{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T13:47:23Z","timestamp":1788961643269,"version":"build-2803163510"},"reference-count":53,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T00:00:00Z","timestamp":1734393600000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Sleep Sci"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003The current document represents the official position of Associa\u00e7\u00e3o Brasileira do Sono (ABS; Brazilian Sleep Association) on the application of different sleep studies and provides specific recommendations for the use of different types of polysomnography (PSG) and respiratory polygraphy.<\/jats:p><jats:p>\n          Materials and Methods\u2003The present document was based on existing guidelines. The steering committee discussed its findings and developed recommendations and contraindications, which were refined in discussions with the advisory committee. Adaptations were made based on professional experience, pathophysiological knowledge, and theoretical reasoning, especially to cover topics not discussed in previous guidelines or to adapt recommendations to the context and current practices in Brazil.<\/jats:p><jats:p>\n          Results\u2003A total of 55 recommendations were made, covering the following domains: professional requirements for the requisition and interpretation of sleep studies (n\u2009=\u20097); eligibility for different sleep studies (n\u2009=\u20099); diagnosis of sleep-disordered breathing (SDB; n\u2009=\u20095); diagnosis of SDB in special conditions (n\u2009=\u20093); diagnosis of SDB in association with other sleep disorders and comorbidities (n\u2009=\u20093); sleep studies on the follow-up of patients with SDB (n\u2009=\u20099); sleep studies for positive air pressure titration (n\u2009=\u20093); diagnosis of other sleep disorders (n\u2009=\u200910); and sleep studies on other conditions (n\u2009=\u20096).<\/jats:p><jats:p>\n          Conclusion\u2003The selection of the type of sleep study should be made carefully, considering resource constraints, clinical suspicion of moderate or severe obstructive sleep apnea (OSA), and individual patient needs, among other factors. It is crucial that health professionals receive appropriate training and board certification in sleep science, thus being able to determine the most suitable diagnostic method, understand their indications and limitations, and assure an accurate diagnosis for each patient.<\/jats:p>","DOI":"10.1055\/s-0044-1800887","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:02:48Z","timestamp":1734480168000},"page":"e476-e492","source":"Crossref","is-referenced-by-count":6,"title":["2024 Position Statement on the Use of Different Diagnostic Methods for Sleep Disorders in Adults \u2013 Brazilian Sleep Association"],"prefix":"10.1055","volume":"17","author":[{"given":"Luciana de Oliveira","family":"Palombini","sequence":"additional","affiliation":[{"name":"Instituto do Sono, Associa\u00e7\u00e3o Fundo de Incentivo \u00e0 Pesquisa (AFIP), S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcia","family":"Assis","sequence":"additional","affiliation":[{"name":"Associa\u00e7\u00e3o Brasileira do Sono, S\u00e3o Paulo, SP, Brazil"},{"name":"Sleep Clinic of Curitiba, Hospital S\u00e3o Lucas, Curitiba, PR, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciano Ferreira","family":"Drager","sequence":"additional","affiliation":[{"name":"Associa\u00e7\u00e3o Brasileira do Sono, S\u00e3o Paulo, SP, Brazil"},{"name":"Hypertension Clinical Unit, Instituto do Cora\u00e7\u00e3o (InCor), Hospital das Cl\u00ednicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"},{"name":"Nephrology Discipline, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciane Impelliziere Luna de","family":"Mello","sequence":"additional","affiliation":[{"name":"Instituto do Sono, Associa\u00e7\u00e3o Fundo de Incentivo \u00e0 Pesquisa (AFIP), S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0411-0111","authenticated-orcid":false,"given":"Gabriel Natan","family":"Pires","sequence":"additional","affiliation":[{"name":"Departamento de Psicobiologia, Escola Paulista de Medicina, Universidade Federal