The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity

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dc.contributor.author Wolfe, Frederick en_US
dc.contributor.author Clauw, Daniel J. en_US
dc.contributor.author Fitzcharles, Mary-Ann en_US
dc.contributor.author Goldenberg, Don L. en_US
dc.contributor.author Katz, Robert S. en_US
dc.contributor.author Mease, Philip en_US
dc.contributor.author Russell, Anthony S. en_US
dc.contributor.author Russell, I. Jon en_US
dc.contributor.author Winfield, John B. en_US
dc.contributor.author Yunus, Muhammad B. en_US
dc.date.accessioned 2010-06-02T19:49:27Z
dc.date.available 2011-03-01T16:26:43Z en_US
dc.date.issued 2010-05 en_US
dc.identifier.citation Wolfe, Frederick; Clauw, Daniel J.; Fitzcharles, Mary-Ann; Goldenberg, Don L.; Katz, Robert S.; Mease, Philip; Russell, Anthony S.; Russell, I. Jon; Winfield, John B.; Yunus, Muhammad B. (2010). "The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity." Arthritis Care & Research 62(5): 600-610. <http://hdl.handle.net/2027.42/75772> en_US
dc.identifier.issn 2151-464X en_US
dc.identifier.issn 2151-4658 en_US
dc.identifier.uri http://hdl.handle.net/2027.42/75772
dc.description.abstract Objective To develop simple, practical criteria for clinical diagnosis of fibromyalgia that are suitable for use in primary and specialty care and that do not require a tender point examination, and to provide a severity scale for characteristic fibromyalgia symptoms. Methods We performed a multicenter study of 829 previously diagnosed fibromyalgia patients and controls using physician physical and interview examinations, including a widespread pain index (WPI), a measure of the number of painful body regions. Random forest and recursive partitioning analyses were used to guide the development of a case definition of fibromyalgia, to develop criteria, and to construct a symptom severity (SS) scale. Results Approximately 25% of fibromyalgia patients did not satisfy the American College of Rheumatology (ACR) 1990 classification criteria at the time of the study. The most important diagnostic variables were WPI and categorical scales for cognitive symptoms, unrefreshed sleep, fatigue, and number of somatic symptoms. The categorical scales were summed to create an SS scale. We combined the SS scale and the WPI to recommend a new case definition of fibromyalgia: (WPI ≥7 AND SS ≥5) OR (WPI 3–6 AND SS ≥9). Conclusion This simple clinical case definition of fibromyalgia correctly classifies 88.1% of cases classified by the ACR classification criteria, and does not require a physical or tender point examination. The SS scale enables assessment of fibromyalgia symptom severity in persons with current or previous fibromyalgia, and in those to whom the criteria have not been applied. It will be especially useful in the longitudinal evaluation of patients with marked symptom variability. en_US
dc.format.extent 142687 bytes
dc.format.extent 3118 bytes
dc.format.mimetype application/pdf
dc.format.mimetype text/plain
dc.publisher John Wiley & Sons, Inc. en_US
dc.subject.other Life and Medical Sciences en_US
dc.title The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity en_US
dc.rights.robots IndexNoFollow en_US
dc.subject.hlbsecondlevel Geriatrics en_US
dc.subject.hlbtoplevel Health Sciences en_US
dc.description.peerreviewed Peer Reviewed en_US
dc.contributor.affiliationum University of Michigan Medical School, Ann Arbor en_US
dc.contributor.affiliationother National Data Bank for Rheumatic Diseases and University of Kansas School of Medicine, Wichita ; National Data Bank for Rheumatic Diseases, 1035 North Emporia, Suite 288, Wichita, KS 67214 en_US
dc.contributor.affiliationother Montreal General Hospital and McGill University, Montreal, Quebec, Canada en_US
dc.contributor.affiliationother Newton-Wellesley Hospital, Tufts University School of Medicine, Boston, Massachusetts en_US
dc.contributor.affiliationother Rush University Medical Center, Chicago, Illinois en_US
dc.contributor.affiliationother Seattle Rheumatology Associates and Swedish Medical Center, Seattle, Washington en_US
dc.contributor.affiliationother University of Alberta, Edmonton, Alberta, Canada en_US
dc.contributor.affiliationother University of Texas Health Sciences Center, San Antonio en_US
dc.contributor.affiliationother University of North Carolina, Chapel Hill en_US
dc.contributor.affiliationother The University of Illinois College of Medicine, Peoria en_US
dc.identifier.pmid 20461783 en_US
dc.description.bitstreamurl http://deepblue.lib.umich.edu/bitstream/2027.42/75772/1/20140_ftp.pdf
dc.identifier.doi 10.1002/acr.20140 en_US
dc.identifier.source Arthritis Care & Research en_US
dc.owningcollname Interdisciplinary and Peer-Reviewed
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