The comparison of CPAP and oral appliances in treatment of patients with OSA: A systematic review and meta-analysis

Respiratory Care

Volumn 58, Issue 7, 2013, Pages 1184-1195

  Li, Wenyang ^a   Xiao, Lin ^a,b   Hu, Jing ^a  

^a SICHUAN UNIVERSITY   (China)

^b Fuling Central Hospital   (China)

Author keywords

CPAP; Meta analysis; Obstructive sleep apnea; Oral appliances

Indexed keywords

ANTERIOR MANDIBULAR POSITIONER; APNEA HYPOPNEA INDEX; AROUSAL; ARTICLE; ASPHYXIA; COGNITION; CORRELATION COEFFICIENT; CPAP DEVICE; DIASTOLIC BLOOD PRESSURE; DISEASE SEVERITY; EPWORTH SLEEPINESS SCALE; EYE IRRITATION; HUMAN; HYPERSALIVATION; INTRAORAL SLEEP APNEA DEVICE; JAW PAIN; MANDIBULAR ADVANCEMENT DEVICE; MANDIBULAR ADVANCEMENT SPLINT; MENTAL PERFORMANCE; META ANALYSIS (TOPIC); MOUTH PAIN; NOSE OBSTRUCTION; ORAL APPLIANCE; OUTCOME ASSESSMENT; OXYGEN TENSION; PATIENT COMPLIANCE; PATIENT PREFERENCE; POLYSOMNOGRAPHY; POSITIVE END EXPIRATORY PRESSURE; QUALITY OF LIFE; REM SLEEP; RESPIRATORY THERAPEUTIC DEVICE; RHINORRHEA; SLEEP DISORDERED BREATHING; SYSTEMATIC REVIEW; SYSTOLIC BLOOD PRESSURE; TOOTH PAIN;

CPAP; META-ANALYSIS; OBSTRUCTIVE SLEEP APNEA; ORAL APPLIANCES;

CONTINUOUS POSITIVE AIRWAY PRESSURE; CROSS-OVER STUDIES; EXECUTIVE FUNCTION; HUMANS; MONITORING, PHYSIOLOGIC; NONINVASIVE VENTILATION; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT COMPLIANCE; PATIENT DROPOUTS; PATIENT PREFERENCE; POLYSOMNOGRAPHY; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIALS AS TOPIC; SEVERITY OF ILLNESS INDEX; SLEEP APNEA, OBSTRUCTIVE; SLEEP, REM;

EID: 84879375474     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.02245     Document Type: Article

References (32)

