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Algorithms for the diagnosis and treatment of restless legs syndrome in primary care |
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| Authors: | Diego Garcia-Borreguero Paul Stillman Heike Benes Heiner Buschmann K Ray Chaudhuri Victor M Gonzalez Rodríguez Birgit Högl Ralf Kohnen Giorgio Carlo Monti Karin Stiasny-Kolster Claudia Trenkwalder Anne-Marie Williams Marco Zucconi |
| Affiliation: | 1. Sleep Research Institute, Madrid, Spain 2. Primary Care Practice, Crawley, Sussex, UK 3. Somni bene Institute for Medical Research and Sleep Medicine, Schwerin and Neurology Department, University of Rostock, Rostock, Germany 4. Primary Care Practice, Dusseldorf, Germany 5. Kings College and University Hospital Lewisham, London, UK 6. Primary Care Practice, La Alberca, Salamanca, Spain 7. Department of Neurology, Innsbruck Medical University, Innsbruck, Austria 8. ReSearch Pharmaceutical Services Inc, Fort Washington, PA, USA 9. Psychology Department, University of Erlangen-Nuremberg, Nuremberg, Germany 10. Italian Society of General Practitioners, Florence, Italy 11. Somnomar, Institute for Medical Research and Sleep Medicine, Marburg and Philipps-University of Marburg, Marburg, Germany 12. Center of Parkinsonism and Movement Disorders, Paracelsus-Elena Hospital, Kassel, Germany 13. Medical Education Global Solutions, Paris, France 14. Sleep Disorders Center, Department of Neurology, San Raffaele Institute, Milan, Italy |
| Abstract: | BackgroundRestless legs syndrome (RLS) is a neurological disorder with a lifetime prevalence of 3-10%. in European studies. However, the diagnosis of RLS in primary care remains low and mistreatment is common.MethodsThe current article reports on the considerations of RLS diagnosis and management that were made during a European Restless Legs Syndrome Study Group (EURLSSG)-sponsored task force consisting of experts and primary care practioners. The task force sought to develop a better understanding of barriers to diagnosis in primary care practice and overcome these barriers with diagnostic and treatment algorithms.ResultsThe barriers to diagnosis identified by the task force include the presentation of symptoms, the language used to describe them, the actual term "restless legs syndrome" and difficulties in the differential diagnosis of RLS.ConclusionThe EURLSSG task force reached a consensus and agreed on the diagnostic and treatment algorithms published here. |
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