Evidence map›Paper›PMID 41862433›Full record

Trial reportThe Laryngoscope2026

Evaluating Sleep Apnea: In-Lab Versus at-Home Recording Time and the Impact of Positional Disease.

Raquel Chartuni Pereira Teixeira, Michel Burihan Cahali

Abstract readRandomized Controlled TrialComparative Study
In one paragraph

Trial report in The Laryngoscope, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

2 authors.

Raquel Chartuni Pereira TeixeiraDepartment of Otolaryngology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina da Universidade de São Paulo, Universidade de Sao Paulo, Sao Paulo, Brazil.ORCID 0000-0001-8911-3076
Michel Burihan CahaliDepartment of Otolaryngology, Hospital das Clinicas HCFMUSP, Faculdade de Medicina da Universidade de São Paulo, Universidade de Sao Paulo, Sao Paulo, Brazil.ORCID 0000-0002-5704-160X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo determine the minimum required recording time (RRT) for in-lab Type 1 polysomnography (PSG1) and home sleep apnea test with Type 3 portable monitoring (HSAT) that consistently reflects the full-night apnea-hypopnea index (AHI) in patients with and without positional obstructive sleep apnea (OSA).

methodsThis prospective randomized crossover trial with 54 consecutive patients with suspected OSA involved PSG1 and HSAT no more than 7 days apart (108 exams). Each test was analyzed in 60-min intervals. Minimum RRT was the point the test achieved and maintained an AHI difference < 5 events/h from end-test AHI. Patients were grouped into non-positional and positional OSA, and by severity subgroups.

resultsMinimum RRT in PSG1/HSAT was 4 h/2 h for the entire cohort, 5 h/3 h for non-positional OSA and 6 h/2 h for positional OSA, respectively. Patients with AHI < 15 events/h showed minimum RRT of 2 h in both exams and a clinically irrelevant AHI difference (below 5 events/h) between PSG1 and HSAT after 4 h. Conversely, patients with AHI ≥ 15 events/h presented minimum RRT of 6 h/4 h in PSG1/HSAT, respectively. By adopting an AHI difference threshold of < 10 events/h, minimum RRT in this latter group was 4 h/2 h in PSG1/HSAT.

conclusionTo account for the influence of positional and non-positional OSA, the minimum required recording times for PSG1 and HSAT that safely reflect the end-test AHI are 6 and 3 h, respectively. Unlike HSAT, positional OSA hinders PSG1's ability to adequately anticipate end-test AHI until the exam is nearly complete. LEVEL OF EVIDENCE: 2:

Indexed as

Monitoring, AmbulatoryPolysomnographyPostureSleep Apnea, ObstructiveAdultCross-Over StudiesFemaleHumansMaleMiddle AgedProspective StudiesTime Factorsdiagnosishome sleep apnea testobstructive sleep apneapolysomnographyrecording time

Identifiers

PMID41862433
PMCPMC13357336

What OpenQuestion holds

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LicenceCC BY
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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.