de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edilson","family":"Zancanella","sequence":"additional","affiliation":[{"name":"Associa\u00e7\u00e3o Brasileira de Medicina do Sono, S\u00e3o Paulo, SP, Brazil"},{"name":"Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rog\u00e9rio","family":"Santos-Silva","sequence":"additional","affiliation":[{"name":"Centro de Pesquisa e Desenvolvimento da Samsung, Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,12,17]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1093\/sleep\/28.4.499","article-title":"Practice parameters for the indications for polysomnography and related procedures: an update for 2005","volume":"28","author":"C A Kushida","year":"2005","journal-title":"Sleep"},{"issue":"12","key":"ref2","doi-asserted-by":"crossref","first-page":"2075","DOI":"10.5664\/jcsm.7540","article-title":"Clinical Use of a Home Sleep Apnea Test: An Updated American Academy of Sleep Medicine Position Statement","volume":"14","author":"I M Rosen","year":"2018","journal-title":"J Clin Sleep Med"},{"issue":"07","key":"ref3","doi-asserted-by":"crossref","first-page":"1061","DOI":"10.1002\/alr.23079","article-title":"International Consensus Statement on Obstructive Sleep Apnea","volume":"13","author":"J L Chang","year":"2023","journal-title":"Int Forum Allergy Rhinol"},{"key":"ref4","volume-title":"M\u00e9todos de avalia\u00e7\u00e3o do sono","author":"L Kim","year":"2022"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"e13819","DOI":"10.1111\/jsr.13819","article-title":"Consumer sleep technology for the screening of obstructive sleep apnea and snoring: current status and a protocol for a systematic review and meta-analysis of diagnostic test accuracy","volume":"32","author":"G N Pires","year":"2023","journal-title":"J Sleep Res"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"263","DOI":"10.5664\/jcsm.27497","article-title":"Clinical guideline for the evaluation, management and long-term care of obstructive sleep apnea in adults","volume":"5","author":"L J Epstein","year":"2009","journal-title":"J Clin Sleep Med"},{"issue":"05","key":"ref7","doi-asserted-by":"crossref","first-page":"735","DOI":"10.5664\/jcsm.10976","article-title":"Inequalities in the access to diagnosis and treatment of obstructive sleep apnea in Brazil: a cross-sectional study","volume":"20","author":"L F Drager","year":"2024","journal-title":"J Clin Sleep Med"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"479","DOI":"10.5664\/jcsm.6506","article-title":"Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea: An American Academy of Sleep Medicine Clinical Practice Guideline","volume":"13","author":"V K Kapur","year":"2017","journal-title":"J Clin Sleep Med"},{"issue":"06","key":"ref9","doi-asserted-by":"crossref","first-page":"1287","DOI":"10.5664\/jcsm.9240","article-title":"Use of polysomnography and home sleep apnea tests for the longitudinal management of obstructive sleep apnea in adults: an American Academy of Sleep Medicine clinical guidance statement","volume":"17","author":"S M Caples","year":"2021","journal-title":"J Clin Sleep Med"},{"key":"ref10","volume-title":"Manual de m\u00e9todos diagn\u00f3sticos em Medicina do Sono. 1 ed","author":"L Pinto Jr","year":"2019"},{"issue":"11","key":"ref11","doi-asserted-by":"crossref","first-page":"1865","DOI":"10.1253\/circj.CJ-23-0489","article-title":"JCS 2023 Guideline on Diagnosis and Treatment of Sleep Disordered Breathing in Cardiovascular Disease","volume":"88","author":"T Kasai","year":"2024","journal-title":"Circ J"},{"issue":"04","key":"ref12","first-page":"e20220106","article-title":"Brazilian Thoracic Association Consensus on Sleep-disordered Breathing","volume":"48","author":"R LM Duarte","year":"2022","journal-title":"J Bras Pneumol"},{"issue":"05","key":"ref13","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1016\/j.sleep.2009.10.005","article-title":"Obstructive sleep apnea syndrome in the Sao Paulo Epidemiologic Sleep Study","volume":"11","author":"S Tufik","year":"2010","journal-title":"Sleep Med"},{"issue":"08","key":"ref14","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/S2213-2600(19)30198-5","article-title":"Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis","volume":"7","author":"A