{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T14:03:18Z","timestamp":1768485798352,"version":"3.49.0"},"reference-count":64,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T00:00:00Z","timestamp":1713484800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Informatics"],"abstract":"<jats:p>This study addresses Obstructive Sleep Apnea (OSA), which impacts around 936 million adults globally. The research introduces a novel decision support method named Communalities on Ranking and Objective Weights Method (CROWM), which employs principal component analysis (PCA), unsupervised Machine Learning technique, and Multicriteria Decision Analysis (MCDA) to calculate performance criteria weights of Continuous Positive Airway Pressure (CPAP\u2014key in managing OSA) and to evaluate these devices. Uniquely, the CROWM incorporates non-beneficial criteria in PCA and employs communalities to accurately represent the performance evaluation of alternatives within each resulting principal factor, allowing for a more accurate and robust analysis of alternatives and variables. This article aims to employ CROWM to evaluate CPAP for effectiveness in combating OSA, considering six performance criteria: resources, warranty, noise, weight, cost, and maintenance. Validated by established tests and sensitivity analysis against traditional methods, CROWM proves its consistency, efficiency, and superiority in decision-making support. This method is poised to influence assertive decision-making significantly, aiding healthcare professionals, researchers, and patients in selecting optimal CPAP solutions, thereby advancing patient care in an interdisciplinary research context.<\/jats:p>","DOI":"10.3390\/informatics11020022","type":"journal-article","created":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T10:53:17Z","timestamp":1713523997000},"page":"22","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Optimization of Obstructive Sleep Apnea Management: Novel Decision Support via Unsupervised Machine Learning"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4596-0649","authenticated-orcid":false,"given":"Arthur Pinheiro","family":"de Ara\u00fajo Costa","sequence":"first","affiliation":[{"name":"Systems and Computing, Military Institute of Engineering (IME), Rio de Janeiro 22290-270, RJ, Brazil"}]},{"given":"Adilson Vilarinho","family":"Terra","sequence":"additional","affiliation":[{"name":"Operational Research, Fluminense Federal University (UFF), Niter\u00f3i 24210-346, RJ, Brazil"}]},{"given":"Claudio","family":"de Souza Rocha Junior","sequence":"additional","affiliation":[{"name":"Operational Research, Fluminense Federal University (UFF), Niter\u00f3i 24210-346, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9892-6327","authenticated-orcid":false,"given":"Igor Pinheiro","family":"de Ara\u00fajo Costa","sequence":"additional","affiliation":[{"name":"Operational Research, Fluminense Federal University (UFF), Niter\u00f3i 24210-346, RJ, Brazil"}]},{"given":"Miguel \u00c2ngelo Lellis","family":"Moreira","sequence":"additional","affiliation":[{"name":"Operational Research, Fluminense Federal University (UFF), Niter\u00f3i 24210-346, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1533-5535","authenticated-orcid":false,"given":"Marcos","family":"dos Santos","sequence":"additional","affiliation":[{"name":"Systems and Computing, Military Institute of Engineering (IME), Rio de Janeiro 22290-270, RJ, Brazil"}]},{"given":"Carlos Francisco Sim\u00f5es","family":"Gomes","sequence":"additional","affiliation":[{"name":"Operational Research, Fluminense Federal University (UFF), Niter\u00f3i 24210-346, RJ, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2249-254X","authenticated-orcid":false,"given":"Antonio Sergio","family":"da Silva","sequence":"additional","affiliation":[{"name":"Operational Research, Fluminense Federal University (UFF), Niter\u00f3i 24210-346, RJ, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S2213-2600(19)30198-5","article-title":"Estimation of the Global Prevalence and Burden of Obstructive Sleep Apnoea: A Literature-Based Analysis","volume":"7","author":"Benjafield","year":"2019","journal-title":"Lancet Respir. 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