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Diagnosis and Treatment of Obstructive Sleep Apnea in Adults

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Other Outcomes of Interest (1 of 2)

There is a low strength of evidence that some intensive weight-loss programs could be effective treatment for obstructive sleep apnea (OSA) in obese patients. There is also insufficient evidence to compare the effectiveness of other potential treatments for OSA, such as drugs, palatal implants, oropharyngeal exercises, tongue-retaining devices, positional alarms, bariatric surgery, nasal dilator strips, acupuncture, and auricular plaster. There is a moderate strength of evidence that more severe OSA, as measured by higher apnea-hypopnea index score, is associated with greater compliance with CPAP use. The ESS  is a short questionnaire that is the standard measure of scoring daytime sleepiness symptoms. There is also a moderate strength of evidence that higher scores on the Epworth sleepiness scale (ESS) are also associated with improved CPAP compliance. The strength of evidence is insufficient regarding potential predictors of compliance with mandibular advancement devices.