V Benjafield","year":"2019","journal-title":"Lancet Respir Med"},{"issue":"07","key":"ref15","doi-asserted-by":"crossref","first-page":"737","DOI":"10.5664\/jcsm.27032","article-title":"Clinical guidelines for the use of unattended portable monitors in the diagnosis of obstructive sleep apnea in adult patients","volume":"3","author":"N A Collop","year":"2007","journal-title":"J Clin Sleep Med"},{"key":"ref16","volume-title":"International Classification of Sleep Disorders, 3rd edition, text Revision","author":"AASM","year":"2023"},{"key":"ref17","volume-title":"The AASM manual for the scoring of sleep and associated events: Rules, terminoloy and technical specifications. Version 3","author":"M M Troester","year":"2023"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1016\/S2213-2600(19)30057-8","article-title":"Normal polysomnography parameters in healthy adults: a systematic review and meta-analysis","volume":"7","author":"M I Boulos","year":"2019","journal-title":"Lancet Respir Med"},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"335","DOI":"10.5664\/jcsm.7640","article-title":"Treatment of Adult Obstructive Sleep Apnea with Positive Airway Pressure: An American Academy of Sleep Medicine Clinical Practice Guideline","volume":"15","author":"S P Patil","year":"2019","journal-title":"J Clin Sleep Med"},{"issue":"09","key":"ref20","doi-asserted-by":"crossref","first-page":"zsab094","DOI":"10.1093\/sleep\/zsab094","article-title":"Flexor digitorum superficialis muscular activity is more reliable than mentalis muscular activity for rapid eye movement sleep without atonia quantification: A study of interrater reliability for artifact correction in the context of semiautomated scoring of rapid eye movement sleep without atonia","volume":"44","author":"M Cesari","year":"2021","journal-title":"Sleep"},{"issue":"06","key":"ref21","doi-asserted-by":"crossref","first-page":"835","DOI":"10.5665\/sleep.1886","article-title":"Normative EMG values during REM sleep for the diagnosis of REM sleep behavior disorder","volume":"35","author":"B Frauscher","year":"2012","journal-title":"Sleep"},{"issue":"12","key":"ref22","doi-asserted-by":"crossref","first-page":"371","DOI":"10.3390\/brainsci9120371","article-title":"Co-Morbid Insomnia and Sleep Apnea (COMISA): Prevalence, Consequences, Methodological Considerations, and Recent Randomized Controlled Trials","volume":"9","author":"A Sweetman","year":"2019","journal-title":"Brain Sci"},{"issue":"07","key":"ref23","doi-asserted-by":"crossref","first-page":"907","DOI":"10.1093\/sleep\/26.7.907","article-title":"Practice parameters for the use of portable monitoring devices in the investigation of suspected obstructive sleep apnea in adults","volume":"26","author":"A L Chesson Jr","year":"2003","journal-title":"Sleep"},{"key":"ref24","volume-title":"Home sleep apnea testing for obstructive sleep apnea in adults","author":"N Collop","year":"2024"},{"issue":"10","key":"ref25","doi-asserted-by":"crossref","first-page":"1205","DOI":"10.5664\/jcsm.6774","article-title":"Clinical Use of a Home Sleep Apnea Test: An American Academy of Sleep Medicine Position Statement","volume":"13","author":"I M Rosen","year":"2017","journal-title":"J Clin Sleep Med"},{"issue":"10","key":"ref26","doi-asserted-by":"crossref","first-page":"zsae107","DOI":"10.1093\/sleep\/zsae107","article-title":"Australasian Sleep Association 2024 guidelines for sleep studies in adults","volume":"47","author":"C M Ellender","year":"2024","journal-title":"Sleep"},{"issue":"03","key":"ref27","doi-asserted-by":"crossref","first-page":"441","DOI":"10.5664\/jcsm.8226","article-title":"Study design considerations for sleep-disordered breathing devices","volume":"16","author":"E A Mann","year":"2020","journal-title":"J Clin Sleep Med"},{"issue":"01","key":"ref28","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1007\/s11325-021-02372-6","article-title":"Home sleep apnea testing: an accuracy study","volume":"26","author":"E Zancanella","year":"2022","journal-title":"Sleep Breath"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.sleep.2020.12.044","article-title":"Endorsement