Recent clinical study on efficacy or cpap therapy

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
NorthCalgirl
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Recent clinical study on efficacy or cpap therapy

Post by NorthCalgirl » Sun Aug 12, 2018 3:00 pm

Hi, -

I'm new to this forum and wanted to reach out to anyone at all who might be familiar with a recent article I came across, published by the New England Journal of Medicine, about an extensive clinical trial they conducted on the actual benefits of cpap for sleep apnea. I am including a link to an article on the website HealthCare Asia which details their findings.

Basically, after years of studies involving many agencies, countries and test subjects, they found that there are MORE cardiovascular events with cpap therapy than without. Needless to say, this was astounding and completely unexpected, considering that up until now cpap has always been touted as the gold standard for treatment of sleep apnea. Their research found, in a nutshell, that the more oxygen that is forced into the body, the less carbon dioxide becomes available, and CO2 is a potent vasodilator in the brain - in other words, all the oxygen coming from cpap machines reduces CO2 and therefore diminishes blood flow in the brain. Also, apparently, since the results were published, despite the fact that medical professionals were astounded, there has appeared to be a dismissal/cover-up of the findings from some doctors, sleep clinics, various other medical agencies in general (as is so often unfortunately the case, due to their concerns regarding the ramifications it might have on their financial considerations.)

This is a groundbreaking study, but as far as I can tell, it has been swept under the rug for obvious reasons - I can find no one who has ever heard of it or is aware of it's existence. And the study looked to be extremely well done, from respected agencies, involving many variables, and did not seem at all to be skewed in any direction to achieve financially-motivated results (as many studies are).

If anyone could access the link I'm including to the article and read it (it is neither long nor technologically intimidating - and does give other links to various other resources if you want to explore it more fully), I would be really grateful to hear back from you on what your thoughts are and what, if anything, anyone has heard about this. It will make you think twice about continuing to use cpap therapy - it doesn't "dictate" what to do, but rather gives you a lot of food for thought on continuing your present course (if you are a cpap user) and about possibly looking into alternative methods of treatment (which, if you know of any, I would love to hear about). Any comments from medical professionals on this forum would be welcome as well.


Anyway, below is the link - I hope to hear back from anyone who has any ideas/comments/information.

Thank you!

http://www.healthcareasia.org/2018/when ... -kill-you/

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LSAT
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Re: Recent clinical study on efficacy or cpap therapy

Post by LSAT » Sun Aug 12, 2018 3:08 pm

NorthCalgirl wrote:
Sun Aug 12, 2018 3:00 pm
Hi, -

I'm new to this forum and wanted to reach out to anyone at all who might be familiar with a recent article I came across, published by the New England Journal of Medicine, about an extensive clinical trial they conducted on the actual benefits of cpap for sleep apnea. I am including a link to an article on the website HealthCare Asia which details their findings.

Basically, after years of studies involving many agencies, countries and test subjects, they found that there are MORE cardiovascular events with cpap therapy than without. Needless to say, this was astounding and completely unexpected, considering that up until now cpap has always been touted as the gold standard for treatment of sleep apnea. Their research found, in a nutshell, that the more oxygen that is forced into the body, the less carbon dioxide becomes available, and CO2 is a potent vasodilator in the brain - in other words, all the oxygen coming from cpap machines reduces CO2 and therefore diminishes blood flow in the brain. Also, apparently, since the results were published, despite the fact that medical professionals were astounded, there has appeared to be a dismissal/cover-up of the findings from some doctors, sleep clinics, various other medical agencies in general (as is so often unfortunately the case, due to their concerns regarding the ramifications it might have on their financial considerations.)

This is a groundbreaking study, but as far as I can tell, it has been swept under the rug for obvious reasons - I can find no one who has ever heard of it or is aware of it's existence. And the study looked to be extremely well done, from respected agencies, involving many variables, and did not seem at all to be skewed in any direction to achieve financially-motivated results (as many studies are).

