Uncovering the Truth About CPAP
As a sleep technologist, you invariably have the topic of CPAP on your mind. And it can grow increasingly difficult to separate the facts from fiction, as new developments take place.
For instance, some sleep technologists may be thinking that technology will render in-laboratory CPAP titration obsolete. Auto-PAP is a growing alternative to laboratory studies and has been shown to produce similar outcomes. However, according to Rich Rosenberg, PhD, the focus of these studies has been on reduction of the number of apneas.
Rosenberg will be presenting at the Fall Course jointly with the Kentucky Sleep Society, in Louisville, Ky., October 13-14, on the topic of ‘The Science and Art of PAP Titration’. With this talk, he will try to enumerate additional benefits from attended PAP titrations.
The one key takeaway, says Rosenberg, is to educate attendees that there is more to CPAP titration than just getting rid of apneas.
In addition, Rosenberg will also be presenting on the topic, ‘Clinical Trials of PAP Therapy — They’re So Meta’. The idea, he says, is to explore how to uncover when something is true.
“There are a bewildering number of clinical trials in sleep medicine, and it’s difficult to know when something is an established fact,” he says. “Meta-analysis is an established way of combining multiple studies of the same endpoint. It uses effect size and sample size to produce a “forest plot” and summary statistic. But it’s not enough. The AASM now uses the GRADE method to add harms and benefits and whether the treatment will be used by patients in the evaluation of treatment efficacy.”
These methods will be discussed as a means to evaluate CPAP treatment effects, and the “ugly specter of confirmation bias” will also be addressed.
Rosenberg brings a somewhat unique role in the AAST continuing education program, and as a result, several different perspectives.
“I lecture frequently and enjoy researching topics, keeping up to date, putting together power points and adding lame jokes to my presentations,” says Rosenberg. “I attend many of the AAST sponsored courses and I enjoy hearing experts talk about topics that interest me, and having the opportunity to ask questions and get immediate feedback. I also edit many of the presentations for inclusion in the AAST on-line learning center. This forces me to really listen to the presentations and I often have moments where I say, “Wait! – what?” and I can back up the recording and listen again. I’ve learned a lot from the AAST educational programs and I’m glad to be a part of the process.”