Diagnostic indicators of restless legs syndrome in primary care consultations : The DESYR study
Identifieur interne : 001618 ( PascalFrancis/Curation ); précédent : 001617; suivant : 001619Diagnostic 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] ; Francois Tison [France] ; Jacques Montplaisir [Canada]Source :
- Movement disorders [ 0885-3185 ] ; 2007.
Descripteurs français
- Pascal (Inist)
English descriptors
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.
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i1="10"><s1>Université de Bordeaux 1</s1><s2>Bordeaux</s2><s3>FRA</s3><sZ>12 aut.</sZ></inist:fA14><country>France</country></affiliation></author><author><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name><affiliation wicri:level="1"><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></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><idno type="RBID">Pascal:07-0263054</idno><idno type="wicri:Area/PascalFrancis/Corpus">001703</idno><idno type="wicri:Area/PascalFrancis/Curation">001618</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></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></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></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></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></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></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></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></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></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></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></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></affiliation></author><author><name sortKey="Montplaisir, Jacques" sort="Montplaisir, Jacques" uniqKey="Montplaisir J" first="Jacques" last="Montplaisir">Jacques Montplaisir</name><affiliation wicri:level="1"><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></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><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0885-3185</s0></fA01><fA03 i2="1"><s0>Mov. disord.</s0></fA03><fA05><s2>22</s2></fA05><fA06><s2>6</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Diagnostic indicators of restless legs syndrome in primary care consultations : The DESYR study</s1></fA08><fA11 i1="01" i2="1"><s1>CROCHARD (Anne)</s1></fA11><fA11 i1="02" i2="1"><s1>EL HASNAOUI (Abdelkader)</s1></fA11><fA11 i1="03" i2="1"><s1>POUCHAIN (Denis)</s1></fA11><fA11 i1="04" i2="1"><s1>HUAS (Dominique)</s1></fA11><fA11 i1="05" i2="1"><s1>ARNULF (Isabelle)</s1></fA11><fA11 i1="06" i2="1"><s1>KRIEGER (Jean)</s1></fA11><fA11 i1="07" i2="1"><s1>LAINEY (Eric)</s1></fA11><fA11 i1="08" i2="1"><s1>LE JEUNNE (Philippe)</s1></fA11><fA11 i1="09" i2="1"><s1>LEGER (Damien)</s1></fA11><fA11 i1="10" i2="1"><s1>SCHUCK (Stéphane)</s1></fA11><fA11 i1="11" i2="1"><s1>TEXIER (Nathalie)</s1></fA11><fA11 i1="12" i2="1"><s1>TISON (Francois)</s1></fA11><fA11 i1="13" i2="1"><s1>MONTPLAISIR (Jacques)</s1></fA11><fA14 i1="01"><s1>Laboratoire GluxosmithKline</s1><s2>Marly-le-Roi</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></fA14><fA14 i1="02"><s1>1ter<sup>ter</sup>, rue Midi</s1><s2>Vincennes, Paris</s2><s3>FRA</s3><sZ>3 aut.</sZ></fA14><fA14 i1="03"><s1>Faculté de Médecine Xavier Bichat</s1><s2>Paris</s2><s3>FRA</s3><sZ>4 aut.</sZ></fA14><fA14 i1="04"><s1>Hôpital de la Pitié-Salpêtrière</s1><s2>Paris</s2><s3>FRA</s3><sZ>5 aut.</sZ></fA14><fA14 i1="05"><s1>Hôpitaux Universitaires de Strasbourg</s1><s2>Strasbourg</s2><s3>FRA</s3><sZ>6 aut.</sZ></fA14><fA14 i1="06"><s1>Hôpital Européen Georges Pompidou</s1><s2>Paris</s2><s3>FRA</s3><sZ>7 aut.</sZ></fA14><fA14 i1="07"><s1>BKL Thalès</s1><s2>Paris</s2><s3>FRA</s3><sZ>8 aut.</sZ></fA14><fA14 i1="08"><s1>Hôtel Dieu</s1><s2>Paris</s2><s3>FRA</s3><sZ>9 aut.</sZ></fA14><fA14 i1="09"><s1>Kappa Santé</s1><s2>Paris</s2><s3>FRA</s3><sZ>10 aut.</sZ><sZ>11 aut.</sZ></fA14><fA14 i1="10"><s1>Université de Bordeaux 1</s1><s2>Bordeaux</s2><s3>FRA</s3><sZ>12 aut.</sZ></fA14><fA14 i1="11"><s1>Hôpital du Sacré-Coeur de Montréal</s1><s2>Montréal</s2><s3>CAN</s3><sZ>13 aut.</sZ></fA14><fA20><s1>791-797</s1></fA20><fA21><s1>2007</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>20953</s2><s5>354000149445250050</s5></fA43><fA44><s0>0000</s0><s1>© 2007 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>24 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>07-0263054</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Movement disorders</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>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. 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