Diagnostic Delay in REM Sleep Behavior Disorder (RBD)
Identifieur interne : 000487 ( Pmc/Corpus ); précédent : 000486; suivant : 000488Diagnostic Delay in REM Sleep Behavior Disorder (RBD)
Auteurs : Caroline White ; Elizabeth A. Hill ; Ian Morrison ; Renata L. RihaSource :
- Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine [ 1550-9389 ] ; 2012.
Abstract
REM sleep behavior disorder (RBD) is a parasomnia in which normal muscle atonia of REM sleep is lost. The aim of this study was to confirm if diagnostic delay exists in RBD and identify any contributing factors.
A database was compiled of 49 patients with RBD seen at a tertiary referral center from 2005 to 2011 by retrospective review of referral letters and polysomnographic (PSG) reports. Patients with comorbid narcolepsy were excluded. A questionnaire was sent to investigate diagnostic delay, management, and comorbidities.
Mean diagnostic delay was 8.7 ± 11 (median 4.5, IQR 1.75–11.75) years in 30 questionnaire responders. Common reasons for diagnostic delay included belief that symptoms were not serious enough to consult a doctor (59%), mild or infrequent occurrence of sleep behavior (56%), belief that symptoms may resolve (47%), and lack of knowledge of treatment options (47%). The bed partner was an important influence, with the decision to seek medical attention being made jointly by the patient and partner in 47%.
This study has demonstrated the existence of significant diagnostic delay in RBD, mainly due to lack of understanding of the disorder and its treatment by patients and members of the medical profession.
White C; Hill EA; Morrison I; Riha RL. Diagnostic delay in REM sleep behavior disorder (RBD).
Url:
DOI: 10.5664/jcsm.1762
PubMed: 22505857
PubMed Central: 3311409
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PMC:3311409Le document en format XML
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Hill</name><affiliation><nlm:aff id="aff1">Department of Sleep Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK</nlm:aff></affiliation></author><author><name sortKey="Morrison, Ian" sort="Morrison, Ian" uniqKey="Morrison I" first="Ian" last="Morrison">Ian Morrison</name><affiliation><nlm:aff id="aff2">Department of Neurology, Institute of Neurological Sciences, Glasgow, Scotland, UK</nlm:aff></affiliation></author><author><name sortKey="Riha, Renata L" sort="Riha, Renata L" uniqKey="Riha R" first="Renata L." last="Riha">Renata L. Riha</name><affiliation><nlm:aff id="aff1">Department of Sleep Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22505857</idno><idno type="pmc">3311409</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3311409</idno><idno type="RBID">PMC:3311409</idno><idno type="doi">10.5664/jcsm.1762</idno><date when="2012">2012</date><idno type="wicri:Area/Pmc/Corpus">000487</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000487</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Diagnostic Delay in REM Sleep Behavior Disorder (RBD)</title><author><name sortKey="White, Caroline" sort="White, Caroline" uniqKey="White C" first="Caroline" last="White">Caroline White</name><affiliation><nlm:aff id="aff1">Department of Sleep Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK</nlm:aff></affiliation></author><author><name sortKey="Hill, Elizabeth A" sort="Hill, Elizabeth A" uniqKey="Hill E" first="Elizabeth A." last="Hill">Elizabeth A. Hill</name><affiliation><nlm:aff id="aff1">Department of Sleep Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK</nlm:aff></affiliation></author><author><name sortKey="Morrison, Ian" sort="Morrison, Ian" uniqKey="Morrison I" first="Ian" last="Morrison">Ian Morrison</name><affiliation><nlm:aff id="aff2">Department of Neurology, Institute of Neurological Sciences, Glasgow, Scotland, UK</nlm:aff></affiliation></author><author><name sortKey="Riha, Renata L" sort="Riha, Renata L" uniqKey="Riha R" first="Renata L." last="Riha">Renata L. Riha</name><affiliation><nlm:aff id="aff1">Department of Sleep Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK</nlm:aff></affiliation></author></analytic><series><title level="j">Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine</title><idno type="ISSN">1550-9389</idno><idno type="eISSN">1550-9397</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Study Objectives:</title><p>REM sleep behavior disorder (RBD) is a parasomnia in which normal muscle atonia of REM sleep is lost. The aim of this study was to confirm if diagnostic delay exists in RBD and identify any contributing factors.</p></sec><sec><title>Methods:</title><p>A database was compiled of 49 patients with RBD seen at a tertiary referral center from 2005 to 2011 by retrospective review of referral letters and polysomnographic (PSG) reports. Patients with comorbid narcolepsy were excluded. A questionnaire was sent to investigate diagnostic delay, management, and comorbidities.</p></sec><sec><title>Results:</title><p>Mean diagnostic delay was 8.7 ± 11 (median 4.5, IQR 1.75–11.75) years in 30 questionnaire responders. Common reasons for diagnostic delay included belief that symptoms were not serious enough to consult a doctor (59%), mild or infrequent occurrence of sleep behavior (56%), belief that symptoms may resolve (47%), and lack of knowledge of treatment options (47%). The bed partner was an important influence, with the decision to seek medical attention being made jointly by the patient and partner in 47%.