Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduates
ABSTRACT In view of the diagnostic challenge posed by restless legs syndrome/Willis-Ekbom disease (RLS/WED) to health professionals and the challenge of its recognition by patients, the diagnostic criteria have been revised and updated to facilitate identification of this disease. However, in a prev...
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| Format: | Article |
| Language: | English |
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Academia Brasileira de Neurologia (ABNEURO)
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018001200816&lng=en&tlng=en |
| _version_ | 1818019682418950144 |
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| author | Karla Carlos Gilmar Fernandes do Prado |
| author_facet | Karla Carlos Gilmar Fernandes do Prado |
| author_sort | Karla Carlos |
| collection | DOAJ |
| description | ABSTRACT In view of the diagnostic challenge posed by restless legs syndrome/Willis-Ekbom disease (RLS/WED) to health professionals and the challenge of its recognition by patients, the diagnostic criteria have been revised and updated to facilitate identification of this disease. However, in a previous study, we found that self-diagnosis of RLS/WED depends on the very name used to describe the condition. Objective: To ascertain whether the presence of the fifth diagnostic criterion of the International Restless Legs Syndrome Study Group (IRLSSG), is necessary for RLS/WED diagnosis when the term “Willis-Ekbom disease” is used. Methods: We randomly distributed 705 forms to recent medical graduates, asking them to self-assess whether they had “Willis-Ekbom disease” (WED). In one questionnaire model, we excluded the fifth criterion suggested by the IRLSSG, while in the other, all five criteria were included. No forms contained the term RLS; only WED was used throughout. Results: Seven hundred and five recent medical graduates participated in the study. Among the 332 who received the form without the fifth criterion, 8 (2.41%) self-diagnosed as having WED (95%CI: 0.8%-4.1%). Of the 373 who received the form with all five of the 2014 IRLSSG criteria, 9 (2.41%) self-diagnosed as having WED (95%CI: 0.8%-4.0%) (p > 0.05). Conclusion: Our data show that presence of the fifth IRLSSG criterion did not influence self-diagnosis of WED among recent medical graduates, suggesting that the name WED reduces the odds of mimics (confounding conditions) being misinterpreted as symptoms of this disease. This finding indicates that for the diagnosis of RLS/WED only four criteria and a systematic use of the name WED are necessary. |
| first_indexed | 2024-04-14T07:55:32Z |
| format | Article |
| id | doaj.art-4a9d1bfdb1554452b90241d47e0c2f64 |
| institution | Directory Open Access Journal |
| issn | 1678-4227 |
| language | English |
| last_indexed | 2024-04-14T07:55:32Z |
| publisher | Academia Brasileira de Neurologia (ABNEURO) |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj.art-4a9d1bfdb1554452b90241d47e0c2f642022-12-22T02:05:04ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-4227761281682010.1590/0004-282x20180135S0004-282X2018001200816Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduatesKarla CarlosGilmar Fernandes do PradoABSTRACT In view of the diagnostic challenge posed by restless legs syndrome/Willis-Ekbom disease (RLS/WED) to health professionals and the challenge of its recognition by patients, the diagnostic criteria have been revised and updated to facilitate identification of this disease. However, in a previous study, we found that self-diagnosis of RLS/WED depends on the very name used to describe the condition. Objective: To ascertain whether the presence of the fifth diagnostic criterion of the International Restless Legs Syndrome Study Group (IRLSSG), is necessary for RLS/WED diagnosis when the term “Willis-Ekbom disease” is used. Methods: We randomly distributed 705 forms to recent medical graduates, asking them to self-assess whether they had “Willis-Ekbom disease” (WED). In one questionnaire model, we excluded the fifth criterion suggested by the IRLSSG, while in the other, all five criteria were included. No forms contained the term RLS; only WED was used throughout. Results: Seven hundred and five recent medical graduates participated in the study. Among the 332 who received the form without the fifth criterion, 8 (2.41%) self-diagnosed as having WED (95%CI: 0.8%-4.1%). Of the 373 who received the form with all five of the 2014 IRLSSG criteria, 9 (2.41%) self-diagnosed as having WED (95%CI: 0.8%-4.0%) (p > 0.05). Conclusion: Our data show that presence of the fifth IRLSSG criterion did not influence self-diagnosis of WED among recent medical graduates, suggesting that the name WED reduces the odds of mimics (confounding conditions) being misinterpreted as symptoms of this disease. This finding indicates that for the diagnosis of RLS/WED only four criteria and a systematic use of the name WED are necessary.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018001200816&lng=en&tlng=enRestless legs syndromeWillis-Ekbom diseasediagnosis |
| spellingShingle | Karla Carlos Gilmar Fernandes do Prado Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduates Arquivos de Neuro-Psiquiatria Restless legs syndrome Willis-Ekbom disease diagnosis |
| title | Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduates |
| title_full | Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduates |
| title_fullStr | Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduates |
| title_full_unstemmed | Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduates |
| title_short | Exclusion of mimics does not influence Willis-Ekbom disease diagnosis among recent medical graduates |
| title_sort | exclusion of mimics does not influence willis ekbom disease diagnosis among recent medical graduates |
| topic | Restless legs syndrome Willis-Ekbom disease diagnosis |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018001200816&lng=en&tlng=en |
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