If anyone could access the link I'm including to the article and read it (it is neither long nor technologically intimidating - and does give other links to various other resources if you want to explore it more fully), I would be really grateful to hear back from you on what your thoughts are and what, if anything, anyone has heard about this. It will make you think twice about continuing to use cpap therapy - it doesn't "dictate" what to do, but rather gives you a lot of food for thought on continuing your present course (if you are a cpap user) and about possibly looking into alternative methods of treatment (which, if you know of any, I would love to hear about). Any comments from medical professionals on this forum would be welcome as well.


Anyway, below is the link - I hope to hear back from anyone who has any ideas/comments/information.

Thank you!

http://www.healthcareasia.org/2018/when ... -kill-you/
A CPAP machine does not produce oxygen...it just take the filtered room air and blows it into the mask. It's your body that inhales the air which contains oxygen.

mileena
Posts: 194
Joined: Wed Mar 14, 2018 12:09 am

Re: Recent clinical study on efficacy or cpap therapy

Post by mileena » Sun Aug 12, 2018 3:18 pm

NorthCalgirl wrote:
Sun Aug 12, 2018 3:00 pm
Hi, -

I'm new to this forum and wanted to reach out to anyone at all who might be familiar with a recent article I came across, published by the New England Journal of Medicine, about an extensive clinical trial they conducted on the actual benefits of cpap for sleep apnea. I am including a link to an article on the website HealthCare Asia which details their findings.

Basically, after years of studies involving many agencies, countries and test subjects, they found that there are MORE cardiovascular events with cpap therapy than without. Needless to say, this was astounding and completely unexpected, considering that up until now cpap has always been touted as the gold standard for treatment of sleep apnea. Their research found, in a nutshell, that the more oxygen that is forced into the body, the less carbon dioxide becomes available, and CO2 is a potent vasodilator in the brain - in other words, all the oxygen coming from cpap machines reduces CO2 and therefore diminishes blood flow in the brain. Also, apparently, since the results were published, despite the fact that medical professionals were astounded, there has appeared to be a dismissal/cover-up of the findings from some doctors, sleep clinics, various other medical agencies in general (as is so often unfortunately the case, due to their concerns regarding the ramifications it might have on their financial considerations.)

This is a groundbreaking study, but as far as I can tell, it has been swept under the rug for obvious reasons - I can find no one who has ever heard of it or is aware of it's existence. And the study looked to be extremely well done, from respected agencies, involving many variables, and did not seem at all to be skewed in any direction to achieve financially-motivated results (as many studies are).

If anyone could access the link I'm including to the article and read it (it is neither long nor technologically intimidating - and does give other links to various other resources if you want to explore it more fully), I would be really grateful to hear back from you on what your thoughts are and what, if anything, anyone has heard about this. It will make you think twice about continuing to use cpap therapy - it doesn't "dictate" what to do, but rather gives you a lot of food for thought on continuing your present course (if you are a cpap user) and about possibly looking into alternative methods of treatment (which, if you know of any, I would love to hear about). Any comments from medical professionals on this forum would be welcome as well.


Anyway, below is the link - I hope to hear back from anyone who has any ideas/comments/information.

Thank you!

http://www.healthcareasia.org/2018/when ... -kill-you/
Exactly. This is why I believe CPAP therapy is not the proper way to treat OSA. You do not force air down a person's throat to relieve symptoms. You do surgery to correct the root causes.

The same with colonoscopies. They do not help. There is a study which shows patients who had colonoscopies performed die at the same rates from colon cancer as those who do not have it done.
Last edited by mileena on Sun Aug 12, 2018 5:01 pm, edited 1 time in total.
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palerider
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Re: Recent clinical study on efficacy or cpap therapy

Post by palerider » Sun Aug 12, 2018 3:30 pm

NorthCalgirl wrote:
Sun Aug 12, 2018 3:00 pm
Hi, -

I'm new to this forum and wanted to reach out to anyone at all who might be familiar with a recent article I came across, published by the New England Journal of Medicine, about an extensive clinical trial they conducted on the actual benefits of cpap for sleep apnea. I am including a link to an article on the website HealthCare Asia which details their findings.

