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DOI: 10.1055/s-0044-1800886
2024 Standardization of Polysomnography Reports – A Consensus of the Brazilian Sleep Association
Funding Source GNP is supported by Associação Fundo de Incentivo à Pesquisa (AFIP), São Paulo, SP, Brazil.

Abstract
Introduction The absence of standardized reporting for sleep medicine exams across different laboratories can lead to misinterpretation, diagnostic inconsistencies, and suboptimal treatment strategies. This document seeks to establish guidelines for the development of sleep study reports, covering recordings from studies of types 1 to 4, and represents the official position of Associação Brasileira do Sono (ABS; Brazilian Sleep Association) on the standardization of polysomnography (PSG) and cardiorespiratory polygraphies.
Materials and Methods The recommendations for the items to be reported in PSG records were developed by means of a Delphi study, comprised of two voting rounds. In each round, participants had to vote regarding the appropriateness of items to be reported in type-1 to -4 sleep studies, rating them as recommended, optional, or not recommended. The consensus threshold was set at 66% in each voting round, or 75% for the combined responses of recommended and optional.
Results The panel was comprised of 29 experts. After 2 voting rounds and subsequent deliberations by the steering committee, 352 items were included in the final set of recommendations. Consensus was achieved for 339 items (96.3%), of which 145 (41.2%) were classified as recommended, 154 as optional (43.8%), 35 as not recommended (9.9%), and 5 as not allowed (1.4%). No consensus was reached for 13 items (3.7%). The items recommended in this consensus are detailed in the main text.
Conclusion These guidelines provide comprehensive recommendations for reporting diagnostic tests in sleep medicine.
Publikationsverlauf
Eingereicht: 14. November 2024
Angenommen: 14. November 2024
Artikel online veröffentlicht:
17. Dezember 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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References
- 1 Lastra AC, Ingram D, Park J. et al. Moving toward standardization: physician reporting of sleep studies. J Clin Sleep Med 2023; 19 (03) 595-603
- 2 Kishi TT, Andersen ML, Luciano YM, Kakazu VA, Tufik S, Pires GN. Methods for REM Sleep Density Analysis: A Scoping Review. Clocks Sleep 2023; 5 (04) 793-805
- 3 Arnardottir ES, Isleifsson B, Agustsson JS. et al. How to measure snoring? A comparison of the microphone, cannula and piezoelectric sensor. J Sleep Res 2016; 25 (02) 158-168
- 4 Arnardottir ES, Verbraecken J, Gonçalves M. et al; The National Representatives as Study Collaborators. Variability in recording and scoring of respiratory events during sleep in Europe: a need for uniform standards. J Sleep Res 2016; 25 (02) 144-157
- 5 Roehrs TA, Carskadon MA. Standardization of method: essential to sleep science. Sleep 1998; 21 (05) 445
- 6 Midelet A, Borel JC, Tamisier R. et al. Apnea-hypopnea index supplied by CPAP devices: time for standardization?. Sleep Med 2021; 81: 120-122
- 7 Troester MM, Quan SF, Berry RB. et al. The AASM manual for the scoring of sleep and associated events: Rules, terminoloy and technical specifications. Version 3. Darien, IL, USA: American Academy of Sleep Medicine; 2023
- 8 Diamond IR, Grant RC, Feldman BM. et al. Defining consensus: a systematic review recommends methodologic criteria for reporting of Delphi studies. J Clin Epidemiol 2014; 67 (04) 401-409
- 9 Jünger S, Payne SA, Brine J, Radbruch L, Brearley SG. Guidance on Conducting and REporting DElphi Studies (CREDES) in palliative care: Recommendations based on a methodological systematic review. Palliat Med 2017; 31 (08) 684-706
