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Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea

We conducted a multicenter survey for oral appliance (OA) therapy to grasp and analyze the current situation of OA therapy, including efficacy, side effects, and follow-up, in Japan. The Japanese cross-sectional multicenter survey (JAMS) for obstructive sleep apnea (OSA) was undertaken by patients i...

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Autores principales: Okuno, Kentaro, Furuhashi, Akifumi, Nakamura, Shuhei, Suzuki, Hiroshi, Arisaka, Takehiro, Taga, Hitoshi, Tamura, Masataka, Katahira, Haruto, Furuhata, Minoru, Iida, Chisato
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765780/
https://www.ncbi.nlm.nih.gov/pubmed/31500221
http://dx.doi.org/10.3390/ijerph16183288
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author Okuno, Kentaro
Furuhashi, Akifumi
Nakamura, Shuhei
Suzuki, Hiroshi
Arisaka, Takehiro
Taga, Hitoshi
Tamura, Masataka
Katahira, Haruto
Furuhata, Minoru
Iida, Chisato
author_facet Okuno, Kentaro
Furuhashi, Akifumi
Nakamura, Shuhei
Suzuki, Hiroshi
Arisaka, Takehiro
Taga, Hitoshi
Tamura, Masataka
Katahira, Haruto
Furuhata, Minoru
Iida, Chisato
author_sort Okuno, Kentaro
collection PubMed
description We conducted a multicenter survey for oral appliance (OA) therapy to grasp and analyze the current situation of OA therapy, including efficacy, side effects, and follow-up, in Japan. The Japanese cross-sectional multicenter survey (JAMS) for obstructive sleep apnea (OSA) was undertaken by patients in 10 institutions associated with oral appliance therapy during two years, from 2014 to 2015, retrospectively. Age, sex, body mass index (BMI), baseline apnea–hypopnea index (AHI), OA type, adjustment, adverse reactions with OA, and AHI with OA were elicited from the patient clinical record. The number of included OSA patients was 3217. The number of patients with OA therapy was 2947. We evaluated 1600 patients for the OA treatment. The patients treated with OA, both male and female, were most commonly in their 50s. In terms of OSA severity, snoring was 2.3%, mild was 38.5%, moderate was 39.9%, and severe was 19.3%. The use of mono bloc appliance was 91.8%, bi bloc appliance was 7.9%, and tongue-retaining device (TRD) was 0.3%. After OA treatment, AHI decreased from 22.4/h to 9.3/h. The AHI reduction rate with OA was 52.0%. The rate of AHI <5 with OA was 35.6%. Adverse reactions developed in 14.7% of the subjects. OA reassessment was conducted for 54.3%. This study revealed the current situation of efficacy and side effects of OA therapy, and the problem that the reassessment rate of OA was low in Japan.
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spelling pubmed-67657802019-09-30 Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea Okuno, Kentaro Furuhashi, Akifumi Nakamura, Shuhei Suzuki, Hiroshi Arisaka, Takehiro Taga, Hitoshi Tamura, Masataka Katahira, Haruto Furuhata, Minoru Iida, Chisato Int J Environ Res Public Health Article We conducted a multicenter survey for oral appliance (OA) therapy to grasp and analyze the current situation of OA therapy, including efficacy, side effects, and follow-up, in Japan. The Japanese cross-sectional multicenter survey (JAMS) for obstructive sleep apnea (OSA) was undertaken by patients in 10 institutions associated with oral appliance therapy during two years, from 2014 to 2015, retrospectively. Age, sex, body mass index (BMI), baseline apnea–hypopnea index (AHI), OA type, adjustment, adverse reactions with OA, and AHI with OA were elicited from the patient clinical record. The number of included OSA patients was 3217. The number of patients with OA therapy was 2947. We evaluated 1600 patients for the OA treatment. The patients treated with OA, both male and female, were most commonly in their 50s. In terms of OSA severity, snoring was 2.3%, mild was 38.5%, moderate was 39.9%, and severe was 19.3%. The use of mono bloc appliance was 91.8%, bi bloc appliance was 7.9%, and tongue-retaining device (TRD) was 0.3%. After OA treatment, AHI decreased from 22.4/h to 9.3/h. The AHI reduction rate with OA was 52.0%. The rate of AHI <5 with OA was 35.6%. Adverse reactions developed in 14.7% of the subjects. OA reassessment was conducted for 54.3%. This study revealed the current situation of efficacy and side effects of OA therapy, and the problem that the reassessment rate of OA was low in Japan. MDPI 2019-09-06 2019-09 /pmc/articles/PMC6765780/ /pubmed/31500221 http://dx.doi.org/10.3390/ijerph16183288 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Okuno, Kentaro
Furuhashi, Akifumi
Nakamura, Shuhei
Suzuki, Hiroshi
Arisaka, Takehiro
Taga, Hitoshi
Tamura, Masataka
Katahira, Haruto
Furuhata, Minoru
Iida, Chisato
Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea
title Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea
title_full Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea
title_fullStr Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea
title_full_unstemmed Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea
title_short Japanese Cross-Sectional Multicenter Survey (JAMS) of Oral Appliance Therapy in the Management of Obstructive Sleep Apnea
title_sort japanese cross-sectional multicenter survey (jams) of oral appliance therapy in the management of obstructive sleep apnea
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6765780/
https://www.ncbi.nlm.nih.gov/pubmed/31500221
http://dx.doi.org/10.3390/ijerph16183288
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