{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T19:13:44Z","timestamp":1773774824048,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2025,11]]},"abstract":"ABSTRACT<\/jats:title>\n \n Objective<\/jats:title>\n \n This study aims to investigate the medical management of obstructive sleep apnea (\n OSA<\/jats:styled-content>\n ) utilizing continuous positive airway pressure (\n CPAP<\/jats:styled-content>\n ) by the Otolaryngology departments within a tertiary care institution.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Data was retrospectively reviewed from electronic medical records over 12\u2009months. Patients were categorized into two cohorts based on the department managing their treatment with\n CPAP<\/jats:styled-content>\n therapy: Otolaryngology or Sleep Medicine. Loss to follow\u2010up was defined as the absence of a follow\u2010up appointment within the first 12\u2009months after prescription. Two\u2010tailed\n t<\/jats:italic>\n \u2010tests and multivariable regression analysis were performed.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Of 242 total patients included, 65 (26.9%) received\n CPAP<\/jats:styled-content>\n from Otolaryngology and 177 (73.1%) from Sleep Medicine. Otolaryngology patients exhibited significantly higher\n CPAP<\/jats:styled-content>\n compliance, defined as usage \u2265\u20094\u2009h\/night over 30\u2009days, over the first 30 (88% vs. 47%,\n p<\/jats:italic>\n \u2009<\u20090.001) and over the last 30 (54% vs. 37%,\n p<\/jats:italic>\n \u2009=\u20090.031) days of usage, respectively, compared to General Sleep patients. Loss to follow\u2010up rates did not differ between the two cohorts. Multivariable analysis found White race to be associated with higher\n CPAP<\/jats:styled-content>\n compliance over the first 30\u2009days (\n OR<\/jats:styled-content>\n 6.39, 95%\n CI<\/jats:styled-content>\n 1.29\u201346.5,\n p<\/jats:italic>\n \u2009=\u20090.03). Management of\n CPAP<\/jats:styled-content>\n by Otolaryngology was independently associated with increased\n CPAP<\/jats:styled-content>\n compliance over the first (\n OR<\/jats:styled-content>\n 8.02, 95%\n CI<\/jats:styled-content>\n 3.80\u201319.1,\n p<\/jats:italic>\n \u2009<\u20090.001) and last 30\u2009days (\n OR<\/jats:styled-content>\n 1.99, 95%\n CI<\/jats:styled-content>\n 1.06\u20133.75,\n p<\/jats:italic>\n \u2009=\u20090.032), respectively.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Comprehensive management of\n OSA<\/jats:styled-content>\n , including both medical and surgical interventions, can be successfully performed by the Otolaryngologist\u2013Head and Neck Surgeon.\n <\/jats:p>\n <\/jats:sec>\n \n Level of Evidence<\/jats:title>\n 3.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/lary.32373","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T10:28:57Z","timestamp":1752575337000},"page":"4449-4458","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Comprehensive Management of Obstructive Sleep Apnea With\n CPAP<\/scp>\n in a Surgical Otolaryngology Practice"],"prefix":"10.1002","volume":"135","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1507-9723","authenticated-orcid":false,"given":"Pablo","family":"Llerena","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-6428-2064","authenticated-orcid":false,"given":"Praneet","family":"Kaki","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-9902-1437","authenticated-orcid":false,"given":"Jefferson","family":"DeKloe","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sooji","family":"Kim","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Jackson","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8411-6806","authenticated-orcid":false,"given":"Thomas M.","family":"Kaffenberger","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurits","family":"Boon","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4637-3630","authenticated-orcid":false,"given":"Colin","family":"Huntley","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of Pittsburgh Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213\u20102600(15)00043\u20100"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(08)61622\u20100"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.10\u20102223"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.10129"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm\/147.4.887"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1586\/erc.10.55"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2014.07.015"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7640"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200708\u2010119MG"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9592"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4414"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405\u2010005\u20101018\u2010y"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24131"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463\u2010016\u20100156\u20100"},{"key":"e_1_2_7_16_1","first-page":"8","article-title":"Improving CPAP Compliance by a Basic Educational Program With Nurse Support for Obstructive Sleep Apnea Syndrome Patients","volume":"2","author":"Rueda A. D.","year":"2009","journal-title":"Sleep Science"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1159\/000243161"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2004.08.006"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/smrv.2001.0197"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.160.4.9802027"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.53.4.290"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010016\u20101408\u2010y"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00021314"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010021\u201002478\u2010x"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2018.11.006"},{"issue":"7","key":"e_1_2_7_26_1","first-page":"10","article-title":"Obstructive Sleep Apnea Syndrome\u2013A Review for Primary Care Physicians and Pulmonologists","volume":"104","author":"Singh P.","year":"2021","journal-title":"Rhode Island Medical Journal"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.32373","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.32373","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.32373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T15:01:22Z","timestamp":1771081282000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.32373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,15]]},"references-count":25,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/lary.32373"],"URL":"https:\/\/doi.org\/10.1002\/lary.32373","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,15]]},"assertion":[{"value":"2024-11-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-07-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}