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Treatment outcomes and compliance according to obesity in patients with obstructive sleep apnea

  • Rhinology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

The objective of this study was to assess treatment outcomes and compliance according to obesity among groups of patients with obstructive sleep apnea (OSA) receiving different treatments. A total of 297 patients with OSA treated between 2006 and 2009 underwent pre- and post-treatment polysomnography. One hundred and fifty-one patients were treated with continuous airway positive pressure (CPAP), 76 with mandible advancement device (MAD), and 70 with oropharyngeal surgery. All patients were classified according to obesity. Treatment success rate and compliance of CPAP were analyzed according to obesity. For each treatment modality, the overall treatment success rate was not significantly different between obese and non-obese patients. However, the oxygen desaturation index was different in patients who were treated with MAD and surgery. Additionally, obese patients with severe OSA showed an unfavorable response to CPAP treatment. For CPAP compliance, obese patients showed a tendency to be highly compliant with CPAP treatment at 12 months than non-obese patients. This study showed that obesity might be a factor in determining the success or failure of treatment. Additionally, obesity may be a predictive factor to determine CPAP compliance.

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Conflict of interest

All authors report no relevant conflicts of interest.

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Authors and Affiliations

  1. Department of Otorhinolaryngology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 300 Gumi-dong, Bundang-gu, Seongnam-si, Gyeonggi-do, 463-707, Korea

    Heejin Kim, Min-Su Kim, Jeong-Whun Kim, Chul Hee Lee & Chae-Seo Rhee

  2. Department of Neuropsychiatry, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam-si, Korea

    In-Young Yoon

  3. Sensory Organ Research Institute, Seoul National University Medical Research Center, Seoul, Korea

    Jeong-Whun Kim, Chul Hee Lee & Chae-Seo Rhee

  4. Graduate School of Immunology, Seoul National University College of Medicine, Seoul, Korea

    Chae-Seo Rhee

  5. Department of Otorhinolaryngology, Chosun University Hospital, Gwangju, Korea

    Ji-Eun Lee

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  1. Heejin Kim
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  2. Min-Su Kim
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  3. Ji-Eun Lee
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  4. Jeong-Whun Kim
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Correspondence to Chae-Seo Rhee.

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Kim, H., Kim, MS., Lee, JE. et al. Treatment outcomes and compliance according to obesity in patients with obstructive sleep apnea. Eur Arch Otorhinolaryngol 270, 2885–2890 (2013). https://doi.org/10.1007/s00405-013-2397-0

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  • DOI: https://doi.org/10.1007/s00405-013-2397-0

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