Document Detail


Reliability of a questionnaire screening restless legs syndrome in patients on chronic dialysis.
MedLine Citation:
PMID:  12148102     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Fabio Cirignotta; Susanna Mondini; Antonio Santoro; Giuseppe Ferrari; Roberto Gerardi; Giorgio Buzzi
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
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:
Created Date:  2002-07-30     Completed Date:  2002-08-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8110075     Medline TA:  Am J Kidney Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  302-6     Citation Subset:  IM    
Copyright Information:
Copyright 2002 by the National Kidney Foundation, Inc.
Affiliation:
Neurology Unit, S. Orsola-Malpighi Hospital, University of Bologna, Italy. cirignotta@orsola-malpighi.med.unibo.it
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MeSH Terms
Descriptor/Qualifier:
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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