Skip Navigation
Menu
Letters |5 June 2012

Cardiovascular Mortality in Women With Obstructive Sleep Apnea With or Without Continuous Positive Airway Pressure Treatment

Francisco Campos-Rodriguez, MD; Miguel A. Martinez-Garcia, MD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
×
FULL TEXT
IN RESPONSE:
We thank Dr. Finucane for his comments. He contends that analyzing patient subgroups on the basis of adherence can lead to misleading results. He also wonders how many patients in the untreated group had not been prescribed CPAP and how many were noncompliant.
We agree that the observational design might introduce selection bias because inadequate CPAP compliance could be a marker for generally nonadherent behavior, and it was acknowledged as one of the most important limitations of our study. Nevertheless, it cannot be taken for granted that all women who were nonadherent to CPAP were noncompliant with other treatments. A recent publication (1) concluded that adherence to cardiovascular medications was not different in patients with severe obstructive sleep apnea (OSA), regardless of whether they were treated with CPAP. On the other hand, a randomized design would have ethical implications in our study because of the presence of symptomatic patients in whom CPAP could not be withheld. In fact, 507 of 838 (60.5%) women diagnosed with OSA in our cohort had excessive daytime sleepiness, based on an Epworth score higher than 10.
FULL TEXT
PDF
Not Available
Citations
Citation

Campos-Rodriguez F, Martinez-Garcia MA. Cardiovascular Mortality in Women With Obstructive Sleep Apnea With or Without Continuous Positive Airway Pressure Treatment. Ann Intern Med. ;156:838. doi: 10.7326/0003-4819-156-11-201206050-00013

Download citation file:

© 2019

×
Permissions

Published: Ann Intern Med. 2012;156(11):838.

DOI: 10.7326/0003-4819-156-11-201206050-00013

0 Citations
CONTINUE WITH LIMITED ACCESS
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
acp link acp
silverchair link silverchair

Copyright © 2019 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept
×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×