A medical ethicist asks questions about CPAP
M. Bennet Broner, PhD writes in a KevinMD post:
About a year ago, I was referred to a sleep clinic and was diagnosed with “very mild obstructive sleep apnoea” (OSA). A continuous positive airway pressure (CPAP) device was recommended with a litany of disorders that would occur (heart disease, CVA, HTN, decreased mortality, motor vehicle accidents, etc.) if I did not use the apparatus consistently and properly.
I assiduously used it for two test periods. Though the physician reported improvement, my daytime symptoms remained unchanged. Thus, I declined to further use the machine.
Recently, my interest was piqued by a preliminary report on OSA/CPAP by the Agency for Healthcare Research and Quality (AHRQ). It was a meta-analysis from which the authors initially noted that the reviewed research was methodologically weak, the studies measured different outcomes, and...