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Willis-Ekbom Disease or Restless Legs Syndrome?
K Carlos1, L B F Prado1, L B C Carvalho1
1Department of Neurology, Neuro-Sono Sleep Center, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
The term "Restless Legs Syndrome" (RLS) led to significantly higher self-diagnosis rates among physicians compared to "Willis-Ekbom Disease" (WED). This suggests RLS may not be the most appropriate name for the condition.
Area of Science:
- Neurology
- Medical Terminology
- Epidemiology
Background:
- Restless Legs Syndrome (RLS), also known as Willis-Ekbom Disease (WED), is a prevalent condition with widespread lack of awareness among patients and healthcare providers.
- Diagnostic criteria and terminology for RLS/WED remain subjects of ongoing debate.
Purpose of the Study:
- To investigate whether the specific term used—Restless Legs Syndrome (RLS) or Willis-Ekbom Disease (WED)—influences self-diagnosis rates in a sample of newly graduated physicians.
Main Methods:
- Newly graduated physicians were randomly assigned to two groups for self-evaluation of RLS/WED.
- One group assessed for RLS using the term 'Restless Legs Syndrome,' while the other assessed for WED using 'Willis-Ekbom Disease.'
- Both groups used the International Restless Legs Syndrome Study Group diagnostic criteria.
Main Results:
- A total of 1413 physicians participated.
- 12.28% of physicians assessing for RLS self-diagnosed the condition.
- Only 1.84% of physicians assessing for WED self-diagnosed the condition (p < 0.0001).
Conclusions:
- Physicians were significantly more likely to self-diagnose RLS/WED when the term Restless Legs Syndrome was used.
- These findings suggest that the term Restless Legs Syndrome may hinder accurate diagnosis and potentially impact patient and physician understanding of WED.
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