of: \u201cclinical practice guideline for diagnostic testing for adult obstructive sleep apnea: an American academy of sleep medicine clinical practice guideline\u201d by the World Sleep Society","volume":"79","author":"G S Hamilton","year":"2021","journal-title":"Sleep Med"},{"issue":"04","key":"ref30","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.5664\/jcsm.9808","article-title":"A meta-analysis of diagnostic test performance of peripheral arterial tonometry studies","volume":"18","author":"I H Iftikhar","year":"2022","journal-title":"J Clin Sleep Med"},{"issue":"03","key":"ref31","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1007\/s11325-022-02700-4","article-title":"New diagnostic tools to screen and assess a still too underestimated disease: the role of the wrist-worn peripheral arterial tonometry device-a systematic review","volume":"27","author":"A Moffa","year":"2023","journal-title":"Sleep Breath"},{"issue":"05","key":"ref32","doi-asserted-by":"crossref","first-page":"812","DOI":"10.1097\/ALN.0b013e31816d83e4","article-title":"STOP questionnaire: a tool to screen patients for obstructive sleep apnea","volume":"108","author":"F Chung","year":"2008","journal-title":"Anesthesiology"},{"issue":"09","key":"ref33","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1016\/S2213-2600(16)30075-3","article-title":"The NoSAS score for screening of sleep-disordered breathing: a derivation and validation study","volume":"4","author":"H Marti-Soler","year":"2016","journal-title":"Lancet Respir Med"},{"issue":"05","key":"ref34","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1097\/ALN.0b013e31816d91b5","article-title":"Validation of the Berlin questionnaire and American Society of Anesthesiologists checklist as screening tools for obstructive sleep apnea in surgical patients","volume":"108","author":"F Chung","year":"2008","journal-title":"Anesthesiology"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"101743","DOI":"10.1016\/j.smrv.2022.101743","article-title":"Portable evaluation of obstructive sleep apnea in adults: A systematic review","volume":"68","author":"Y H Khor","year":"2023","journal-title":"Sleep Med Rev"},{"issue":"01","key":"ref36","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1111\/joor.12011","article-title":"Bruxism defined and graded: an international consensus","volume":"40","author":"F Lobbezoo","year":"2013","journal-title":"J Oral Rehabil"},{"issue":"01","key":"ref37","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1159\/000539253","article-title":"Digital Measures Development: Lessons Learned from an Expert Workshop Addressing Cross-Therapeutic Area Measures of Sleep","volume":"8","author":"P Fromy","year":"2024","journal-title":"Digit Biomark"},{"issue":"05","key":"ref38","doi-asserted-by":"crossref","first-page":"e14163","DOI":"10.1111\/jsr.14163","article-title":"Guidelines for the development, performance evaluation and validation of new sleep technologies (DEVSleepTech guidelines) - a protocol for a Delphi consensus study","volume":"33","author":"G N Pires","year":"2024","journal-title":"J Sleep Res"},{"issue":"04","key":"ref39","doi-asserted-by":"crossref","first-page":"605","DOI":"10.5664\/jcsm.8288","article-title":"Artificial intelligence in sleep medicine: an American Academy of Sleep Medicine position statement","volume":"16","author":"C A Goldstein","year":"2020","journal-title":"J Clin Sleep Med"},{"issue":"04","key":"ref40","doi-asserted-by":"crossref","first-page":"609","DOI":"10.5664\/jcsm.8388","article-title":"Artificial intelligence in sleep medicine: background and implications for clinicians","volume":"16","author":"C A Goldstein","year":"2020","journal-title":"J Clin Sleep Med"},{"key":"ref41","volume-title":"AASM Sleep Prioritization Survey - Americans Using Sleep Trackers","author":"AASM","year":"2023"},{"issue":"05","key":"ref42","doi-asserted-by":"crossref","first-page":"877","DOI":"10.5664\/jcsm.7128","article-title":"Consumer Sleep Technology: An American Academy of Sleep Medicine Position Statement","volume":"14","author":"S Khosla","year":"2018","journal-title":"J Clin Sleep