Diagnosing restless legs syndrome (RLS) in primary care

被引:22
作者
Chaudhuri, KR
Forbes, A
Grosset, D
Lees, A
Shneerson, J
Schapira, A
Stillman, P
Williams, A
机构
[1] Univ London Royal Free Hosp, Reta Lila Weston Inst Neurol Studies, Sch Med, London W1T 4JF, England
[2] Univ Hosp Lewisham, London, England
[3] Kings Coll London, London WC2R 2LS, England
[4] So Gen Hosp, Inst Neurol Sci, Glasgow, Lanark, Scotland
[5] Papworth Hosp, Resp Support & Sleep Ctr, Cambridge CB3 8RE, England
[6] Univ London Royal Free Hosp, Univ Dept Clin Neurosci, London NW3 2QG, England
[7] UCL, Neurol Inst, London WC1E 6BT, England
[8] St Thomas Hosp, Sleep Disorders Ctr, London, England
关键词
diagnosis; primary care; quality of life; restless legs syndrome (RLS); sleep disturbance;
D O I
10.1185/030079904X5472
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This paper represents a review of current opinion and information on the effective diagnosis of restless legs syndrome (RLS) in a primary care setting. RLS can be a distressing condition - it can cause serious sleep disturbance and has a significant impact on quality of life comparable to that of depression or type 2 diabetes. The prevalence of adults whose RLS is severe enough to warrant medical advice has been estimated to be approximately 3%, but only a small proportion of these patients currently report having been diagnosed in primary care, despite stating that they have presented to their GP. The benefits of increased understanding of the symptoms of RLS and how patients present in primary care are discussed, with emphasis on how this will help GPs more effectively diagnose and manage the patients affected. Guidelines on how to diagnose RLS in a primary care setting are given - when a patient presents with sleep disturbance, RLS should be routinely considered and, where existing, be readily diagnosed in a primary care setting on the basis of the patient's clinical history, a physical examination and with the aid of four questions based on the International RLS Study Group (IRLSSG) four essential diagnostic criteria.
引用
收藏
页码:1785 / 1795
页数:11
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