{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:14:50Z","timestamp":1778922890149,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T00:00:00Z","timestamp":1767052800000},"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":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This pilot study aims to demonstrate the feasibility of continuous sleep monitoring using the Withings Sleep Mat (WSM) and to illustrate Mean Disease Alleviation (MDA) as a potential metric for assessing real\u2010world treatment effectiveness among patients with obstructive sleep apnea (OSA) treated with hypoglossal nerve stimulation (HGNS) or continuous positive airway pressure (CPAP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients treated with CPAP or HGNS therapy were prospectively recruited. The WSM provided nightly estimations of sleep metrics including AHI, total sleep time, and other non\u2010apneic metrics over 30\u2010 and 90\u2010day periods. MDA integrating treatment efficacy and adjusted compliance was calculated as a composite measure of real\u2010world treatment effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 29 patients (mean age 59.8\u2009years; 66% male; 93% White) were included, with 15 treated with CPAP and 14 with HGNS. The 90\u2010day MDA, calculated using continuous AHI monitoring, was 36.05% for CPAP and 24.06% for HGNS (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.20). Mean MDA using single\u2010night sleep study (HGNS) or CPAP download (CPAP) was 81.72% (14.81) among CPAP patients and 51.18% (26.69) among HGNS patients (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002). HGNS patients experienced more awakenings (3.23 vs. 2.56,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.031) and snoring episodes (2.86 vs. 1.79,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.029) per night during the 30\u2010day interval.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study demonstrates the feasibility of calculating MDA through continuous, non\u2010invasive home monitoring using the WSA, offering a more comprehensive assessment of OSA treatment effectiveness than single\u2010night studies alone. These findings support further evaluation of continuous home\u2010based monitoring and integrated metrics like MDA to inform personalized therapy selection and long\u2010term management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>4.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70352","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T06:05:21Z","timestamp":1767161121000},"page":"2805-2813","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Continuous Sleep Monitoring Using the Withings Sleep Mat to Assess Mean Disease Alleviation in\n                    <scp>OSA<\/scp>"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6428-2064","authenticated-orcid":false,"given":"Praneet C.","family":"Kaki","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maya","family":"Childs","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology &amp; Sleep Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randy","family":"Calotti","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaehee","family":"Kim","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology &amp; Sleep Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Molin","sequence":"additional","affiliation":[{"name":"Ear Nose and Throat Consultants of Nevada  Las Vegas Nevada USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erin","family":"Creighton","sequence":"additional","affiliation":[{"name":"Arkansas Otolaryngology Center  Little Rock Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maurits","family":"Boon","sequence":"additional","affiliation":[{"name":"Departments of Otolaryngology &amp; Sleep Medicine Thomas Jefferson University Hospital  Philadelphia 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":"Departments of Otolaryngology &amp; Sleep Medicine Thomas Jefferson University Hospital  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,30]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.23079"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.2109080"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1159\/000354186"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010017\u20101519\u20100"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325\u2010018\u20101689\u20104"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1308659"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814544445"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2017.09.043"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.01405\u20102018"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0003489418771395"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2018.03.003"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.27487"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.00.16592100"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/34.1.105"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.30613"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9168"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31710"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.7750"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40463\u2010016\u20100156\u20100"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1513\/pats.200708\u2010119MG"},{"key":"e_1_2_10_22_1","first-page":"245","article-title":"Adherence to Continuous Positive Airway Pressure Treatment for Obstructive Sleep Apnoea: Implications for Future Interventions","volume":"131","author":"Weaver T. 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