1. Ip MS, Lam B, Tang LC, Lauder IJ, Ip TY, Lam WK. A community study of sleep-disordered breathing in middle-aged Chinese women in Hong Kong: prevalence and gender differences. Chest 2004;125(1): 127-134.
2. Cistulli PA, Gotsopoulos H, Marklund M, Lowe AA. Treatment of snoring and obstructive sleep apnea with mandibular repositioning appliances. Sleep Med Rev 2004;8(6):443-457.
3. Giles TL, Lasserson TJ, Smith BJ, White J, Wright J, Cates CJ. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev 2006;(1):CD001106.
4. Pépin JL, Leger P, Veale D, Langevin B, Robert D, Lévy P. Side effects of nasal continuous positive airway pressure in sleep apnea syndrome. Study of 193 patients in two French sleep centers. Chest 1995;107(2):375-381.
5. Engleman HM, Wild MR. Improving CPAP use by patients with the sleep apnoea/hypopnoea syndrome (SAHS). Sleep Med Rev 2003; 7(1):81-99.
6. McArdle N, Devereux G, Heidarnejad H, Engleman HM, Mackay TW, Douglas NJ. Long-term use of CPAP therapy for sleep apnea/hypopnea syndrome. Am J Respir Crit Care Med 1999;159(4 Pt1):1108-1114.
7. Almeida FR, Henrich N, Marra C, Lynd LD, Lowe AA, Tsuda H, et al. Patient preferences and experiences of CPAP and oral appliances for the treatment of obstructive sleep apnea: a qualitative analysis. Sleep Breath 2012 [Epub ahead of print].
8. Lim J, Lasserson TJ, Fleetham J, Wright J. Oral appliances for obstructive sleep apnoea. Cochrane Database Syst Rev 2009;(3):CD004435.
9. Ng AT, Gotsopoulos H, Qian J, Cistulli PA. Effect of oral appliance therapy on upper airway collapsibility in obstructive sleep apnea. Am J Respir Crit Care Med 2003;168(2):238-241.
10. Ferguson KA, Ono T, Lowe AA, Keenan SP, Fleetham JA. A randomized crossover study of an oral appliance vs nasal-continuous positive airway pressure in the treatment of mild-moderate obstructive sleep apnea. Chest 1996;109(5):1269-1275.
11. Randerath WJ, Heise M, Hinz R, Ruehle KH. An individually adjustable oral appliance vs continuous positive airway pressure in mild-to-moderate obstructive sleep apnea syndrome. Chest 2002; 122(2):569-575.
12. Barnes M, McEvoy RD, Banks S, Tarquinio N, Murray CG, Vowles N, et al. Efficacy of positive airway pressure and oral appliance in mild to moderate obstructive sleep apnea. Am J Respir Crit Care Med 2004;170(6):656-664.
13. Lam B, Sam K, Mok WY, Cheung MT, Fong DY, Lam JC, et al. Randomised study of three non-surgical treatments in mild to moderate obstructive sleep apnoea. Thorax 2007;62(4):354-359.
14. Hoekema A, Stegenga B, Wijkstra PJ, van der Hoeven JH, Meinesz AF, de Bont LG. Obstructive sleep apnea therapy. J Dent Res 2008; 87(9):882-887.
15. Gagnadoux F, Fleury B, Vielle B, Pételle B, Meslier N, N Guyen XL, et al. Titrated mandibular advancement versus positive airway pressure for sleep apnoea. Eur Respir J 2009;34(4):914-920.
16. Higgins JPT, Altman DG, Sterne JAC; Cochrane Statistical Methods Group and Cochrane Bias Methods Group. Assessing risk of bias in included studies. In: Higgins JPT, Green S, editors. Cochrane handbook for systematic reviews of interventions, version 5.1.0. (updated March 2011). The Cochrane Collaboration; 2011. http://www. cochrane-handbook.org. Accessed April 18, 2013.
17. Elbourne DR, Altman DG, Higgins JP, Curtin F, Worthington HV, Vail A. Meta-analyses involving cross-over trials: methodological issues. Int J Epidemiol 2002;31(1):140-149.
18. Aarab G, Lobbezoo F, Heymans MW, Hamburger HL, Naeije M. Longterm follow-up of a randomized controlled trial of oral appliance therapy in obstructive sleep apnea. Respiration 2011;82(2):162-168.
19. Doff MH, Hoekema A, Pruim GJ, Huddleston Slater JJ, Stegenga B. Long-term oral-appliance therapy in obstructive sleep apnea: a cephalometric study of craniofacial changes. J Dent 2010;38(12):1010-1018.
20. Arya D, Tripathi A, Singh SV, Tripathi S, Nagar A, Mishra A. A pilot study to evaluate posttreatment cephalometric changes in subjects with OSA. J Prosthet Dent 2010;103(3):170-177.
21. Ferguson KA, Ono T, Lowe AA, al-Majed S, Love LL, Fleetham JA. A short-term controlled trial of an adjustable oral appliance for the treatment of mild to moderate obstructive sleep apnoea. Thorax 1997; 52(4):362-368.
22. Engleman HM, McDonald JP, Graham D, Lello GE, Kingshott RN, Coleman EL, et al. Randomized crossover trial of two treatments for sleep apnea/hypopnea syndrome: continuous positive airway pressure and mandibular repositioning splint. Am J Respir Crit Care Med 2002;166(6):855-859.
23. Tan YK, L'Estrange PR, Luo YM, Smith C, Grant HR, Simonds AK, et al. Mandibular advancement splints and continuous positive airway pressure in patients with obstructive sleep apnoea: a randomized cross-over trial. Eur J Orthod 2002;24(3):239-249.
24. Hoekema A, Stegenga B, Bakker M, Brouwer WH, de Bont LG, Wijkstra PJ, et al. Simulated driving in obstructive sleep apnoeahypopnoea; effects of oral appliances and continuous positive airway pressure. Sleep Breath 2007;11(3):129-138.
25. Hoekema A, Stel AL, Stegenga B, van der Hoeven JH, Wijkstra PJ, van Driel MF, et al. Sexual function and obstructive sleep apneahypopnea: a randomized clinical trial evaluating the effects of oralappliance and continuous positive airway pressure therapy. J Sex Med 2007;4(4 Pt 2):1153-1162.
26. Hoekema A, Voors AA, Wijkstra PJ, Stegenga B, van der Hoeven JH, Tol CG, et al. Effects of oral appliances and CPAP on the left ventricle and natriuretic peptides. Int J Cardiol 2008;128(2):232-239.
27. Trzepizur W, Gagnadoux F, Abraham P, Rousseau P, Meslier N, Saumet JL, et al. Microvascular endothelial function in obstructive sleep apnea: impact of continuous positive airway pressure and mandibular advancement. Sleep Med 2009;10(7):746-752.
28. Aarab G, Lobbezoo F, Hamburger HL, Naeije M. Oral appliance therapy versus nasal continuous positive airway pressure in obstructive sleep apnea: a randomized, placebo-controlled trial. Respiration 2011;81(5):411-419.
29. Chan AS, Cistulli PA. Oral appliance treatment of obstructive sleep apnea: an update. Curr Opin Pulm Med 2009;15(6):591-596.
30. Gotzsche PC. Patients' preference in indomethacin trials: an overview. Lancet 1989;1(8629):88-91.
31. Randerath WJ, Verbraecken J, Andreas S, Bettega G, Boudewyns A, Hamans E, et al. Non-CPAP therapies in obstructive sleep apnoea. Eur Respir J 2011;37(5):1000-1028.
32. Marklund M, Verbraecken J, Randerath W. Non-CPAP therapies in obstructive sleep apnoea: mandibular advancement device therapy. Eur Respir J 2012;39(5):1241-1247.