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@ARTICLE{Seger:1007829,
author = {Seger, Aline and Ophey, Anja and Heitzmann, Wiebke and
Doppler, Christopher E. J. and Lindner, Marie-Sophie and
Brune, Corinna and Kickartz, Johanna and Dafsari, Haidar S.
and Oertel, Wolfgang H. and Fink, Gereon R. and Jost,
Stefanie T. and Sommerauer, Michael},
title = {{E}valuation of a {S}tructured {S}creening {A}ssessment to
{D}etect {I}solated {R}apid {E}ye {M}ovement {S}leep
{B}ehavior {D}isorder},
journal = {Movement disorders},
volume = {38},
number = {6},
issn = {0885-3185},
address = {New York, NY},
publisher = {Wiley},
reportid = {FZJ-2023-02214},
pages = {990-999},
year = {2023},
abstract = {ABSTRACT: Background: Isolated rapid eye movement(REM)
sleep behavior disorder (iRBD) cohorts have providedinsights
into the earliest neurodegenerative processes
inα-synucleinopathies. Even though polysomnography
(PSG)remains the gold standard for diagnosis, an
accuratequestionnaire-based algorithm to identify eligible
subjectscould facilitate efficient recruitment in
research.Objective: This study aimed to optimize the
identificationof subjects with iRBD from the general
population.Methods: Between June 2020 and July 2021, we
placednewspaper advertisements, including the
single-questionscreen for RBD (RBD1Q). Participants’
evaluationsincluded a structured telephone screening
consisting ofthe RBD screening questionnaire (RBDSQ) and
additionalsleep-related questionnaires. We examined
anamnesticinformation predicting PSG-proven iRBD using
logisticregressions and receiver operating characteristic
curves.Results: Five hundred forty-three participants
answeredthe advertisements, and 185 subjects fulfilling
inclusionand exclusion criteria were screened. Of these,124
received PSG after expert selection, and 78 $(62.9\%)were$
diagnosed with iRBD. Selected items of theRBDSQ, the
Pittsburgh Sleep Quality Index, the STOPBangquestionnaire,
and age predicted iRBD with highaccuracy in a multiple
logistic regression model (areaunder the curve $>80\%).$
When comparing the algorithmto the sleep expert decision, 77
instead of 124 $polysomnographies(62.1\%)$ would have been
carried out,and 63 $(80.8\%)$ iRBD patients would have been
identified;32 of 46 $(69.6\%)$ unnecessary PSG
examinationscould have been avoided.Conclusions: Our
proposed algorithm displayed highdiagnostic accuracy for
PSG-proven iRBD costeffectivelyand may be a convenient tool
for research andclinical settings. External validation sets
are warranted toprove reliability. © 2023 The Authors.
Movement Disorderspublished by Wiley Periodicals LLC on
behalf ofInternational Parkinson and Movement Disorder
Society.Key Words: general population; Parkinson’s
disease;prediction; questionnaire; rapid eye movement
sleepbehavior disorder},
cin = {INM-3},
ddc = {610},
cid = {I:(DE-Juel1)INM-3-20090406},
pnm = {5252 - Brain Dysfunction and Plasticity (POF4-525) / DFG
project 431549029 - SFB 1451: Schlüsselmechanismen normaler
und krankheitsbedingt gestörter motorischer Kontrolle
(431549029)},
pid = {G:(DE-HGF)POF4-5252 / G:(GEPRIS)431549029},
typ = {PUB:(DE-HGF)16},
pubmed = {37071758},
UT = {WOS:000969916600001},
doi = {10.1002/mds.29389},
url = {https://juser.fz-juelich.de/record/1007829},
}