence. While economic considerations played a secondary role overall, they disproportionately affected older adults and individuals with lower socioeconomic status. Alignment between patient preferences and selected therapies was associated with improved adherence and satisfaction.
CONCLUSION: Patient-centered factors, particularly perceived benefit, practicality, and effective physician communication, are critical determinants of successful OSA management. Enhancing patient education and shared decision-making may significantly improve long-term adherence and real-world treatment outcomes.
METHODS: A comprehensive systematic search of PubMed/MEDLINE, Scopus, Embase, and Web of Science was conducted from database inception to December 2025. Eligible studies included adults diagnosed with OSA who reported outcomes related to patient awareness, acceptance, or preferences toward any therapeutic option. Study selection and data synthesis followed PRISMA 2020 guidelines. Given heterogeneity across studies, findings were synthesized narratively.
RESULTS: Nine studies comprising 5,401 patients were included. Continuous positive airway pressure (CPAP) was the most widely recognized and initially preferred therapy; however, long-term adherence was inconsistent. Patient preferences were predominantly influenced by perceived therapeutic benefit, comfort, ease of use, and perceived disease severity rather than demographic or clinical variables. Less than half of patients demonstrated prior awareness of OSA or its treatment options, representing a substantial barrier to engagement. Educational interventions and shared decision-making approaches consistently improved treatment acceptance and adherence. While economic considerations played a secondary role overall, they disproportionately affected older adults and individuals with lower socioeconomic status. Alignment between patient preferences and selected therapies was associated with improved adherence and satisfaction.
CONCLUSION: Patient-centered factors, particularly perceived benefit, practicality, and effective physician communication, are critical determinants of successful OSA management. Enhancing patient education and shared decision-making may significantly improve long-term adherence and real-world treatment outcomes.