Adult patients with obstructive sleep apnea who fail to tolerate PAP therapy are unlikely to be referred for additional treatment, finds a study in Otolaryngology-Head and Neck Surgery.

Of 1174 patients, 616 met inclusion criteria. Ultimately, 260 (42%) had documented adherence to PAP. Of 241 untreated patients, 84 patients (35%) were referred for further attempts at management of diagnosed OSA. Nearly half of patients with diagnosed OSA did not have continued treatment or referral.