Diagnostic indicators of restless legs syndrome in primary care consultations: The DESYR study
Diagnostic indicators of restless legs syndrome in primary care consultations: The DESYR study
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DOI：
10.1002/mds.21325
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发表时间：
2007-04-30
影响因子：
8.6
通讯作者：
Montplaisir, Jacques
中科院分区：
文献类型：
--
作者：
Crochard, Anne;El Hasnaoui, Abdelkader;Montplaisir, Jacques
本研究的目的是确定是否自发投诉睡眠或腿可以作为潜在的指标不宁腿综合征（RLS）在初级保健。共有351名全科医生参加了这项研究。在第一个历史患者识别阶段，识别了在过去一年中自发主诉睡眠或腿部症状的所有患者。确定了一个没有此类投诉的对照组。在第二个前瞻性数据收集阶段，对咨询参与医生的患者进行访谈，以评估RLS的共识诊断标准。采用国际不宁腿综合征研究组严重程度评定量表评估严重程度。在历史阶段咨询的1，405，823例患者中，61，685例报告了腿部投诉，40，568例报告了睡眠投诉。在预期阶段共咨询了1 432人。42.6%的腿部主诉患者、35.5%的睡眠主诉患者、54.9%的两种主诉患者和12.9%的无主诉患者被诊断为RLS。中位RLS严重程度评分为18.8 - 20.4。总共有63.7%的患者接受了静脉张力剂、43.7%的患者接受了催眠药和41.5%的患者接受了抗焦虑药。睡眠或腿部症状的投诉通常与RLS的诊断相关，它们的存在应该提醒医生对RLS进行鉴别诊断的可能性。(c)2007年，《社会运动》创刊。
The objective of this study is to determine whether spontaneous complaints about sleep or the legs could be used as potential indicators of restless legs syndrome (RLS) in primary care. A total of 351 general practitioners participated in the study. In a first historical patient identification phase, all patients with spontaneous complaints of sleep or leg symptoms over the previous year were identified. A control group without such complaints was identified. In a second prospective data collection phase, those who consulted a participating physician were interviewed to assess consensus diagnostic criteria of RLS. Severity was assessed with the International Restless Legs Syndrome Study Group severity rating scale. Of 1,405,823 patients consulting during the historical phase, a leg complaint was reported in 61,685 and a sleep complaint in 40,568. A total of 1,432 consulted during the prospective phase. A diagnosis of RLS was assigned to 42.6% of patients with leg complaints, 35.5% of those with sleep complaints, 54.9% of those with both complaints, and 12.9% of those with no complaints. Median RLS severity scores were 18.8 to 20.4. A total of 63.7% of patients were prescribed a venotonic, 43.7% a hypnotic, and 41.5% an anxiolytic. Complaints of sleep or leg symptoms are frequently associated with a diagnosis of RLS, and their presence should alert the physician to the possibility of a differential diagnosis of RLS. (c) 2007 Movement Disorder Society.