Priority 15 from the Obstructive Sleep Apnea (Saskatchewan,Canada) PSP

UNCERTAINTY: Apart from Continuous Positive Airway Pressure (CPAP), what other ways (including alternative therapies and physical or breathing exercises) could effectively treat OSA? (JLA PSP Priority 15)
Overall ranking	15
JLA question ID	0118/15
Explanatory note	Evidence suggests increasing use of complementary and alternative medicine to ameliorate health problems, particularly as patients are empowered to take an active role in managing their own health. Online searches of potential treatments for OSA can be difficult for patients to evaluate in terms of quality and evidence base. A high proportion of patients with OSA reported previous or current use, and interest in future use, of complementary and alternative medicine in the study by Sood et al.
Evidence	Gaisl T, Haile SR, Thiel S, Osswald M, Kohler M. Efficacy of pharmacotherapy Sood A; Narayanan S; Wahner-Roedler DL; Knudsen K; Sood R; Loehrer LL; Hanson AC; Kuzniar TJ; Olson EJ. Use of complementary and alternative medicine treatments by patients with obstructive sleep apnea hypopnea syndrome. J Clin Sleep Med 2007;3(6):575-579. for OSA in adults: A systematic review and network meta-analysis. Sleep Med Rev. Randerath WJ, Verbraecken J, Andreas S, Bettega G, Boudewyns A, Hamans E. et al. ERS Task Force Report. Non-CPAP therapies in obstructive sleep apnoea. Eur Resp J 2011;37:1000-1028. 2019 Aug;46:74-86. doi: 10.1016/j.smrv.2019.04.009. Epub 2019 Apr 19. PMID: 31075665.
Health Research Classification System category	Respiratory

Extra information provided by this PSP
Original uncertainty examples	What are alternative methods other than cpap to deal with apnea? ~ What options exist for CPAP intolerant patients ? ~ What other therapies beside CPAP give next best treatment option? ~ Can research find effective treatment for Obstructive Apnea rather than use CPAP machine?
Submitted by	Patients x 63, family members x 23, clinicians x 6

PSP information
PSP unique ID	0118
PSP name	Obstructive Sleep Apnea PSP
Total number of uncertainties identified by this PSP.	39 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	28 January 2021