Abstract Rationale CPAP therapy success depends on adherence and early detection of CPAP failures, enhanced by appropriate patient support. We investigated the differences in patient follow-up across Europe. Methods Data on medical and home-based follow-up (intensity, content, personalization, telemonitoring) were collected and compared from clinical guidelines, reimbursement policies, and expert surveys in 11countries (Germany, UK, France, Italy, Spain, Poland, Romania, Netherlands, Portugal, Belgium, Ireland). Results In the first year, patients typically have 2 medical consultations. In addition to logistical support,home support includes educational and supportive interventions. However, behavioral interventions are implemented in only a few regions. Two models exist: led by home service providers (HSP) in 7 countries or by hospitals/clinics in 4 countries. For HSPs, the minimum number and channels of interactions vary: 5 face-to-face/phone interactions in Ireland, 3 mandatory home visits in France, 2 in Portugal, 1 in Germany and intra-country variations elsewhere. Telemonitoring is widely implemented in France (97%) with specific fees, is provided to more than 50% in the UK and Romania and in specific cases in other countries. France from 2018 and Portugal from 2024 link HSP payment to adherence; partially implemented in Spain and Italy. Tailored follow-up to the patient’s profiles is only implemented in a few spanish/italian regions (professional drivers, non-adherent ...) and is described in the NICE guidelines. Conclusion Significant heterogeneity in CPAP follow-up highlighted the need to harmonize medical practice guidelines and home support models to optimize OSA management, patients outcomes and care equity. This abstract is funded by: Air Liquide Healthcare
Pepin et al. (Fri,) studied this question.