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dc.contributor.authorBerg, Lars Martin
dc.contributor.authorAnkjell, Torun Karina Solheim
dc.contributor.authorSun, Yi-Qian
dc.contributor.authorTrovik, Tordis A
dc.contributor.authorSjögren, Anders
dc.contributor.authorRikardsen, Oddveig G
dc.contributor.authorMoen, Ketil
dc.contributor.authorHellem, Sølve
dc.contributor.authorBugten, Vegard
dc.date.accessioned2020-05-08T08:28:21Z
dc.date.available2020-05-08T08:28:21Z
dc.date.issued2020-03-19
dc.description.abstractNonsevere obstructive sleep apnea (OSA) is most often treated with a continuous positive airway pressure (CPAP) device or a mandibular advancement splint (MAS). However, patient compliance with these treatments is difficult to predict. Improvement in apnea-hypopnea index (AHI) is also somewhat unpredictable in MAS treatment. In this study, we investigated the association between Friedman tongue position score (Friedman score) and both treatment compliance and AHI improvement in patients with nonsevere OSA receiving CPAP or MAS treatment. 104 patients with nonsevere OSA were randomly allocated to CPAP or MAS treatment and followed for 12 months. Data were collected through a medical examination, questionnaires, sleep recordings from ambulatory type 3 polygraphic sleep recording devices, and CPAP recordings. Associations between Friedman score, treatment compliance, and AHI improvement were analysed with logistic regression analyses. Friedman score was not associated with treatment compliance (odds ratio [OR]: 0.85, 95% confidence interval [CI]: 0.59–1.23), or AHI improvement (OR: 1.05, 95% CI: 0.62–1.76) in the overall study sample, the CPAP treatment group, or the MAS treatment group. Adjustment for socioeconomic factors, body mass index, and tonsil size did not significantly impact the results. Although Friedman score may predict OSA severity and contribute to the prediction of success in uvulopalatopharyngoplasty, we found no association between Friedman score and treatment compliance in patients with nonsevere OSA receiving CPAP or MAS treatment, nor did we find any association between Friedman score and AHI improvement. Factors other than Friedman score should be considered when deciding whether a patient with nonsevere OSA should be treated with CPAP or MAS.en_US
dc.identifier.citationBerg LM, Ankjell TK, Sun YQ, Trovik TA, Sjögren APG, Rikardsen O, Moen K, Hellem S, Bugten V. Friedman Score in Relation to Compliance and Treatment Response in Nonsevere Obstructive Sleep Apnea. International Journal of Otolaryngology. 2020en_US
dc.identifier.cristinIDFRIDAID 1802707
dc.identifier.doihttps://doi.org/10.1155/2020/6459276
dc.identifier.issn1687-9201
dc.identifier.issn1687-921X
dc.identifier.urihttps://hdl.handle.net/10037/18246
dc.language.isoengen_US
dc.publisherHindawien_US
dc.relation.ispartofBerg, L.M. (2022). Treatment success with continuous positive airway pressure or mandibular advancement splints in non-severe obstructive sleep apnea: A randomized controlled clinical trial on sleep quality, health-related quality of life and clinical predictors of treatment success. (Doctoral thesis). <a href=https://hdl.handle.net/10037/24049>https://hdl.handle.net/10037/24049</a>.
dc.relation.journalInternational Journal of Otolaryngology
dc.relation.projectIDUiT Norges arktiske universitet: 536235en_US
dc.relation.projectIDUniversitetssykehuset Nord-Norge HF: 536235en_US
dc.relation.projectIDNorges teknisk-naturvitenskapelige universitet: 536235en_US
dc.relation.projectIDSt Olavs Hospital HF: 536235en_US
dc.relation.projectIDTannhelsetjenestens kompetansesentre: 536235en_US
dc.relation.urihttps://www.hindawi.com/journals/ijoto/2020/6459276/
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2020 The Author(s)en_US
dc.subjectVDP::Medisinske fag: 700::Klinisk odontologiske fag: 830::Andre kliniske odontologiske fag: 849en_US
dc.subjectVDP::Midical sciences: 700::Clinical dentistry sciences: 830::Other clinical dentistry sciences: 849en_US
dc.subjectVDP::Medisinske fag: 700::Klinisk medisinske fag: 750::Otorhinolaryngologi: 755en_US
dc.subjectVDP::Midical sciences: 700::Clinical medical sciences: 750::Otolaryngology: 755en_US
dc.titleFriedman Score in Relation to Compliance and Treatment Response in Nonsevere Obstructive Sleep Apneaen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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