[quote="Bob42"]
Vicki wrote:
Hi Clamhead!
Surgery has a very low success rate while compliant CPAP therapy is 100% effective at opening airways. Go to the dental devices thread for info on dental devices and here for more info. on surgery:
while compliant CPAP therapy is 100% effective...I'll have to put that some of the best Yogi Quotes.
Is there any good numbers for CPAP? The last research I looked at said 80% of all patients can tolerate CPAP, of those after two years 50% are still on CPAP treatment. So overall CPAP is 40% effective as a long term treatment. Which ideally is not very good but its the best that treatment we have.
Compliance rates seem to vary from country to country. Lowest rates of compliance appear to come from those using private as distinct from public medicine.
Compliance rates in the US appear to run at c.50%. UK (unconfirmed) at c.60/70%, this is a reflection of a run down underresourced health sservice. Ireland are at 80/85% (confirmed) while countries in Europe such as Holland, Belgium, France, Spain & Germany appear to run at c.80% +. CPAP therapy itself is reckoned to be 95% + effective in the treatment of OSA.
Excellent public health systems (when working) in France, Belgium, Spain, Ireland contribute to the high compliance rates because after patients are diagnosed and put on CPAP they are 'followed up' by way of regular clinics attended by sleep specialists, sleep nurse specialists and technicians. I also believe that DME suppliers play an active part in ensuring compliance mainly by keeping in contact with their customers and support groups. They also engage in supplying compliance data to the sleep clinics (with patient agreement) by way of data cards.
While this may paint a rosy picture, it doesn't always work perfectly........but in my 11 years on cpap I have seen a massive improvement in back up services to help with compliance and have heard similar reports from various centres throughout Europe.
A study some years back, carried out in Edinburgh (Scotland) proved that the first 6 weeks on cpap are cucial for long term compliance. Failure to become compliant during that term leaves an uphill battle with a higher than average number of patients opting to 'drop' the therapy. Unfortunately this study did not take account of those who 'dropped cpap' in the early stages, but subsequently went back and tried again.
As with any set of stats it's hard to get a like for like from each country.
Daniel.
_________________
The untreated Sleep Apnoea sufferer died quietly in his sleep.......
Unlike his three passengers who died screaming !!!!!!
(Anon)