| Reliability of a questionnaire screening restless legs syndrome in patients on chronic dialysis. | |
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MedLine Citation:
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PMID: 12148102 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: The aim of this study is to evaluate the reliability of a self-administered questionnaire on leg discomfort and restlessness as a screening tool for restless legs syndrome (RLS) in a population of chronically dialyzed patients. METHODS: One hundred twenty-seven patients on chronic hemodialysis therapy filled in a self-administered questionnaire including 4 diagnostic questions for RLS and 12 subsequent questions on clinical characteristics of leg discomfort. Two neurologists trained in sleep medicine blinded to questionnaire answers evaluated all patients and diagnosed RLS according to criteria of the International Restless Legs Syndrome Study Group. We compared questionnaire results in terms of RLS diagnosis with direct patient evaluation performed by neurologists used as a gold standard. RESULTS: The questionnaire showed a low sensitivity and specificity and did not prove reliable for screening for RLS in uremic patients. False-positive results seem to be caused by the presence of other leg symptoms and neurological objective signs suggesting peripheral neuropathy; false-negative results may be caused by the moderate severity of leg discomfort and its poor appraisal. CONCLUSION: Our study suggests caution in evaluating results of questionnaires to screen for RLS in patients with chronic renal insufficiency on dialysis therapy. |
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Authors:
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Fabio Cirignotta; Susanna Mondini; Antonio Santoro; Giuseppe Ferrari; Roberto Gerardi; Giorgio Buzzi |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies |
Journal Detail:
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Title: American journal of kidney diseases : the official journal of the National Kidney Foundation Volume: 40 ISSN: 1523-6838 ISO Abbreviation: Am. J. Kidney Dis. Publication Date: 2002 Aug |
Date Detail:
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Created Date: 2002-07-30 Completed Date: 2002-08-12 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8110075 Medline TA: Am J Kidney Dis Country: United States |
Other Details:
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Languages: eng Pagination: 302-6 Citation Subset: IM |
Copyright Information:
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Copyright 2002 by the National Kidney Foundation, Inc. |
Affiliation:
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Neurology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Italy. cirignotta@orsola-malpighi.med.unibo.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over False Negative Reactions False Positive Reactions Female Humans Kidney Failure, Chronic / epidemiology, therapy Male Mass Screening / methods Middle Aged Questionnaires* Renal Dialysis / methods* Restless Legs Syndrome / epidemiology* Sensitivity and Specificity Single-Blind Method Uremia / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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