- 10 McPherson S, Reese C, Wendler MC. Methodology Update: Delphi Studies. Nurs Res 2018; 67 (05) 404-410
- 11 Barrett D, Heale R. What are Delphi studies?. Evid Based Nurs 2020; 23 (03) 68-69
- 12 Humphrey-Murto S, Wood TJ, Gonsalves C, Mascioli K, Varpio L. The Delphi Method. Acad Med 2020; 95 (01) 168
- 13 Niederberger M, Spranger J. Delphi Technique in Health Sciences: A Map. Front Public Health 2020; 8: 457
- 14 Spranger J, Homberg A, Sonnberger M, Niederberger M. Reporting guidelines for Delphi techniques in health sciences: A methodological review. Z Evid Fortbild Qual Gesundhwes 2022; 172: 1-11
- 15 Boulkedid R, Abdoul H, Loustau M, Sibony O, Alberti C. Using and reporting the Delphi method for selecting healthcare quality indicators: a systematic review. PLoS One 2011; 6 (06) e20476
- 16 Nasa P, Jain R, Juneja D. Delphi methodology in healthcare research: How to decide its appropriateness. World J Methodol 2021; 11 (04) 116-129
- 17 Allavena C, Bastides F, Moroy A. et al. The screening and management of sleep disturbances in people living with HIV: Delphi consensus. J Sleep Res 2024; 33 (03) e14070
- 18 Berezin L, Nagappa M, Wong J. et al. Identification of Sleep Medicine and Anesthesia Core Topics for Anesthesia Residency: A Modified Delphi Technique Survey. Anesth Analg 2021; 132 (05) 1223-1230
- 19 Boerner KE, Coulombe JA, Corkum P. Core competencies for health professionals' training in pediatric behavioral sleep care: a Delphi study. Behav Sleep Med 2015; 13 (04) 265-284
- 20 Murphie P, Little S, Paton R, McKinstry B, Pinnock H. Defining the Core Components of a Clinical Review of People Using Continuous Positive Airway Pressure Therapy to Treat Obstructive Sleep Apnea: An International e-Delphi Study. J Clin Sleep Med 2018; 14 (10) 1679-1687
- 21 Pearson L, Parker S, Mansell W. The development of a theoretically derived measure exploring extreme appraisals of sleep in bipolar disorder: a Delphi study with professionals. Behav Cogn Psychother 2020; 48 (04) 395-407
- 22 Pires GN, Arnardóttir ES, Bailly S, McNicholas WT. Guidelines for the development, performance evaluation and validation of new sleep technologies (DEVSleepTech guidelines) - a protocol for a Delphi consensus study. J Sleep Res 2024; 33 (05) e14163
- 23 Steier JS, Bogan RK, Cano-Pumarega IM. et al. Recommendations for clinical management of excessive daytime sleepiness in obstructive sleep apnoea - A Delphi consensus study. Sleep Med 2023; 112: 104-115
- 24 Drager LF, Assis M, Bacelar AFR. et al. 2023 Guidelines on the Diagnosis and Treatment of Insomnia in Adults - Brazilian Sleep Association. Sleep Sci 2023; 16 (2, Suppl 2) 507-549
- 25 Studart-Pereira LM, Bianchini EMG, Assis M. et al; Consensus Group on Sleep-focused Speech-Language-Hearing Sciences. Brazilian Consensus on Sleep-Focused Speech-Language-Hearing Sciences - 2023 Brazilian Sleep Association. Sleep Sci 2023; 16 (Suppl. 02) 489-506
- 26 Pires GN, Arnardóttir ES, Islind AS, Leppänen T, McNicholas WT. 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. J Sleep Res 2023; 32 (04) e13819
- 27 Melo MC, da Silva Vallim JR, Garbuio S. et al. Validation of a sleep staging classification model for healthy adults based on two combinations of a single-channel EEG headband and wrist actigraphy. J Clin Sleep Med 2024; 20 (06) 983-990
- 28 Goldstein CA, Berry RB, Kent DT. et al. Artificial intelligence in sleep medicine: an American Academy of Sleep Medicine position statement. J Clin Sleep Med 2020; 16 (04) 605-607
- 29 Goldstein CA, Berry RB, Kent DT. et al. Artificial intelligence in sleep medicine: background and implications for clinicians. J Clin Sleep Med 2020; 16 (04) 609-618