Current trends in the management of uremic restless legs syndrome: A systematic review on aspects related to quality of life, cardiovascular mortality and survival
AuthorSakkas, G. K.; Giannaki, C. D.; Karatzaferi, C.; Maridaki, M.; Koutedakis, Y.; Hadjigeorgiou, G. M.; Stefanidis, I.
Restless legs syndrome (RLS) affects almost one out of three end-stage renal disease patients. This review assesses the current treatment options for uremic RLS and the potential benefits of those treatments on quality of life parameters, cardiovascular mortality and Survival. A systematic review was conducted searching PubMed and Scopus by using the Cochrane and PRISMA guidelines. Fourteen studies met the inclusion criteria in which the international RLS study group criteria were used as the primary diagnostic tool. Both pharmacological and non-pharmacological approaches were found to reduce the severity of uremic RLS symptoms. Only four studies reported changes on aspects related to quality of life while those changes were also associated with health benefits that resulted in reduced cardiovascular risk. The severity of uremic RLS symptoms can be ameliorated by using dopamine agonists and gabapentin, intravenous iron, exercise or supplementation with vitamins C and E, although some of those treatment benefits may be transient. There is a lack of strong evidence regarding the effects of the pharmacological approaches on quality of life and cardiovascular survival and mortality. In contrast exercise has been proven beneficial in both reducing the RLS symptoms' severity score and improving the quality of life. (C) 2014 Elsevier Ltd. All rights reserved.
Showing items related by title, author, creator and subject.
Fotiadis, D. G.; Fotiadou, E. G.; Kokaridas, D. G.; Mylonas, A. C. (2013)This study was designed to investigate the frequency of musculoskeletal disorders among musicians in a professional-level symphony orchestra in Greece. The sample consisted of 147 musicians (97 men, 50 women) of the Athens ...
Skoufi, G. I.; Nena, E.; Kostikas, K.; Lialios, G. A.; Constantinidis, T. C.; Daniil, Z.; Gourgoulianis, K. (2013)Background: Hairdressers are occupationally exposed to a number of agents in their workplace that result in respiratory symptoms and changes in pulmonary function. Objective: To evaluate associations between occupational ...
Roussos, A.; Philippou, N.; Mantzaris, G. J.; Gourgoulianis, K. I. (2006)Recent studies suggest an epidemiological association between Helicobacter pylori infection and several extragastroduodenal pathologies, including cardiovascular, rheumatic, skin and liver diseases. The observed associations ...