Engleman 2002.
Methods | Randomised crossover study comparing oral appliance and CPAP. Randomisation was stratified by severity of OSA defined by AHI of less than or equal to 15. Randomisation was conducted by blocks of 4. | |
Participants | 12 women and 36 men completed the trial (51 were recruited). Baseline age 46 +/‐9, baseline AHI 31+/‐26, baseline Epworth 14 +/‐4. Inclusion criteria: Age 18‐70, AHI 5 or more, 2 or more symptoms of OSA including sleepiness (Epworth score of 8 or more) and driving impairment. Exclusion criteria: Patients with fewer than 4 teeth remaining in either arch, coexisting narcolepsy, periodic limb movement (more than 10 per hour), major medical illness, shift work, or residency more than 50 miles from Edinburgh. | |
Interventions | Participants randomised to either CPAP or one of two OA devices (occlusal and non‐occlusal coverage). Duration: 4 months (2 months on each treatment). |
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Outcomes | AHI, subjective efficacy, symptom score, Epworth score, FOSQ, SF‐36 health transition, physical and mental component scores. | |
Notes | Jadad score 3 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | Described as randomised, other information not available |
Allocation concealment? | Unclear risk | Information not available |
Blinding? All outcomes | High risk | OA and CPAP compared |