Priority 11 from the Obstructive Sleep Apnea (Saskatchewan,Canada) PSP

UNCERTAINTY: What should be done if the patient does not notice any difference after beginning/receiving Continuous Positive Airway Pressure (CPAP) treatment? (JLA PSP Priority 11)
Overall ranking 11
JLA question ID 0118/11
Explanatory note Patients who do not notice any benefits from using CPAP may be more inclined to stop their treatments, which can result in the serious complications associated with untreated Obstructive Sleep Apnea. Patients may be hesitant to contact their sleep specialist if they have experienced long wait times in the past. They may also not know how to interpret the results of the information that may be provided through CPAP machines that monitor use and other outcomes.
Evidence

Fung CH, Alessi C, Tuong C, Josephson K, Hays RD, Col N et al. Patient-provider communcation with older adultsabout sleep anea diagnosis and treatment. Behav Sleep Med 2017;15:423-437.
Health Research Classification System category Respiratory
Extra information provided by this PSP
Original uncertainty examples For people diagnosed with sleep apnea, using CPAP machine but not seeing a noticeable difference in level of fatigue, what is the treatment plan? Continue to use CPAP, further testing? ~ Why does someone still feel tired even when using cpap? 
Submitted by Clinicians x 2, patient x 4, family member 
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