Evidence map›Paper›PMID 35857187›Full record

ArticleSleep & breathing = Schlaf & Atmung2023

Influence of the device used for obstructive sleep apnea diagnosis on body position: a comparison between polysomnography and portable monitor.

André A F Mello, Giovanna D Angelo, Ronaldo B Santos, Isabela Bensenor, Paulo A Lotufo, Geraldo Lorenzi-Filho, Luciano F Drager, Pedro R Genta

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In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

André A F MelloLaboratorio do Sono, LIM 63, Divisão de Pneumologia, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 44, 8o. andar, Sao Paulo, SP, CEP 05403-900, Brazil.
Giovanna D AngeloLaboratorio do Sono, LIM 63, Divisão de Pneumologia, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 44, 8o. andar, Sao Paulo, SP, CEP 05403-900, Brazil.
Ronaldo B SantosCenter of Clinical and Epidemiologic Research (CPCE), University of Sao Paulo, Cidade Universitária, Av. Prof. Lineu Prestes, 2565-4 andar, São Paulo, SP, 05508-000, Brazil.
Isabela BensenorCenter of Clinical and Epidemiologic Research (CPCE), University of Sao Paulo, Cidade Universitária, Av. Prof. Lineu Prestes, 2565-4 andar, São Paulo, SP, 05508-000, Brazil.
Paulo A LotufoCenter of Clinical and Epidemiologic Research (CPCE), University of Sao Paulo, Cidade Universitária, Av. Prof. Lineu Prestes, 2565-4 andar, São Paulo, SP, 05508-000, Brazil.
Geraldo Lorenzi-FilhoLaboratorio do Sono, LIM 63, Divisão de Pneumologia, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 44, 8o. andar, Sao Paulo, SP, CEP 05403-900, Brazil.
Luciano F DragerHypertension Unit, University of São Paulo Medical School, Renal Division, Brazil.
Pedro R GentaLaboratorio do Sono, LIM 63, Divisão de Pneumologia, Instituto do Coracao (InCor), Hospital das Clinicas HCFMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 44, 8o. andar, Sao Paulo, SP, CEP 05403-900, Brazil. prgenta@usp.br.

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico 313348/2017-0Fundação de Amparo à Pesquisa do Estado de São Paulo 2018/201612-4
6 · The paper itself

Abstract

purposeDifferent devices have been used for the diagnosis of obstructive sleep apnea (OSA), which differ in the number of sensors used. The numerous sensors used in more complex sleep studies such as in-lab polysomnography may influence body position during sleep. We hypothesized that patients submitted to in-lab polysomnography (PSG) would spend more time in the supine position than patients submitted to an ambulatory Portable Monitor (PM) sleep study.

methodsBody position during PSG and PM studies was compared among two distinct groups of patients matched for age, body-mass index (BMI), apnea-hypopnea index (AHI), and gender. Predictors of time spent in the supine position were determined using a multiple linear regression model.

resultsOf 478 participants who underwent either PSG or PM studies, mean age: 61[43-66] years; males: 43.9%; BMI: 28.4[26.1-31.1]kg/m

conclusionIn-lab PSG may increase time spent in the supine position and overestimate OSA severity compared to a PM sleep study. OSA diagnosis is also associated with increased time spent in the supine position. The potential influence on the sleeping position should be taken into account when choosing among the different sleep study types for OSA diagnosis.

Indexed as

Sleep Apnea, ObstructiveBody Mass IndexHumansMaleMiddle AgedPolysomnographyPostureSleepSupine PositionObstructive sleep apneaPolysomnographyPortable monitorPosture

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.