Physician and patient determinants of prognostic counseling in idiopathic REM sleep-behavior disorder.

ABSTRACT: OBJECTIVES/BACKGROUND:Prognostic counseling about the risk for developing overt neurodegenerative disorders for patients with idiopathic REM sleep-behavior disorder (iRBD) and isolated REM sleep without atonia (iRSWA) is difficult, given lack of disease-modifying interventions and uncertainty in accurate prognostication for individuals. We aimed to analyze patient and physician characteristics associated with documented prognostic discussions for patients with iRBD and iRSWA. PATIENTS/METHODS:We retrospectively reviewed the medical records for 138 (112 iRBD and 26 iRSWA) patients seen at the Mayo Clinic between 2012 and 2015. We analyzed physician and patient demographics, initial complaint, and other information discussed during office visits. We then comparatively analyzed the impact of

SUBMITTER: Feinstein MA 

PROVIDER: S-EPMC6886881 | biostudies-literature | 2019 Oct

REPOSITORIES: biostudies-literature