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CC BY-NC-ND 4.0 · Sleep Sci 2024; 17(04): e476-e492
DOI: 10.1055/s-0044-1800887
Overview Article

2024 Position Statement on the Use of Different Diagnostic Methods for Sleep Disorders in Adults – Brazilian Sleep Association

Luciana de Oliveira Palombini
1   Instituto do Sono, Associação Fundo de Incentivo à Pesquisa (AFIP), São Paulo, SP, Brazil
,
Márcia Assis
2   Associação Brasileira do Sono, São Paulo, SP, Brazil
3   Sleep Clinic of Curitiba, Hospital São Lucas, Curitiba, PR, Brazil
,
Luciano Ferreira Drager
2   Associação Brasileira do Sono, São Paulo, SP, Brazil
4   Hypertension Clinical Unit, Instituto do Coração (InCor), Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
5   Nephrology Discipline, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
,
Luciane Impelliziere Luna de Mello
1   Instituto do Sono, Associação Fundo de Incentivo à Pesquisa (AFIP), São Paulo, SP, Brazil
,
Gabriel Natan Pires 
6   Departamento de Psicobiologia, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil
,
Edilson Zancanella
7   Associação Brasileira de Medicina do Sono, São Paulo, SP, Brazil
8   Universidade Estadual de Campinas (Unicamp), Campinas, SP, Brazil
,
Rogério Santos-Silva
9   Centro de Pesquisa e Desenvolvimento da Samsung, Campinas, SP, Brazil
› Author Affiliations Funding Source The authors declare that the present work was supported by funds from Associação Brasileira do Sono (ABS, the Brazilian Sleep Association). GNP is supported by Associação Fundo de Incentivo à Pesquisa (AFIP), São Paulo, Brazil.
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Abstract

Introduction The current document represents the official position of Associação 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.

Materials and Methods The 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.

Results A total of 55 recommendations were made, covering the following domains: professional requirements for the requisition and interpretation of sleep studies (n = 7); eligibility for different sleep studies (n = 9); diagnosis of sleep-disordered breathing (SDB; n = 5); diagnosis of SDB in special conditions (n = 3); diagnosis of SDB in association with other sleep disorders and comorbidities (n = 3); sleep studies on the follow-up of patients with SDB (n = 9); sleep studies for positive air pressure titration (n = 3); diagnosis of other sleep disorders (n = 10); and sleep studies on other conditions (n = 6).

Conclusion The 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.

Keywords

guidelines - sleep apnea - polysomnography - polysomnogram - diagnosis


Publication History

Received: 14 November 2024

Accepted: 14 November 2024

Article published online:
17 December 2024

© 2024. Brazilian Sleep Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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