Long-term course of restless legs syndrome in dialysis patients after kidney transplantation.
Identifieur interne : 000912 ( Ncbi/Merge ); précédent : 000911; suivant : 000913Long-term course of restless legs syndrome in dialysis patients after kidney transplantation.
Auteurs : Juliane Winkelmann [Allemagne] ; Anette Stautner ; Walter Samtleben ; Claudia TrenkwalderSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2002.
English descriptors
- KwdEn :
- Adult, Female, Follow-Up Studies, Humans, Kidney Failure, Chronic (etiology), Kidney Failure, Chronic (surgery), Kidney Failure, Chronic (therapy), Kidney Transplantation, Male, Middle Aged, Postoperative Complications, Questionnaires, Renal Dialysis, Restless Legs Syndrome (diagnosis), Restless Legs Syndrome (etiology), Severity of Illness Index, Time Factors, Uremia (complications).
- MESH :
- complications : Uremia.
- diagnosis : Restless Legs Syndrome.
- etiology : Kidney Failure, Chronic, Restless Legs Syndrome.
- surgery : Kidney Failure, Chronic.
- therapy : Kidney Failure, Chronic.
- Adult, Female, Follow-Up Studies, Humans, Kidney Transplantation, Male, Middle Aged, Postoperative Complications, Questionnaires, Renal Dialysis, Severity of Illness Index, Time Factors.
Abstract
Restless legs syndrome (RLS) is a common cause of sleep disturbance and is frequently experienced by hemodialysis patients. Factors triggering the disease in uremia have not yet been identified. To our knowledge, the course of RLS symptoms after kidney transplantation has not been investigated systematically. We investigated the clinical long-term course of RLS in hemodialysis patients who underwent kidney transplantation. Patients were given a standardized questionnaire three times: at baseline, and twice after their kidney transplants. The severity of RLS was rated by the patients (0 =no symptoms, 10 = very severe symptoms). The description of the final outcome was based on the last follow-up visit. Eleven of 64 hemodialysis patients with RLS received a transplant (5 men, 6 women; severity of RLS at baseline, 7.8 +/- 0.7 [mean +/- SEM]). In all patients, RLS symptoms disappeared within 1 to 21 days after transplantation. At follow-up visits, 4 patients whose transplanted kidneys still functioned well were still free of RLS symptoms up to the longest follow-up period of 9 years. In 3 other patients, RLS symptoms gradually reappeared (severity, 1 +/- 0). In 3 of 11 patients, the transplant failed and RLS symptoms reoccurred within 10 days to 2 months (severity, 7.3 +/- 2.6). RLS symptoms reoccurred in 1 patient with failure of the transplant but disappeared again after a second, successful transplant. Kidney transplantation has a strong and positive influence on RLS symptoms in hemodialysis patients. Hemodialysis patients can expect a substantial improvement of RLS symptoms after a successful kidney transplant.
DOI: 10.1002/mds.10231
PubMed: 12360562
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Long-term course of restless legs syndrome in dialysis patients after kidney transplantation.</title><author><name sortKey="Winkelmann, Juliane" sort="Winkelmann, Juliane" uniqKey="Winkelmann J" first="Juliane" last="Winkelmann">Juliane Winkelmann</name><affiliation wicri:level="3"><nlm:affiliation>Max Planck Institute of Psychiatry, Munich, Germany. janew@mpipsykl.mpg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Max Planck Institute of Psychiatry, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Stautner, Anette" sort="Stautner, Anette" uniqKey="Stautner A" first="Anette" last="Stautner">Anette Stautner</name></author><author><name sortKey="Samtleben, Walter" sort="Samtleben, Walter" uniqKey="Samtleben W" first="Walter" last="Samtleben">Walter Samtleben</name></author><author><name sortKey="Trenkwalder, Claudia" sort="Trenkwalder, Claudia" uniqKey="Trenkwalder C" first="Claudia" last="Trenkwalder">Claudia Trenkwalder</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2002">2002</date><idno type="RBID">pubmed:12360562</idno><idno type="pmid">12360562</idno><idno type="doi">10.1002/mds.10231</idno><idno type="wicri:Area/PubMed/Corpus">003939</idno><idno type="wicri:Area/PubMed/Curation">003939</idno><idno type="wicri:Area/PubMed/Checkpoint">003A35</idno><idno type="wicri:Area/Ncbi/Merge">000912</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Long-term course of restless legs syndrome in dialysis patients after kidney transplantation.</title><author><name sortKey="Winkelmann, Juliane" sort="Winkelmann, Juliane" uniqKey="Winkelmann J" first="Juliane" last="Winkelmann">Juliane Winkelmann</name><affiliation wicri:level="3"><nlm:affiliation>Max Planck Institute of Psychiatry, Munich, Germany. janew@mpipsykl.mpg.de</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Max Planck Institute of Psychiatry, Munich</wicri:regionArea><placeName><region type="land" nuts="1">Bavière</region><region type="district" nuts="2">District de Haute-Bavière</region><settlement type="city">Munich</settlement></placeName></affiliation></author><author><name sortKey="Stautner, Anette" sort="Stautner, Anette" uniqKey="Stautner A" first="Anette" last="Stautner">Anette Stautner</name></author><author><name sortKey="Samtleben, Walter" sort="Samtleben, Walter" uniqKey="Samtleben W" first="Walter" last="Samtleben">Walter Samtleben</name></author><author><name