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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.PublishedInternational Journal of Otolaryngology. 2020, .
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.rightsNavngivelse 4.0 Internasjonal*
dc.titleFriedman Score in Relation to Compliance and Treatment Response in Nonsevere Obstructive Sleep Apneaen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.rights.holderCopyright 2020 Lars M. Berg et al.en_US
dc.source.journalInternational Journal of Otolaryngologyen_US
dc.relation.projectUiT Norges arktiske universitet: 536235en_US
dc.relation.projectUniversitetssykehuset Nord-Norge HF: 536235en_US
dc.relation.projectNorges teknisk-naturvitenskapelige universitet: 536235en_US
dc.relation.projectSt Olavs Hospital HF: 536235en_US
dc.relation.projectTannhelsetjenestens kompetansesentre: 536235en_US
dc.subject.nsiVDP::Andre kliniske odontologiske fag: 849en_US
dc.subject.nsiVDP::Other clinical dentistry sciences: 849en_US
dc.subject.nsiVDP::Andre kliniske odontologiske fag: 849en_US
dc.subject.nsiVDP::Other clinical dentistry sciences: 849en_US
dc.identifier.citationInternational Journal of Otolaryngology. 2020, 6459276.en_US

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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal