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01.12.2012 | Original Article

Restless legs syndrome in dialysis patients: a comparison between hemodialysis and continuous ambulatory peritoneal dialysis

verfasst von: Giovanni Merlino, Simone Lorenzut, Giulio Romano, Martina Sommaro, Augusto Fontana, Domenico Montanaro, Mariarosaria Valente, Gian Luigi Gigli

Erschienen in: Neurological Sciences | Ausgabe 6/2012

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Abstract

Restless legs syndrome (RLS) is common in end-stage renal disease (ESRD) patients undergoing hemodialysis (HD). A few studies so far have investigated RLS prevalence in ESRD patients undergoing continuous ambulatory peritoneal dialysis (CAPD). The aim of this study was to compare the prevalence, characteristics, consequences and predictors of RLS between HD and CAPD patients. We recruited 58 HD and 28 CAPD patients. A neurologist expert in sleep medicine performed RLS diagnosis during a face-to-face interview. The prevalence of RLS was slightly higher in HD than in CAPD patients (19 vs. 10.7%). RLS appeared after the onset of kidney complaint in HD patients; in contrast, in CAPD patients RLS preceded the occurrence of renal disease. Five HD patients reported that RLS symptoms occurred throughout the dialysis session. HD patients with RLS⁺ had a higher mean number of HD sessions per week and a longer mean duration of HD session than the RLS⁻ ones. Prevalence of females was significantly higher in CAPD patients with RLS⁺ than in the RLS⁻ ones. RLS frequently affects both HD and CAPD patients. RLS impaired sleep in both groups, but use of dopaminergic agents was uncommon in our sample. Dialysis schedule was associated with RLS in HD patients, while female sex was related to RLS in CAPD patients. Awareness concerning RLS identification and treatment in HD and CAPD patients is recommended.

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Titel: Restless legs syndrome in dialysis patients: a comparison between hemodialysis and continuous ambulatory peritoneal dialysis
verfasst von: Giovanni Merlino
Simone Lorenzut
Giulio Romano
Martina Sommaro
Augusto Fontana
Domenico Montanaro
Mariarosaria Valente
Gian Luigi Gigli
Publikationsdatum: 01.12.2012
Verlag: Springer Milan
Erschienen in: Neurological Sciences / Ausgabe 6/2012
Print ISSN: 1590-1874
Elektronische ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-012-0953-9

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Restless legs syndrome in dialysis patients: a comparison between hemodialysis and continuous ambulatory peritoneal dialysis

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