{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T12:31:27Z","timestamp":1793709087754,"version":"4.6.1"},"reference-count":22,"publisher":"European Respiratory Society (ERS)","issue":"1","license":[{"start":{"date-parts":[[2024,1,1]],"date-time":"2024-01-01T00:00:00Z","timestamp":1704067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100017647","name":"ResMed","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017647","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2023,11,21]]},"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Telemonitoring-guided interventions can improve short-term positive airway pressure (PAP) therapy adherence, but long-term effects are unknown. This study investigated long-term PAP therapy termination in patients with sleep apnoea managed with standard care, telemonitoring-guided proactive care or telemonitoring-guided proactive care + patient engagement tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>German healthcare provider data were analysed retrospectively. Individuals aged 18\u2013100\u2009years who started PAP from 2014 to 2019 and had device type\/interface data were included. Time-to-termination periods were analysed using Kaplan\u2013Meier plots and Cox proportional hazards regression, adjusted for age, sex, insurance type, and device and mask type.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The per-protocol population (valid telemonitoring data) included 104\u2009612 individuals (71% male; 95% aged &gt;40\u2009years). Mean follow-up was 3.3\u00b12.0\u2009years. The overall therapy termination rate was significantly lower in the telemonitoring-guided proactive care group<jats:italic>versus<\/jats:italic>standard care (20%<jats:italic>versus<\/jats:italic>27%; p&lt;0.001), and even lower in the telemonitoring-guided care + patient engagement tool group (11%; p&lt;0.001<jats:italic>versus<\/jats:italic>other treatment groups). Adjusted risk of therapy termination was lower<jats:italic>versus<\/jats:italic>standard care (hazard ratio 0.76, 95% confidence interval 0.74\u20130.78; and 0.41 (0.38\u20130.44) for telemonitoring-guided proactive care alone + patient engagement). Age &lt;50 or &gt;59\u2009years and use of a nasal pillows or full-face mask were significant predictors of therapy termination; male sex, use of telemonitoring-guided proactive care (\u00b1 patient engagement) and private insurance were significantly associated with lower therapy termination rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Use of telemonitoring-guided proactive care and a patient engagement tool was associated with lower rates of PAP therapy termination.<\/jats:p><\/jats:sec>","DOI":"10.1183\/23120541.00424-2023","type":"journal-article","created":{"date-parts":[[2024,1,26]],"date-time":"2024-01-26T15:40:18Z","timestamp":1706283618000},"page":"00424-2023","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":15,"title":["Positive airway pressure telehealth models and long-term therapy termination: a healthcare database analysis"],"prefix":"10.1183","volume":"10","author":[{"given":"Holger","family":"Woehrle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Schoebel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7175-5852","authenticated-orcid":false,"given":"Joachim 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