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Fibromyalgia.

F Wolfe1

  • 1University of Kansas School of Medicine, Wichita.

Rheumatic Diseases Clinics of North America
|August 1, 1990
PubMed
Summary
This summary is machine-generated.

Fibromyalgia diagnosis can be improved using the 1990 ACR Criteria, clarifying confusion with other conditions. Community-based studies are needed to understand fibromyalgia beyond clinic biases.

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Area of Science:

  • Rheumatology
  • Medical Diagnosis
  • Epidemiology

Background:

  • Confusion exists between fibromyalgia, regional pain conditions, and psychological disorders.
  • Inconsistent terminology and diagnostic criteria exacerbate these diagnostic challenges.
  • Existing research on fibromyalgia predominantly comes from subspecialty clinics, potentially introducing bias.

Purpose of the Study:

  • To address confusion in diagnosing fibromyalgia.
  • To propose standardized diagnostic criteria for fibromyalgia.
  • To highlight the need for community-based research to overcome selection bias.

Main Methods:

  • Utilizing the 1990 American College of Rheumatology (ACR) Criteria for the Classification of Fibromyalgia.
  • Analyzing symptom and physical examination definitions from the ACR report.

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  • Comparing clinic-based patient characteristics with potential community prevalence.

    • Main Results:

    • The 1990 ACR Criteria can significantly clarify diagnostic issues.
    • Fibromyalgia is prevalent in both general medical (over 10%) and rheumatology (15-20%) clinics.
    • While chronicity and work disability are common, most patients can work, potentially with job modifications.

    Conclusions:

    • Standardized diagnostic criteria, like the 1990 ACR Criteria, are crucial for accurate fibromyalgia diagnosis.
    • Clinic-based findings may not represent the broader community due to selection bias.
    • Further research is needed to understand fibromyalgia in the general population, free from clinic-based biases.