Priority 10 from the Obstructive Sleep Apnea (Saskatchewan,Canada) PSP

UNCERTAINTY: How often should Continuous Positive Airway Pressure (CPAP) therapy be re-evaluated by a health care provider? (JLA PSP Priority 10)
Overall ranking 10
JLA question ID


Explanatory note While many guidelines suggest a minimum of one annual re-evaluation of CPAP therapy by a care provider, follow-up services for OSA patients can be variable depending upon factors such as residence, availability of qualified providers and costs. Patients who are less able to be actively engaged in their care or who are less activated to seek follow-up may also not be re-evaluated as often. 

Epstein LJ, Kristo D, Strollo PJ Jr, Friedman N, Malhotra A, Patil SP, Ramar K, Rogers R, Schwab RJ, Weaver EM, Weinstein MD; Adult Obstructive Sleep Apnea
Task Force of the American Academy of Sleep Medicine. Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults. J Clin Sleep Med. 2009 Jun 15;5(3):263-76. PMID: 19960649; PMCID: PMC2699173.

Health Research Classification System category Respiratory
Extra information provided by this PSP
Original uncertainty examples When would be the best time to transition the patient to BIPAP therapy if CPAP is failing ~ PAP titration algorithm for complex sleep apnoea in community population ~ Pressure reassessment timeframe? 
Submitted by Clinicians x 5, patient x 1
PSP information
PSP unique ID 0118
PSP name Obstructive Sleep Apnea PSP
Total number of uncertainties identified by this PSP. 39  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 28 January 2021