Basically, after years of studies involving many agencies, countries and test subjects, they found that there are MORE cardiovascular events with cpap therapy than without. Needless to say, this was astounding and completely unexpected, considering that up until now cpap has always been touted as the gold standard for treatment of sleep apnea. Their research found, in a nutshell, that the more oxygen that is forced into the body, the less carbon dioxide becomes available, and CO2 is a potent vasodilator in the brain - in other words, all the oxygen coming from cpap machines reduces CO2 and therefore diminishes blood flow in the brain. Also, apparently, since the results were published, despite the fact that medical professionals were astounded, there has appeared to be a dismissal/cover-up of the findings from some doctors, sleep clinics, various other medical agencies in general (as is so often unfortunately the case, due to their concerns regarding the ramifications it might have on their financial considerations.)

This is a groundbreaking study, but as far as I can tell, it has been swept under the rug for obvious reasons - I can find no one who has ever heard of it or is aware of it's existence. And the study looked to be extremely well done, from respected agencies, involving many variables, and did not seem at all to be skewed in any direction to achieve financially-motivated results (as many studies are).

If anyone could access the link I'm including to the article and read it (it is neither long nor technologically intimidating - and does give other links to various other resources if you want to explore it more fully), I would be really grateful to hear back from you on what your thoughts are and what, if anything, anyone has heard about this. It will make you think twice about continuing to use cpap therapy - it doesn't "dictate" what to do, but rather gives you a lot of food for thought on continuing your present course (if you are a cpap user) and about possibly looking into alternative methods of treatment (which, if you know of any, I would love to hear about). Any comments from medical professionals on this forum would be welcome as well.


Anyway, below is the link - I hope to hear back from anyone who has any ideas/comments/information.

Thank you!

http://www.healthcareasia.org/2018/when ... -kill-you/
This is old news.

Serve-HF was a garbage study, poorly conducted, with abysmal standards of care, with greatly outdated equipment. Some problems with it: http://www.sciencedirect.com/science/ar ... 9215003505

The article... actually just an editorial, (be sure to read the disclaimer that the website stuck at the bottom of it) seems rather crackpotted.. "The brain then makes those adjustments through the down-stream wire. As sleep apnea becomes progressively more severe, the two metal prongs are unable to handle the high volume of signaling, and they begin to overheat, and require increased blood flow." That's ridiculous. "over heating wires.... in your body. :roll: :roll:

As to the second "study".. I don't think anything need be said beyond this quote "In the CPAP group, the mean duration of adherence to CPAP therapy was 3.3 hours per night," That's not even enough usage to keep an insurance company from taking the machine back for non-use.

CPAP can't help IF YOU DON'T USE IT.

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palerider
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Re: Recent clinical study on efficacy or cpap therapy

Post by palerider » Sun Aug 12, 2018 3:31 pm

mileena wrote:
Sun Aug 12, 2018 3:18 pm
Exactly. This is why I believe CPAP therapy is not the proper way to treat OSA. You do not force air down a person throat to relieve symptoms. You do surgery to correct the root causes.
Go get your surgery then.

Both those studies cited in that *opinion piece* are garbage.

If you think that cpap forces air down a person (sic) throat, then you don't have any understanding about how cpap works.

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LSAT
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Re: Recent clinical study on efficacy or cpap therapy

Post by LSAT » Sun Aug 12, 2018 3:37 pm

mileena wrote:
Sun Aug 12, 2018 3:18 pm


Exactly. This is why I believe CPAP therapy is not the proper way to treat OSA. You do not force air down a person throat to relieve symptoms. You do surgery to correct the root causes.

