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However, the evidence (Caetano Mota et al. 2012) suggests that over 50% of apnea sufferers continue to have insomnia symptoms after they receive effec- tive apnea treatment, whereas slightly over 20% of all apnea patients may develop insomnia de novo once they begin the most commonly prescribed apnea therapy, positive airway pressure (PAP).
Since PAP therapy requires the patient to wear a nasal or full face mask that forces pressurized air through the nose or mouth during sleep, it is not dif- ficult to understand that many patients have difficulty tolerating this
therapy and thus continue to have or develop a new insomnia after PAP therapy commences.
Since a majority of apnea patients are treated with some form of PAP, information about treatment effectiveness and adherence is monitored objectively and stored in most currently available PAP devices.
Such information is periodically downloaded by sleep center personnel who are following the patient for his or her sleep apnea and/or by the home healthcare company that supplies the PAP device to the patient.
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