Diagnostic indicators of restless legs syndrome in primary care consultations: The DESYR study
Identifieur interne : 002E98 ( Main/Curation ); précédent : 002E97; suivant : 002E99Diagnostic indicators of restless legs syndrome in primary care consultations: The DESYR study
Auteurs : Anne Crochard [France] ; Abdelkader El Hasnaoui [France] ; Denis Pouchain [France] ; Dominique Huas [France] ; Isabelle Arnulf [France] ; Jean Krieger [France] ; Eric Lainey [France] ; Philippe Le Jeunne [France] ; Damien Leger [France] ; Stéphane Schuck [France] ; Nathalie Texier [France] ; François Tison [France] ; Jacques Montplaisir [Canada]Source :
- Movement Disorders [ 0885-3185 ] ; 2007-04-30.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : France.
English descriptors
- KwdEn :
- Adult, Care, Diagnosis, Diagnosis, Differential, Epidemiology, Female, France (epidemiology), Humans, Male, Middle Aged, Nervous system diseases, Physicians, Family, Prevalence, Restless Legs Syndrome (diagnosis), Restless Legs Syndrome (epidemiology), Restless Legs Syndrome (physiopathology), Restless legs syndrome, Sleep Disorders (physiopathology), diagnosis, epidemiology, prevalence, restless legs syndrome, severity.
- MESH :
- geographic , epidemiology : France.
- diagnosis : Restless Legs Syndrome.
- epidemiology : Restless Legs Syndrome.
- physiopathology : Restless Legs Syndrome, Sleep Disorders.
- Adult, Diagnosis, Differential, Female, Humans, Male, Middle Aged, Physicians, Family.
Abstract
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. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.21325
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<front><div type="abstract" xml:lang="en">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. © 2006 Movement Disorder Society</div>
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<author><name sortKey="Texier, Nathalie" sort="Texier, Nathalie" uniqKey="Texier N" first="Nathalie" last="Texier">Nathalie Texier</name>
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<s3>FRA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tison, Francois" sort="Tison, Francois" uniqKey="Tison F" first="Francois" last="Tison">Francois Tison</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Université de Bordeaux 1</s1>
<s2>Bordeaux</s2>
<s3>FRA</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name>
<affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Hôpital du Sacré-Coeur de Montréal</s1>
<s2>Montréal</s2>
<s3>CAN</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">07-0263054</idno>
<date when="2007">2007</date>
<idno type="stanalyst">PASCAL 07-0263054 INIST</idno>
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<idno type="wicri:Area/Main/Merge">004304</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Diagnostic indicators of restless legs syndrome in primary care consultations : The DESYR study</title>
<author><name sortKey="Crochard, Anne" sort="Crochard, Anne" uniqKey="Crochard A" first="Anne" last="Crochard">Anne Crochard</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Laboratoire GluxosmithKline</s1>
<s2>Marly-le-Roi</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Marly-le-Roi</wicri:noRegion>
<wicri:noRegion>Laboratoire GluxosmithKline</wicri:noRegion>
<wicri:noRegion>Laboratoire GluxosmithKline</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="El Hasnaoui, Abdelkader" sort="El Hasnaoui, Abdelkader" uniqKey="El Hasnaoui A" first="Abdelkader" last="El Hasnaoui">Abdelkader El Hasnaoui</name>
<affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Laboratoire GluxosmithKline</s1>
<s2>Marly-le-Roi</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Marly-le-Roi</wicri:noRegion>
<wicri:noRegion>Laboratoire GluxosmithKline</wicri:noRegion>
<wicri:noRegion>Laboratoire GluxosmithKline</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pouchain, Denis" sort="Pouchain, Denis" uniqKey="Pouchain D" first="Denis" last="Pouchain">Denis Pouchain</name>
<affiliation wicri:level="1"><inist:fA14 i1="02"><s1>1ter<sup>ter</sup>
, rue Midi</s1>
<s2>Vincennes, Paris</s2>
<s3>FRA</s3>
<sZ>3 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Huas, Dominique" sort="Huas, Dominique" uniqKey="Huas D" first="Dominique" last="Huas">Dominique Huas</name>
<affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Faculté de Médecine Xavier Bichat</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name>
<affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Hôpital de la Pitié-Salpêtrière</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Krieger, Jean" sort="Krieger, Jean" uniqKey="Krieger J" first="Jean" last="Krieger">Jean Krieger</name>
<affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Hôpitaux Universitaires de Strasbourg</s1>
<s2>Strasbourg</s2>
<s3>FRA</s3>
<sZ>6 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Strasbourg</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lainey, Eric" sort="Lainey, Eric" uniqKey="Lainey E" first="Eric" last="Lainey">Eric Lainey</name>
<affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Hôpital Européen Georges Pompidou</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>7 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Le Jeunne, Philippe" sort="Le Jeunne, Philippe" uniqKey="Le Jeunne P" first="Philippe" last="Le Jeunne">Philippe Le Jeunne</name>
<affiliation wicri:level="1"><inist:fA14 i1="07"><s1>BKL Thalès</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>8 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Leger, Damien" sort="Leger, Damien" uniqKey="Leger D" first="Damien" last="Leger">Damien Leger</name>
<affiliation wicri:level="1"><inist:fA14 i1="08"><s1>Hôtel Dieu</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>9 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schuck, Stephane" sort="Schuck, Stephane" uniqKey="Schuck S" first="Stéphane" last="Schuck">Stéphane Schuck</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Kappa Santé</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Texier, Nathalie" sort="Texier, Nathalie" uniqKey="Texier N" first="Nathalie" last="Texier">Nathalie Texier</name>
<affiliation wicri:level="1"><inist:fA14 i1="09"><s1>Kappa Santé</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>10 aut.</sZ>
<sZ>11 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tison, Francois" sort="Tison, Francois" uniqKey="Tison F" first="Francois" last="Tison">Francois Tison</name>
<affiliation wicri:level="1"><inist:fA14 i1="10"><s1>Université de Bordeaux 1</s1>
<s2>Bordeaux</s2>
<s3>FRA</s3>
<sZ>12 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name>
<affiliation wicri:level="3"><inist:fA14 i1="11"><s1>Hôpital du Sacré-Coeur de Montréal</s1>
<s2>Montréal</s2>
<s3>CAN</s3>
<sZ>13 aut.</sZ>
</inist:fA14>
<country>Canada</country>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="2007">2007</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Care</term>
<term>Diagnosis</term>
<term>Epidemiology</term>
<term>Nervous system diseases</term>
<term>Prevalence</term>
<term>Restless legs syndrome</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term>
<term>Impatience membre inférieur syndrome</term>
<term>Diagnostic</term>
<term>Soin</term>
<term>Epidémiologie</term>
<term>Prévalence</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
</INIST>
<ISTEX><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Diagnostic indicators of restless legs syndrome in primary care consultations: The DESYR study</title>
<author><name sortKey="Crochard, Anne" sort="Crochard, Anne" uniqKey="Crochard A" first="Anne" last="Crochard">Anne Crochard</name>
</author>
<author><name sortKey="El Hasnaoui, Abdelkader" sort="El Hasnaoui, Abdelkader" uniqKey="El Hasnaoui A" first="Abdelkader" last="El Hasnaoui">Abdelkader El Hasnaoui</name>
</author>
<author><name sortKey="Pouchain, Denis" sort="Pouchain, Denis" uniqKey="Pouchain D" first="Denis" last="Pouchain">Denis Pouchain</name>
</author>
<author><name sortKey="Huas, Dominique" sort="Huas, Dominique" uniqKey="Huas D" first="Dominique" last="Huas">Dominique Huas</name>
</author>
<author><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name>
</author>
<author><name sortKey="Krieger, Jean" sort="Krieger, Jean" uniqKey="Krieger J" first="Jean" last="Krieger">Jean Krieger</name>
</author>
<author><name sortKey="Lainey, Eric" sort="Lainey, Eric" uniqKey="Lainey E" first="Eric" last="Lainey">Eric Lainey</name>
</author>
<author><name sortKey="Le Jeunne, Philippe" sort="Le Jeunne, Philippe" uniqKey="Le Jeunne P" first="Philippe" last="Le Jeunne">Philippe Le Jeunne</name>
</author>
<author><name sortKey="Leger, Damien" sort="Leger, Damien" uniqKey="Leger D" first="Damien" last="Leger">Damien Leger</name>
</author>
<author><name sortKey="Schuck, Stephane" sort="Schuck, Stephane" uniqKey="Schuck S" first="Stéphane" last="Schuck">Stéphane Schuck</name>
</author>
<author><name sortKey="Texier, Nathalie" sort="Texier, Nathalie" uniqKey="Texier N" first="Nathalie" last="Texier">Nathalie Texier</name>
</author>
<author><name sortKey="Tison, Francois" sort="Tison, Francois" uniqKey="Tison F" first="François" last="Tison">François Tison</name>
</author>
<author><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name>
</author>
</titleStmt>
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<idno type="RBID">ISTEX:29822830ABFA12FA3A10F7950EF25C6F4DABA90A</idno>
<date when="2007" year="2007">2007</date>
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<idno type="wicri:source">PubMed</idno>
<idno type="RBID">pubmed:17230475</idno>
<idno type="wicri:Area/PubMed/Corpus">002892</idno>
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<idno type="wicri:Area/PubMed/Checkpoint">002870</idno>
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<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Diagnostic indicators of restless legs syndrome in primary care consultations: The DESYR study</title>
<author><name sortKey="Crochard, Anne" sort="Crochard, Anne" uniqKey="Crochard A" first="Anne" last="Crochard">Anne Crochard</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire GlaxoSmithKline, Marly‐le‐Roi</wicri:regionArea>
<wicri:noRegion>Marly‐le‐Roi</wicri:noRegion>