If you believe that..Why are you on this CPAP web site? Is your Dreamstation for sale?

mileena
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Re: Recent clinical study on efficacy or cpap therapy

Post by mileena » Sun Aug 12, 2018 4:38 pm

LSAT wrote:
Sun Aug 12, 2018 3:37 pm
mileena wrote:
Sun Aug 12, 2018 3:18 pm


Exactly. This is why I believe CPAP therapy is not the proper way to treat OSA. You do not force air down a person throat to relieve symptoms. You do surgery to correct the root causes.

If you believe that..Why are you on this CPAP web site? Is your Dreamstation for sale?
How much are you willing to pay for it? If not, then please be quiet.
Philips DreamStation Auto CPAP HumDOM
Pressure: 13-15 cm H20
Cflex: 2
Fisher & Paykel Healthcare Simplus full-face mask
Last Sleep Study: 6/2018
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mileena
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Re: Recent clinical study on efficacy or cpap therapy

Post by mileena » Sun Aug 12, 2018 4:39 pm

palerider wrote:
Sun Aug 12, 2018 3:31 pm
mileena wrote:
Sun Aug 12, 2018 3:18 pm
Exactly. This is why I believe CPAP therapy is not the proper way to treat OSA. You do not force air down a person throat to relieve symptoms. You do surgery to correct the root causes.
Go get your surgery then.

Both those studies cited in that *opinion piece* are garbage.

If you think that cpap forces air down a person (sic) throat, then you don't have any understanding about how cpap works.
I am beginning to realize what a total jerk you are.
Philips DreamStation Auto CPAP HumDOM
Pressure: 13-15 cm H20
Cflex: 2
Fisher & Paykel Healthcare Simplus full-face mask
Last Sleep Study: 6/2018
Soon to get: ResMed Bilevel VAUTO PAP, ResMed Swift FX nasal pillows

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palerider
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Re: Recent clinical study on efficacy or cpap therapy

Post by palerider » Sun Aug 12, 2018 4:43 pm

mileena wrote:
Sun Aug 12, 2018 4:39 pm
palerider wrote:
Sun Aug 12, 2018 3:31 pm
mileena wrote:
Sun Aug 12, 2018 3:18 pm
Exactly. This is why I believe CPAP therapy is not the proper way to treat OSA. You do not force air down a person throat to relieve symptoms. You do surgery to correct the root causes.
Go get your surgery then.

Both those studies cited in that *opinion piece* are garbage.

If you think that cpap forces air down a person (sic) throat, then you don't have any understanding about how cpap works.
I am beginning to realize what a total jerk you are.
I still haven't decided if you're just a troll, or someone that's cognitively deficient.

You're littering the forum with inane threads about every random thought that wanders through your head, and you show little understanding of anything that you read.

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mileena
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Re: Recent clinical study on efficacy or cpap therapy

Post by mileena » Sun Aug 12, 2018 4:51 pm

palerider wrote:
Sun Aug 12, 2018 4:43 pm
mileena wrote:
Sun Aug 12, 2018 4:39 pm
palerider wrote:
Sun Aug 12, 2018 3:31 pm
mileena wrote:
Sun Aug 12, 2018 3:18 pm
Exactly. This is why I believe CPAP therapy is not the proper way to treat OSA. You do not force air down a person throat to relieve symptoms. You do surgery to correct the root causes.
Go get your surgery then.

Both those studies cited in that *opinion piece* are garbage.

If you think that cpap forces air down a person (sic) throat, then you don't have any understanding about how cpap works.
I am beginning to realize what a total jerk you are.
I still haven't decided if you're just a troll, or someone that's cognitively deficient.

