{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T02:08:52Z","timestamp":1783908532880,"version":"3.55.0"},"reference-count":29,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To determine the minimum required recording time (RRT) for in\u2010lab Type 1 polysomnography (PSG1) and home sleep apnea test with Type 3 portable monitoring (HSAT) that consistently reflects the full\u2010night apnea\u2010hypopnea index (AHI) in patients with and without positional obstructive sleep apnea (OSA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This prospective randomized crossover trial with 54 consecutive patients with suspected OSA involved PSG1 and HSAT no more than 7\u2009days apart (108 exams). Each test was analyzed in 60\u2010min intervals. Minimum RRT was the point the test achieved and maintained an AHI difference &lt;\u20095 events\/h from end\u2010test AHI. Patients were grouped into non\u2010positional and positional OSA, and by severity subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Minimum RRT in PSG1\/HSAT was 4\u2009h\/2\u2009h for the entire cohort, 5\u2009h\/3\u2009h for non\u2010positional OSA and 6\u2009h\/2\u2009h for positional OSA, respectively. Patients with AHI\u2009&lt;\u200915\u2009events\/h showed minimum RRT of 2\u2009h in both exams and a clinically irrelevant AHI difference (below 5\u2009events\/h) between PSG1 and HSAT after 4\u2009h. Conversely, patients with AHI\u2009\u2265\u200915\u2009events\/h presented minimum RRT of 6\u2009h\/4\u2009h in PSG1\/HSAT, respectively. By adopting an AHI difference threshold of &lt;\u200910\u2009events\/h, minimum RRT in this latter group was 4\u2009h\/2\u2009h in PSG1\/HSAT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To account for the influence of positional and non\u2010positional OSA, the minimum required recording times for PSG1 and HSAT that safely reflect the end\u2010test AHI are 6 and 3\u2009h, respectively. Unlike HSAT, positional OSA hinders PSG1's ability to adequately anticipate end\u2010test AHI until the exam is nearly complete.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>2.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70517","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T03:57:01Z","timestamp":1774065421000},"page":"3639-3647","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Evaluating Sleep Apnea: In\u2010Lab Versus at\u2010Home Recording Time and the Impact of Positional Disease"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8911-3076","authenticated-orcid":false,"given":"Raquel Chartuni Pereira","family":"Teixeira","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina da Universidade de S\u00e3o Paulo Universidade de Sao Paulo  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5704-160X","authenticated-orcid":false,"given":"Michel Burihan","family":"Cahali","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina da Universidade de S\u00e3o Paulo Universidade de Sao Paulo  Sao Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2213-2600(19)30198-5"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-0970"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/28.4.499"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.6506"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.128.4.2130"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.8752"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1087-0792(98)90018-1"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.4992"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/s24092803"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfm517"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.27497"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1806-37132009000900009"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.2172"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/7.2.110"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.6.4.284"},{"issue":"10","key":"e_1_2_10_17_1","first-page":"1423","article-title":"Portable Monitoring and Autotitration Versus Polysomnography for the Diagnosis and Treatment of Sleep Apnea","volume":"31","author":"Berry R. B.","year":"2008","journal-title":"Sleep"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201011-1770OC"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2012.06.011"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3672"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.10.019"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-022-02674-3"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.5665\/sleep.3932"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00106-019-0678-7"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.5665\/SLEEP.1164"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-021-02399-9"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/23.8.1j"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.5664\/jcsm.9252"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/sleep\/20.12.1201"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/1755-7682-2-2"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70517","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70517","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70517","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T01:47:11Z","timestamp":1783907231000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70517"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,20]]},"references-count":29,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/lary.70517"],"URL":"https:\/\/doi.org\/10.1002\/lary.70517","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,20]]},"assertion":[{"value":"2025-11-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-09","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}