</p></sec><sec><title>Conclusions:</title><p>This study has demonstrated the existence of significant diagnostic delay in RBD, mainly due to lack of understanding of the disorder and its treatment by patients and members of the medical profession.</p></sec><sec><title>Citation:</title><p>White C; Hill EA; Morrison I; Riha RL. Diagnostic delay in REM sleep behavior disorder (RBD). <italic>J Clin Sleep Med</italic> 2012;8(2):133-136.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">J Clin Sleep Med</journal-id><journal-id journal-id-type="iso-abbrev">J Clin Sleep Med</journal-id><journal-id journal-id-type="publisher-id">JCSM</journal-id><journal-title-group><journal-title>Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine</journal-title></journal-title-group><issn pub-type="ppub">1550-9389</issn><issn pub-type="epub">1550-9397</issn><publisher><publisher-name>American Academy of Sleep Medicine</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22505857</article-id><article-id pub-id-type="pmc">3311409</article-id><article-id pub-id-type="doi">10.5664/jcsm.1762</article-id><article-categories><subj-group subj-group-type="heading"><subject>New Research</subject><subj-group><subject>Scientific Investigations</subject></subj-group></subj-group></article-categories><title-group><article-title>Diagnostic Delay in REM Sleep Behavior Disorder (RBD)</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>White</surname><given-names>Caroline</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Hill</surname><given-names>Elizabeth A.</given-names></name><degrees>B.Sc. (Hons)</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Morrison</surname><given-names>Ian</given-names></name><degrees>Ph.D.</degrees><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Riha</surname><given-names>Renata L.</given-names></name><degrees>M.D.</degrees><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><aff id="aff1"><label>1</label>Department of Sleep Medicine, Royal Infirmary of Edinburgh, Edinburgh, Scotland, UK</aff><aff id="aff2"><label>2</label>Department of Neurology, Institute of Neurological Sciences, Glasgow, Scotland, UK</aff></contrib-group><author-notes><corresp id="cor1">Address correspondence to: Lizzie Hill, <addr-line>Department of Sleep Medicine, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh, EH16 4SA, Scotland, UK</addr-line><phone>+44-(0)131-242-3879</phone><fax>+44-(0)131-242-3878</fax><email>lizzie.hill@ed.ac.uk</email></corresp></author-notes><pub-date pub-type="epub"><day>15</day><month>4</month><year>2012</year></pub-date><volume>8</volume><issue>2</issue><fpage>133</fpage><lpage>136</lpage><history><date date-type="received"><month>9</month><year>2011</year></date><date date-type="rev-recd"><month>11</month><year>2011</year></date><date date-type="accepted"><month>11</month><year>2011</year></date></history><permissions><copyright-statement>© 2012 American Academy of Sleep Medicine</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><sec><title>Study Objectives:</title><p>REM sleep behavior disorder (RBD) is a parasomnia in which normal muscle atonia of REM sleep is lost. The aim of this study was to confirm if diagnostic delay exists in RBD and identify any contributing factors.</p></sec><sec><title>Methods:</title><p>A database was compiled of 49 patients with RBD seen at a tertiary referral center from 2005 to 2011 by retrospective review of referral letters and polysomnographic (PSG) reports. Patients with comorbid narcolepsy were excluded. A questionnaire was sent to investigate diagnostic delay, management, and comorbidities.</p></sec><sec><title>Results:</title><p>Mean diagnostic delay was 8.7 ± 11 (median 4.5, IQR 1.75–11.75) years in 30 questionnaire responders. Common reasons for diagnostic delay included belief that symptoms were not serious enough to consult a doctor (59%), mild or infrequent occurrence of sleep behavior (56%), belief that symptoms may resolve (47%), and lack of knowledge of treatment options (47%). The bed partner was an important influence, with the decision to seek medical attention being made jointly by the patient and partner in 47%.</p></sec><sec><title>Conclusions:</title><p>This study has demonstrated the existence of significant diagnostic delay in RBD, mainly due to lack of understanding of the disorder and its treatment by patients and members of the medical profession.</p></sec><sec><title>Citation:</title><p>White C; Hill EA; Morrison I; Riha RL. Diagnostic delay in REM sleep behavior disorder (RBD). <italic>J Clin Sleep Med</italic> 2012;8(2):133-136.</p></sec></abstract><kwd-group><kwd>REM sleep behavior disorder</kwd><kwd>parasomnias</kwd><kwd>sleep-related violence</kwd><kwd>delayed diagnosis</kwd><kwd>polysomnography</kwd><kwd>parkinsonian disorders</kwd><kwd>clonazepam</kwd><kwd>melatonin</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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