Med"},{"issue":"03","key":"ref43","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1016\/j.sleh.2022.02.006","article-title":"Rigorous performance evaluation (previously, \u201cvalidation\u201d) for informed use of new technologies for sleep health measurement","volume":"8","author":"M de Zambotti","year":"2022","journal-title":"Sleep Health"},{"issue":"02","key":"ref44","doi-asserted-by":"crossref","first-page":"zsaa170","DOI":"10.1093\/sleep\/zsaa170","article-title":"A standardized framework for testing the performance of sleep-tracking technology: step-by-step guidelines and open-source code","volume":"44","author":"L Menghini","year":"2021","journal-title":"Sleep"},{"issue":"01","key":"ref45","doi-asserted-by":"crossref","first-page":"163","DOI":"10.5664\/jcsm.7598","article-title":"Consumer Sleep Technologies: How to Balance the Promises of New Technology with Evidence-Based Medicine and Clinical Guidelines","volume":"15","author":"S Khosla","year":"2019","journal-title":"J Clin Sleep Med"},{"issue":"04","key":"ref46","doi-asserted-by":"crossref","first-page":"zsad325","DOI":"10.1093\/sleep\/zsad325","article-title":"State of the science and recommendations for using wearable technology in sleep and circadian research","volume":"47","author":"M de Zambotti","year":"2024","journal-title":"Sleep"},{"issue":"01","key":"ref47","doi-asserted-by":"crossref","first-page":"e1919657","DOI":"10.1001\/jamanetworkopen.2019.19657","article-title":"Assessment of Mandibular Movement Monitoring With Machine Learning Analysis for the Diagnosis of Obstructive Sleep Apnea","volume":"3","author":"J L P\u00e9pin","year":"2020","journal-title":"JAMA Netw Open"},{"key":"ref48","doi-asserted-by":"crossref","first-page":"635","DOI":"10.2147\/NSS.S346229","article-title":"Mandibular Movements are a Reliable Noninvasive Alternative to Esophageal Pressure for Measuring Respiratory Effort in Patients with Sleep Apnea Syndrome","volume":"14","author":"J L Pepin","year":"2022","journal-title":"Nat Sci Sleep"},{"issue":"12","key":"ref49","doi-asserted-by":"crossref","first-page":"3628","DOI":"10.3390\/jcm13123628","article-title":"Validation of Tracheal Sound-Based Respiratory Effort Monitoring for Obstructive Sleep Apnoea Diagnosis","volume":"13","author":"M Mu\u00f1oz Rojo","year":"2024","journal-title":"J Clin Med"},{"issue":"02","key":"ref50","doi-asserted-by":"crossref","first-page":"285","DOI":"10.5664\/jcsm.7634","article-title":"Comparison of Apnea Detection Using Oronasal Thermal Airflow Sensor, Nasal Pressure Transducer, Respiratory Inductance Plethysmography and Tracheal Sound Sensor","volume":"15","author":"A Sabil","year":"2019","journal-title":"J Clin Sleep Med"},{"key":"ref51","doi-asserted-by":"crossref","first-page":"S188","DOI":"10.1016\/j.bjorl.2022.01.004","article-title":"A systematic review of smartphone applications and devices for obstructive sleep apnea","volume":"88","author":"P M Baptista","year":"2022","journal-title":"Braz J Otorhinolaryngol"},{"issue":"10","key":"ref52","first-page":"974","article-title":"Smartphone apps for snoring","volume":"129","author":"M Camacho","year":"2015","journal-title":"J Laryngol Rhinol Otol"},{"issue":"02","key":"ref53","doi-asserted-by":"crossref","first-page":"e13977","DOI":"10.1111\/jsr.13977","article-title":"Self-applied somnography: technical feasibility of electroencephalography and electro-oculography signal characteristics in sleep staging of suspected sleep-disordered adults","volume":"33","author":"M Rusanen","year":"2024","journal-title":"J Sleep Res"}],"container-title":["Sleep Science"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1800887.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T00:04:59Z","timestamp":1734480299000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1800887"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":53,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2024,12,17]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1800887","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1984-0659","1984-0063"],"issn-type":[{"value":"1984-0659","type":"print"},{"value":"1984-0063","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}