sortKey="Trenkwalder, Claudia" sort="Trenkwalder, Claudia" uniqKey="Trenkwalder C" first="Claudia" last="Trenkwalder">Claudia Trenkwalder</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="2002" type="published">2002</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Kidney Failure, Chronic (etiology)</term><term>Kidney Failure, Chronic (surgery)</term><term>Kidney Failure, Chronic (therapy)</term><term>Kidney Transplantation</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Questionnaires</term><term>Renal Dialysis</term><term>Restless Legs Syndrome (diagnosis)</term><term>Restless Legs Syndrome (etiology)</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Uremia (complications)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Uremia</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Restless Legs Syndrome</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Kidney Failure, Chronic</term><term>Restless Legs Syndrome</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Kidney Failure, Chronic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Kidney Transplantation</term><term>Male</term><term>Middle Aged</term><term>Postoperative Complications</term><term>Questionnaires</term><term>Renal Dialysis</term><term>Severity of Illness Index</term><term>Time Factors</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Restless legs syndrome (RLS) is a common cause of sleep disturbance and is frequently experienced by hemodialysis patients. Factors triggering the disease in uremia have not yet been identified. To our knowledge, the course of RLS symptoms after kidney transplantation has not been investigated systematically. We investigated the clinical long-term course of RLS in hemodialysis patients who underwent kidney transplantation. Patients were given a standardized questionnaire three times: at baseline, and twice after their kidney transplants. The severity of RLS was rated by the patients (0 =no symptoms, 10 = very severe symptoms). The description of the final outcome was based on the last follow-up visit. Eleven of 64 hemodialysis patients with RLS received a transplant (5 men, 6 women; severity of RLS at baseline, 7.8 +/- 0.7 [mean +/- SEM]). In all patients, RLS symptoms disappeared within 1 to 21 days after transplantation. At follow-up visits, 4 patients whose transplanted kidneys still functioned well were still free of RLS symptoms up to the longest follow-up period of 9 years. In 3 other patients, RLS symptoms gradually reappeared (severity, 1 +/- 0). In 3 of 11 patients, the transplant failed and RLS symptoms reoccurred within 10 days to 2 months (severity, 7.3 +/- 2.6). RLS symptoms reoccurred in 1 patient with failure of the transplant but disappeared again after a second, successful transplant. Kidney transplantation has a strong and positive influence on RLS symptoms in hemodialysis patients. Hemodialysis patients can expect a substantial improvement of RLS symptoms after a successful kidney transplant.</div></front></TEI><pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">12360562</PMID><DateCreated><Year>2002</Year><Month>10</Month><Day>02</Day></DateCreated><DateCompleted><Year>2003</Year><Month>01</Month><Day>08</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0885-3185</ISSN><JournalIssue CitedMedium="Print"><Volume>17</Volume><Issue>5</Issue><PubDate><Year>2002</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Movement disorders : official journal of the Movement Disorder Society</Title><ISOAbbreviation>Mov. Disord.</ISOAbbreviation></Journal><ArticleTitle>Long-term course of restless legs syndrome in dialysis patients after kidney transplantation.</ArticleTitle><Pagination><MedlinePgn>1072-6</MedlinePgn></Pagination><Abstract><AbstractText>Restless legs syndrome (RLS) is a common cause of sleep disturbance and is frequently experienced by hemodialysis patients. Factors triggering the disease in uremia have not yet been identified. To our knowledge, the course of RLS symptoms after kidney transplantation has not been investigated systematically. We investigated the clinical long-term course of RLS in hemodialysis patients who underwent kidney transplantation. Patients were given a standardized questionnaire three times: at baseline, and twice after their kidney transplants. The severity of RLS was rated by the patients (0 =no symptoms, 10 = very severe symptoms). The description of the final outcome was based on the last follow-up visit. Eleven of 64 hemodialysis patients with RLS received a transplant (5 men, 6 women; severity of RLS at baseline, 7.8 +/- 0.7 [mean +/- SEM]). In all patients, RLS symptoms disappeared within 1 to 21 days after transplantation. At follow-up visits, 4 patients whose transplanted kidneys still functioned well were still free of RLS symptoms up to the longest follow-up period of 9 years. In 3 other patients, RLS symptoms gradually reappeared (severity, 1 +/- 0). In 3 of 11 patients, the transplant failed and RLS symptoms reoccurred within 10 days to 2 months (severity, 7.3 +/- 2.6). RLS symptoms reoccurred in 1 patient with failure of the transplant but disappeared again after a second, successful transplant. Kidney transplantation has a strong and positive influence on RLS symptoms in hemodialysis patients. 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