High prevalence of severe sleep cycle disruption in de novo acromegaly and underdiagnosis by common clinical screening tools: A prospective, observational, cross-sectional study.
Andrew S PowlsonAnand K AnnamalaiSamantha MoirAlison J WebbLaksha BalaJohann GraggaberNarayanan KandasamyOlympia KoulouriDavid J HalsallJohn M ShneersonMark GurnellPublished in: Clinical endocrinology (2023)
Our study provides strong support for clinical guidelines that recommend screening for sleep apnoea syndrome in patients with newly-diagnosed acromegaly. Importantly, however, it highlights shortcomings in commonly recommended screening tools (questionnaires, desaturation index) and demonstrates the added value of polysomnography to allow timely detection of obstructive sleep apnoea and associated sleep cycle disruption.