Rosalind Gittins|Molly Howard|Ameer Ghodke|Timothy J. Ives|Paul R. Chelminski
The Accuracy of a Fibromyalgia Diagnosis in General Practice
Auburn University|Central Alabama Veterans Health Care System|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill
compare characteristics people fibromyalgia fm forms nonmalignant chronic paina prospective cohort study conducted chronic pain management clinic within academic medical centermany symptoms chronic pain syndrome fm common pain musculoskeletal syndromes fm may misdiagnosed cliniciansthirtythree patients working diagnosis fm identified 26 788 participated study matched age mean 530 years gender 808 female control group forms chronic nonmalignant painstandardized physical examinations fm undertaken using 1990 revised 2010 american college rheumatology acr guidelines groups compared using diagnoses psychiatric disorders responses pain disability index personal health questionnaire revised fibromyalgia impact questionnaire rapid estimate adult literacy medicinethe common psychiatric disorders depression 444 anxiety 273 incidence least one psychiatric condition 808 difference p 0002 two populations mean number tender points 56 42 vs controls 32 22 three 115 participants prior diagnosis fm fulfilled 1990 acr diagnostic criteria increasing 385 2010 criteria applied however 461 controls also met revised diagnostic criteriafm commonly misdiagnosed patients working diagnosis reassessed reviewed ensure appropriate treatment provided