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. 2019 Dec 2;2019(12):CD003531. doi: 10.1002/14651858.CD003531.pub4

Reeves‐Hoché 1995.

Methods Randomised, parallel group trial
Participants N = 83 (gender available for 62 completers: 45 M/17 F). Mean age: 47; BMI: 40 kg/m2; AHI: 51
Inclusion criteria: OSA diagnosed according to American Sleep Disorders Association AHI > 10; "heavy snoring"; excessive daytime sleepiness
Exclusion criteria: concomitant illness requiring hospitalisation 6 months previously; psychiatric illness; pregnancy
Interventions Bi‐PAP versus CPAP administered at home
Study duration: 52 weeks
Prescribed inspiratory pressure was 11 mmHg ± 0.3 and expiratory pressure was 7 mmHg ± 0.3 in the BiPAP group versus 10 mmHg ± 0.2 in the fixed CPAP group at baseline
Outcomes
  1. Machine usage

  2. Withdrawals

  3. Tolerability

Funding & conflicts of interest statements 'Supported in part by Respironics'. Author conflicts not provided.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer‐generated numbers
Allocation concealment (selection bias) Unclear risk Information not available
Blinding of participants and personnel (performance bias) 
 Machine usage, symptoms, quality of life, withdrawal, adverse effects Unclear risk Information not available
Blinding of participants and personnel (performance bias) 
 AHI, blood pressure, treatment pressure Low risk These outcomes unlikely to be affected by awareness of treatment group.
Blinding of outcome assessment (detection bias) 
 Machine usage, symptoms, quality of life, withdrawal, adverse effects Unclear risk Information not available
Blinding of outcome assessment (detection bias) 
 AHI, blood pressure, treatment pressure Low risk These outcomes unlikely to be affected by awareness of treatment group.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Non‐completers did not contribute to analysis
Selective reporting (reporting bias) Unclear risk Information not available
Other bias Low risk No concerns identified