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Seventy three patients at the Raymond G Sleep Center within the New Mexico VA Healthcare System were identified as patients who were at high risk for PAP therapy non-compliance, were invited to participate in a new patient service program. Report of Case This program included an individualized daytime desensitization process coupled with a potential daytime titration. The final analysis of these data revealed co-morbid conditions that may serve as barriers to PAP usage as well as medical conditions which are known to benefit from compliance on PAP therapy. Special attention was paid to co-morbid psychiatric conditions. Conclusion This process resulted in a roughly 25% increase in PAP compliance, a 30 % change in PAP modality and improved access to in-lab titrations. This study elucidated factors that may help predict success or failure regarding PAP therapy.

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1273 Does a more personalized approach to desensitization and daytime titrations improve PAP compliance, PAP therapy satisfaction/efficacy, and perhaps even save resources?