Evidence map›Paper›PMID 25156752›Full record

ArticleSleep medicine2014

Medications associated with restless legs syndrome: a case-control study in the US Renal Data System (USRDS).

Donald L Bliwise, Rebecca H Zhang, Nancy G Kutner

Open access · greenAbstract read
In one paragraph

Article in Sleep medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  5. Article
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  8. Article
  9. Nighttime Agitation in Persons with Dementia as a Manifestation of Restless Legs Syndrome.Journal of the American Medical Directors Association · 2021
    Observational
  10. Restless legs syndrome induced by fexofenadine/pseudoephedrine.Journal of general and family medicine · 2020
    Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Sleep and Pain in Pediatric Illness: A Conceptual Review.CNS neuroscience & therapeutics · 2016
    Review
  19. Review
  20. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Donald L BliwiseUnited States Renal Data System Rehabilitation/Quality of Life Special Studies Center and Department of Neurology, Emory University, Atlanta, GA, USA. Electronic address: dbliwis@emory.edu.
Rebecca H ZhangUnited States Renal Data System Rehabilitation/Quality of Life Special Studies Center and Department of Neurology, Emory University, Atlanta, GA, USA.
Nancy G KutnerUnited States Renal Data System Rehabilitation/Quality of Life Special Studies Center and Department of Neurology, Emory University, Atlanta, GA, USA.
Emory University · US

Funding

Sleep/Wake Contiuum in Lewy Body DiseaseR01NS050595 · NINDS · EMORY UNIVERSITY · PI BLIWISE, DONALD L. · 2006 to 2010
$1.7M
NIDDK NIH HHS HHSN267200715004CNIDDK NIH HHS N01-DK-7-5004NINDS NIH HHS R01 NS050595NLM NIH HHS N01 DK075004
6 · The paper itself

Abstract

objectiveThe objective of this study was to determine the association between the usage of four classes of "at-risk" medications (antidepressants, neuroleptics, antihistamines, and antiemetics with dopamine blockade) and restless legs syndrome (RLS) in dialysis patients within the United States Renal Data System (USRDS).

methodsThis was a case-control design within a national (United States) patient registry of all patients with end-stage renal disease (ESRD) in the USRDS anytime during the period of 1 October 2006 to 31 December 2010, inclusive. A total of 16,165 ESRD patients (3234 cases; 12,931 age-, sex-, and race-matched controls) were studied.

resultsAll four classes of "at-risk" medications see widespread use among patients in the USRDS. All were associated with increased odds of an RLS diagnosis (range of odds ratios, 1.47-2.28; all p < 0.0001) during the period of observation. Results were unchanged when controlling for time on hemodialysis. Usage of more than one class of medication increased the odds for having RLS.

conclusionsESRD patients often receive medication intended for relief of conditions associated with their disease, such as depression and psychological issues, pruritus, and gastroparesis; however, such medications may increase the risk of RLS. Given the high prevalence of RLS in ESRD patients, these medications should only be used when their benefits clearly outweigh the risk of development of the troubling and distressing symptoms of RLS.

Indexed as

Antidepressive AgentsAntiemeticsAntipsychotic AgentsCase-Control StudiesDatabases, FactualFemaleHistamine AntagonistsHumansKidney Failure, ChronicMaleMiddle AgedRestless Legs SyndromeUnited StatesAntidepressive AgentsAntiemeticsAntipsychotic AgentsHistamine AntagonistsCase–control designChronic kidney diseaseDialysisEnd-stage renal diseaseMedicationsRestless legs syndrome

Identifiers

PMID25156752
PMCPMC4172448
OpenAlexW2112416140

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.