You're littering the forum with inane threads about every random thought that wanders through your head, and you show little understanding of anything that you read.
You're still a misogynistic jerk. I'll see if there is a way to block you.
Philips DreamStation Auto CPAP HumDOM
Pressure: 13-15 cm H20
Cflex: 2
Fisher & Paykel Healthcare Simplus full-face mask
Last Sleep Study: 6/2018
Soon to get: ResMed Bilevel VAUTO PAP, ResMed Swift FX nasal pillows

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palerider
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Re: Recent clinical study on efficacy or cpap therapy

Post by palerider » Sun Aug 12, 2018 4:54 pm

mileena wrote:
Sun Aug 12, 2018 4:51 pm
You're still a misogynistic jerk.
See? once again, you fail to effectively use your brain.

Most of my best friends are women, strong, highly intelligent women, and would disagree with you, *strongly* about your baseless allegation.

The fact that I don't pander to your mindless babble in no way makes me misogynistic.

I'm equally intolerant of vapid postings from either sex.

Admittedly, I am sorry I tried to help you avoid *wasting* 70$ on an un-necessary power cable, now that I'm a "misogynistic jerk"

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Julie
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Re: Recent clinical study on efficacy or cpap therapy

Post by Julie » Sun Aug 12, 2018 6:12 pm

Well, it was certainly interesting to read that (thanks Mileena), but in the end I'll trust PR's follow up, though will keep an eye out for newer stuff like Jaster's.

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Re: Recent clinical study on efficacy or cpap therapy

Post by zonker » Sun Aug 12, 2018 6:24 pm

mileena wrote:
Sun Aug 12, 2018 4:51 pm
You're still a misogynistic jerk. I'll see if there is a way to block you.

go to one of palerider's post. in the upper left hand corner, right click on his name. go down about 4 lines, i think it is, and click where it says "add a foe". follow the directions.

you'll never see anything from him again. HOWEVER, every time he posts, the forum will let you know that he posted. at that point, you have the option to read his posts.

btw, i truly don't think he IS a misogynistic jerk.
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Stom
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Re: Recent clinical study on efficacy or cpap therapy

Post by Stom » Sun Aug 12, 2018 6:34 pm

NorthCalgirl wrote:
Sun Aug 12, 2018 3:00 pm
This is a groundbreaking study, but as far as I can tell, it has been swept under the rug for obvious reasons - I can find no one who has ever heard of it or is aware of it's existence.
Really? Nobody has heard of this? If you check the citations at the bottom of the blog post, the studies were both published in the **New England Journal of Medicine**, one of the most recognized and read medical journals in the world.

So, no, the findings haven't been "swept under the rug". Rather, they were preliminary, and the 2015 study was about **ASV** machines in patients **with existing heart disease**.
If your doctor has just told you that you have sleep apnea, you may be about to walk into a dark and dangerous alley. Some might reasonably advise you to update your last will and testament.
- Sleep Apnea Scare Monger, MD

Oh, come on. :-/

The author of the article may be an actual MD, but the article is irresponsible click bait which offers no advice whatsoever on how to treat Sleep Apnea, nor any evidence that typical sleep apnea patients live longer without CPAP than with it. I'd say there is something seriously wrong with the editorial standards of "healthcareasia.org".
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mileena
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Re: Recent clinical study on efficacy or cpap therapy

Post by mileena » Sun Aug 12, 2018 6:52 pm

zonker wrote:
Sun Aug 12, 2018 6:24 pm
mileena wrote:
Sun Aug 12, 2018 4:51 pm
You're still a misogynistic jerk. I'll see if there is a way to block you.

go to one of palerider's post. in the upper left hand corner, right click on his name. go down about 4 lines, i think it is, and click where it says "add a foe". follow the directions.

you'll never see anything from him again. HOWEVER, every time he posts, the forum will let you know that he posted. at that point, you have the option to read his posts.

btw, i truly don't think he IS a misogynistic jerk.
Thank you. I appreciate this. It has been done!
Philips DreamStation Auto CPAP HumDOM
Pressure: 13-15 cm H20
Cflex: 2
Fisher & Paykel Healthcare Simplus full-face mask
Last Sleep Study: 6/2018
Soon to get: ResMed Bilevel VAUTO PAP, ResMed Swift FX nasal pillows