Evidence map›Paper›PMID 34032164›Full record

ArticleJournal of primary care & community health

Challenges in the Treatment of Restless Legs Syndrome: A Case Report.

Audrey Umbreit, Shirshendu Sinha, Bhanu Prakash Kolla, Meghna P Mansukhani

Open access · goldAbstract readCase Reports
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 29% 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

1 citing paper in PubMed, 6 citations in OpenAlex.

  1. Article
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

4 authors at 2 institutions in 1 country.

Audrey UmbreitSouthwest Minnesota Region, Mankato, MN, USA.ORCID 0000-0003-4930-4497
Shirshendu SinhaSouthwest Minnesota Region, Mankato, MN, USA.ORCID 0000-0001-7114-4480
Bhanu Prakash KollaMayo Clinic, Rochester, MN, USA.
Meghna P MansukhaniMayo Clinic, Rochester, MN, USA.ORCID 0000-0003-2351-5640
Mayo Clinic in Arizona · USMinnesota State University, Mankato · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Treatment resistant restless legs syndrome (RLS) in the setting of psychiatric comorbidities can be difficult to manage. Our patient is a 69-year-old Caucasian gentleman with bipolar disorder type I, unspecified anxiety disorder, obstructive sleep apnea (OSA), and treatment-refractory RLS. At initial presentation, the patient's prescribed medication regimen included fluoxetine 40 mg daily, gabapentin 800 mg in the morning and 3200 mg at bedtime, pramipexole 0.375 mg daily, lamotrigine 200 mg daily, trazodone 200 mg at bedtime, and temazepam 15 to 30 mg as needed for insomnia and RLS. Over the course of nearly 4 years, treatment interventions for this patient's RLS included: cognitive behavioral therapy for insomnia, discontinuation of exacerbating medications, switching dopamine agonists, use of pregabalin and iron supplement. This report demonstrates a challenging case of RLS in the setting of psychiatric comorbidities, development of augmentation, and polypharmacy.

Indexed as

Restless Legs SyndromeSleep Apnea, ObstructiveAgedComorbidityDopamine AgonistsHumansDopamine Agonistscase reportmedicationsmood disorderpsychiatryrestless legs

Identifiers

PMID34032164
PMCPMC8155758
OpenAlexW3164031551

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.