Detecti on of Pati ents with Restless Legs Syndrome in a Waiting- Ro om of O utpati ent Clinic by Me ans of Questi onnaire Method

Czech version

Authors: P. Valkovič; M. Juračičová; G. A. Ramos Rivera; J. Martinková; J. Benetin
Authors‘ workplace: II. Neurologická klinika LF UK a FNsP akad. L. Dérera, Bratislava
Published in: Cesk Slov Neurol N 2009; 72/105(3): 250-254
Category: Original Paper

Overview

Aim of study:
The study was aimed to detect and characterize pati ents with restless legs syndrome (RLS) using questi onnaire. Subjects and Methods: Study sample included 555 persons who were recruited in a waiting- ro om of a ne urological o utpati ent clinic. Participants firstly filled a bri ef questi onnaire aimed to collect demographic data and than responded to fo ur specific questi ons, i.e., essenti al criteri a for RLS according to the Internati onal Restless Legs Syndrome Study Gro up. If respondent answered positively all fo ur questi ons, he/ she was classifi ed as probable RLS- sufferer. Consecutively, he/ she completed a second part of the questi onnaire, appli ed by he alth care professi onal. This part was ori ented to confirmati on and particular RLS descripti on. If respondent did not respond positively all fo ur di agnostic questi ons, he/ she was classifi ed as negative in relati on to RLS. Results: Criteri a for clinical di agnosis of RLS were fulfilled altogether by 23.4% of respondents (men 18.1%, women 26.5%). Thirty five per cent of RLS- sufferers referred daily occurrence of RLS symptoms. RLS begun in average age of 45.7 ± 16.1 ye ars, and it persisted 8.6 ± 8.2 ye ars. Sleep disorders ca used by RLS were referred in 58 % of RLS- sufferers. Famili al occurrence of RLS was reported by 41.9 % of pati ents. RLS- sufferers were gre ater he alth care consumers in parameters: 1. number of medicaments, and 2. number of visits of physici an in last three months. Conclusi on: Detecti on of pati ents with RLS by me ans of simple questi onnaire, e. g. during waiting for clinical assessment or tre atment, is very effective appro ach applicable in a bro ad medical practice.

Key words:
restless legs syndrome – questi onnaire – sleep disorders – he alth care

Sources

1. Sonka K, Kemlink D. Restless legs syndrome in 2004. Prague Med Rep 2004; 105(4): 337– 356.

2. Valkovič P. Syndróm nepokojných nôh – klinický prehľad. Ne urológi a 2007; 2(1): 15– 19.

3. Walters AS. Toward a better definiti on of the restless legs syndrome. The Internati onal Restless Legs Syndrome Study Gro up. Mov Disord 1995; 10(5): 634– 642.

4. Berger K, Kurth T. RLS epidemi ology – frequenci es, risk factors and methods in populati on studi es. Mov Disord 2007; 22 (Suppl 18): S420– S423.

5. Šonka K, Pretl P, Havránková P, Volná J, Dušek P, Salvet A et al. Úspěšné po užití jediné otázky pro screening syndromu neklidných noho u v České republice. Cesk Slov Ne urol N 2007; 70/ 103(6): 683– 684.

6. Allen RP, Picchi etti D, Hening WA, Trenkwalder C, Walters AS, Montplaisir J. Restless legs syndrome: di agnostic criteri a, speci al considerati ons, and epidemi ology. A report from the restless legs syndrome di agnosis and epidemi ology workshop at the Nati onal Institutes of He alth. Sleep Med 2003; 4(2): 101– 119.

7. Hening W, Walters AS, Allen RP, Montplaisir J, Myers A, Ferini‑Strambi L. Impact, di agnosis and tre atment of restless legs syndrome (RLS) in a primary care populati on: the REST (RLS epidemi ology, symptoms, and tre atment) primary care study. Sleep Med 2004; 5(3): 237– 246.

8. Allen RP, Walters AS, Montplaisir J, Hening W, Myers A, Bell TJ et al. Restless legs syndrome prevalence and impact: REST general populati on study. Arch Intern Med 2005; 165(11): 1286– 1292.

9. Iranzo A, Comella CL, Santamari a J, Oertel W. Restless legs syndrome in Parkinson‘s dise ase and other ne urodegenerative dise ases of the central nervo us system. Mov Disord 2007; 22 (Suppl 18): S424– S430.

10. Gemignani F, Brindani F, Negrotti A, Vitetta F, Alfi eri S, Marbini A. Restless legs syndrome and polyne uropathy. Mov Disord 2006; 21(8): 1254– 1257.

11. Nineb A, Rosso C, Dumurgi er J, Nordine T, Lefa uche ur JP, Créange A. Restless legs syndrome is frequently overlo oked in pati ents being evalu ated for polyne uropathi es. Eur J Ne urol 2007; 14(7): 788– 792.

12. Fulda S, Stalla GK, Wetter TC. Prevalence of the restless legs syndrome in transsexu al pati ents: the hormonal hypothesis revisited. J Ne urol 2007; 254(12): 1748– 1749.

13. Winkelmann J, Polo O, Provini F, Nevsimalova S, Kemlink D, Sonka K et al. Genetics of restless legs syndrome (RLS): State- of- the- art and future directi ons. Mov Disord 2007; 22 (Suppl 18): S449– S458.

14. Schapira AH. RLS pati ents: who are they? Eur J Ne urol 2006; 13 (Suppl 3): 2– 7.

15. Kučera P. Syndróm nepokojných nôh a insomni a. Ne urol pro praxi 2007; 2: 103– 106.

16. Bassetti CL, Ma uerhofer D, Gugger M, Mathis J, Hess CW. Restless legs syndrome: a clinical study of 55 pati ents. Eur Ne urol 2001; 45(2): 67– 74.

17. Ma urel F, Girard B, Crochard A, Henri M, El Hasnao ui A, Le Pen C. Profile of pati ents suffering from restless legs syndrome and estimati on of their annu al cost in an amulatory care setting, in France. Value He alth 2004; 7(1): 658– 805.

18. Reese JP, Sti asny- Kolster K, Oertel WH, Dodel RC. He alth‑related Qu ality of Life and Economic Burden in Pati ents with Restless Legs Syndrome. Expert Rev Pharmacoeconomics Outcomes Res 2007; 7(5): 503– 521.