<wicri:noRegion>Marly‐le‐Roi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="El Hasnaoui, Abdelkader" sort="El Hasnaoui, Abdelkader" uniqKey="El Hasnaoui A" first="Abdelkader" last="El Hasnaoui">Abdelkader El Hasnaoui</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Laboratoire GlaxoSmithKline, Marly‐le‐Roi</wicri:regionArea>
<wicri:noRegion>Marly‐le‐Roi</wicri:noRegion>
<wicri:noRegion>Marly‐le‐Roi</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pouchain, Denis" sort="Pouchain, Denis" uniqKey="Pouchain D" first="Denis" last="Pouchain">Denis Pouchain</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>1terter, rue Midi, Vincennes, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Huas, Dominique" sort="Huas, Dominique" uniqKey="Huas D" first="Dominique" last="Huas">Dominique Huas</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Faculté de Médecine Xavier Bichat, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Arnulf, Isabelle" sort="Arnulf, Isabelle" uniqKey="Arnulf I" first="Isabelle" last="Arnulf">Isabelle Arnulf</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Hôpital de la Pitié‐Salpêtrière, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Krieger, Jean" sort="Krieger, Jean" uniqKey="Krieger J" first="Jean" last="Krieger">Jean Krieger</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Hôpitaux Universitaires de Strasbourg, Strasbourg</wicri:regionArea>
<placeName><settlement type="city">Strasbourg</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Lainey, Eric" sort="Lainey, Eric" uniqKey="Lainey E" first="Eric" last="Lainey">Eric Lainey</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Hôpital Européen Georges Pompidou, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Le Jeunne, Philippe" sort="Le Jeunne, Philippe" uniqKey="Le Jeunne P" first="Philippe" last="Le Jeunne">Philippe Le Jeunne</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>BKL Thalès, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Leger, Damien" sort="Leger, Damien" uniqKey="Leger D" first="Damien" last="Leger">Damien Leger</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Hôtel Dieu, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Schuck, Stephane" sort="Schuck, Stephane" uniqKey="Schuck S" first="Stéphane" last="Schuck">Stéphane Schuck</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Kappa Santé, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Texier, Nathalie" sort="Texier, Nathalie" uniqKey="Texier N" first="Nathalie" last="Texier">Nathalie Texier</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Kappa Santé, Paris</wicri:regionArea>
<placeName><settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tison, Francois" sort="Tison, Francois" uniqKey="Tison F" first="François" last="Tison">François Tison</name>
<affiliation wicri:level="1"><country xml:lang="fr">France</country>
<wicri:regionArea>Université de Bordeaux 1, Bordeaux</wicri:regionArea>
<placeName><settlement type="city">Bordeaux</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name>
<affiliation wicri:level="3"><country xml:lang="fr">Canada</country>
<wicri:regionArea>Hôpital du Sacré‐Coeur de Montréal, Montréal</wicri:regionArea>
<placeName><settlement type="city">Montréal</settlement>
<region type="state">Québec</region>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Movement Disorders</title>
<title level="j" type="abbrev">Mov. Disord.</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher>
<pubPlace>Hoboken</pubPlace>
<date type="published" when="2007-04-30">2007-04-30</date>
<biblScope unit="vol">22</biblScope>
<biblScope unit="issue">6</biblScope>
<biblScope unit="page" from="791">791</biblScope>
<biblScope unit="page" to="797">797</biblScope>
</imprint>
<idno type="ISSN">0885-3185</idno>
</series>
<idno type="istex">29822830ABFA12FA3A10F7950EF25C6F4DABA90A</idno>
<idno type="DOI">10.1002/mds.21325</idno>
<idno type="ArticleID">MDS21325</idno>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>France (epidemiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physicians, Family</term>
<term>Restless Legs Syndrome (diagnosis)</term>
<term>Restless Legs Syndrome (epidemiology)</term>
<term>Restless Legs Syndrome (physiopathology)</term>
<term>Sleep Disorders (physiopathology)</term>
<term>diagnosis</term>
<term>epidemiology</term>
<term>prevalence</term>
<term>restless legs syndrome</term>
<term>severity</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Restless Legs Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Restless Legs Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Restless Legs Syndrome</term>
<term>Sleep Disorders</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Diagnosis, Differential</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physicians, Family</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
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<langUsage><language ident="en">en</language>
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<front><div type="abstract" xml:lang="en">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. © 2006 Movement Disorder Society</div>
</front>
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