{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T03:00:29Z","timestamp":1765422029212,"version":"3.37.3"},"reference-count":19,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,12,18]],"date-time":"2017-12-18T00:00:00Z","timestamp":1513555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To evaluate the effectiveness of nurse\u2010led care for obstructive sleep apnoea compared with physician\u2010led care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The incidence of obstructive sleep apnoea is increasing worldwide. There is a need for cost\u2010effective care models to ease off the pressure on tertiary care centres and divert care to the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Systematic review and meta\u2010analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data sources<\/jats:title><jats:p>We searched major electronic databases (<jats:styled-content style=\"fixed-case\">MEDLINE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> EMBASE<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> AMED<\/jats:styled-content>, British Nursing Index, <jats:styled-content style=\"fixed-case\">CINAHL<\/jats:styled-content>,<jats:styled-content style=\"fixed-case\"> HMIC<\/jats:styled-content>, Psyc<jats:styled-content style=\"fixed-case\">INFO<\/jats:styled-content>, Health Business Elite and the Cochrane Central Register of Controlled Trials <jats:styled-content style=\"fixed-case\">CENTRAL<\/jats:styled-content>) from inception till December 2016 using a structured search strategy for all randomized trials evaluating nurse\u2010led treatment interventions for adults with obstructive sleep apnoea compared with physician\u2010led ones. We screened relevant articles against a predefined inclusion criterion. We applied no search limitations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Review methods<\/jats:title><jats:p>We assessed the risk of bias as per Cochrane recommendations. We calculated weighted mean difference with 95% confidence intervals for continuous outcomes and used a random\u2010effects model to meta\u2010analyse data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We screened 309 articles and only four studies met our inclusion criteria. All studies used continuous\u2010positive airway pressure as the main treatment strategy with similar compliance rate in both comparison groups. The scores of the Epworth Sleepiness Scale, the <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036 questionnaires for vitality, physical function and the <jats:styled-content style=\"fixed-case\">SF<\/jats:styled-content>\u201036 mental health were all similar between the two groups. There was a significant heterogeneity in all meta\u2010analyses (I<jats:sup>2<\/jats:sup>\u00a0&gt;\u00a092%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Nurse\u2010led care for adults with obstructive sleep apnoea is non\u2010inferior to physician\u2010led care. More research is needed to standardize nurse\u2010led interventions and evaluate their long\u2010term effectiveness and cost\u2010effectiveness.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jan.13346","type":"journal-article","created":{"date-parts":[[2017,5,25]],"date-time":"2017-05-25T16:59:21Z","timestamp":1495731561000},"page":"501-506","source":"Crossref","is-referenced-by-count":7,"title":["Nurse vs. physician\u2010led care for obstructive sleep apnoea: A systematic review and meta\u2010analysis of randomized trials"],"prefix":"10.1111","volume":"74","author":[{"given":"Fengqiu","family":"Gong","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaojun","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaoye","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dianye","family":"Yao","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lihong","family":"Xie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qiuyi","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ping","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1694-4239","authenticated-orcid":false,"given":"Gang","family":"Niu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology First Affiliated Hospital of Sun Yat\u2010sen University Guangzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.200810-1558OC"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/resp.12071"},{"key":"e_1_2_9_4_1","first-page":"1707","article-title":"nurse\u2010led intensive interventions improve adherence to continuous positive airway pressure therapy and quality of life in obstructive sleep apnea patients","volume":"9","author":"Chen X.","year":"2015","journal-title":"Patient Preference and Adherence"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1183\/09059180.00004213"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.05.045"},{"volume-title":"Methods for the economic evaluation of health care programmes","year":"2015","author":"Drummond M. 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