Acceptance and Purchase

We do not know how many people with moderate-to-severe OSA avoid initial consultation with a sleep physician, or seek primary referral to surgeons or dentists, because they will not entertain even the possibility of using CPAP. The percentage of patients who refuse CPAP after an in-hospital trial is variable (89). CPAP purchase rates after PSG CPAP titration are over 50%, based on a calculation comparing new CPAP machine sales provided by manufacturers with national insurance data on multiple sleep study frequency (90). In other words, over 50% of patients completing a sleep laboratory trial end up purchasing a CPAP machine or having one purchased for them by the health system.

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