Carlos K, Prado L B F, Carvalho L B C, Prado G F
Department of Neurology, Neuro-Sono Sleep Center, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Department of Neurology, Neuro-Sono Sleep Center, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Sleep Med. 2015 Sep;16(9):1156-9. doi: 10.1016/j.sleep.2015.05.022. Epub 2015 Jul 2.
Restless Legs Syndrome (RLS) or Willis-Ekbom Disease (WED) is highly prevalent, but patients and healthcare providers alike know little about it. Furthermore, controversy persists as to the best way of diagnosing this nosological entity.
To verify whether the term used to refer to this disease entity (Restless Legs Syndrome or Willis-Ekbom Disease) affects the prevalence of self-diagnosed RLS/WED in a sample of newly graduated physicians.
Newly graduated physicians were asked to self-evaluate for the presence of RLS/WED. Briefly, participants were allocated randomly across two groups. One was asked to self-assess for RLS, while the other was asked to self-assess for WED. The evaluation form given to one group asked 'Do you have Restless Legs Syndrome?' whereas the form given to participants in the other group asked 'Do you have Willis-Ekbom Disease?'. Both forms also contained the four criteria for diagnosing RLS proposed by the International Restless Legs Syndrome Study Group (IRLSSG) and instructions for self-diagnosis according to these criteria.
The study sample comprised 1413 newly graduated physicians. Of the 708 participants who were given the form that used the term RLS, 87 (12.28%) diagnosed themselves with the condition. Conversely, of 705 physicians given the form with the term WED, 13 (1.84%) diagnosed themselves with the condition (p <0.0001).
A greater proportion of newly graduated physicians diagnosed themselves with RLS/WED when presented with the term Restless Legs Syndrome than when presented with the term Willis-Ekbom Disease. This suggests that the term Restless Legs Syndrome may not be the most appropriate term to denote this nosological entity.
不宁腿综合征(RLS)或威利斯-埃克博姆病(WED)非常普遍,但患者和医疗服务提供者对此了解甚少。此外,对于诊断这一疾病实体的最佳方法仍存在争议。
验证用于指代该疾病实体的术语(不宁腿综合征或威利斯-埃克博姆病)是否会影响新毕业医生样本中自我诊断为RLS/WED的患病率。
要求新毕业医生自我评估是否存在RLS/WED。简而言之,参与者被随机分为两组。一组被要求自我评估是否患有RLS,而另一组被要求自我评估是否患有WED。给一组的评估表问“你患有不宁腿综合征吗?”,而给另一组参与者的表格问“你患有威利斯-埃克博姆病吗?”。两种表格还包含国际不宁腿综合征研究组(IRLSSG)提出的诊断RLS的四项标准以及根据这些标准进行自我诊断的说明。
研究样本包括1413名新毕业医生。在708名收到使用RLS术语表格的参与者中,87人(12.28%)自我诊断患有该病。相反,在705名收到使用WED术语表格的医生中,13人(1.84%)自我诊断患有该病(p<0.0001)。
与使用威利斯-埃克博姆病术语相比,新毕业医生在看到不宁腿综合征术语时自我诊断为RLS/WED的比例更高。这表明不宁腿综合征这一术语可能不是指代该疾病实体的最合适术语。