Fibromyalgia diagnostic criteria: Difference between revisions
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The most widely accepted set of diagnostic criteria for fibromyalgia was developed in 2010 by the Multicenter Criteria Committee of the American College of Rheumatology.<ref name="pmid26035624">{{cite journal |vauthors=Wang SM, Han C, Lee SJ, Patkar AA, Masand PS, Pae CU |title=Fibromyalgia diagnosis: a review of the past, present and future |journal=Expert Rev Neurother |volume=15 |issue=6 |pages=667–79 |year=2015 |pmid=26035624 |doi=10.1586/14737175.2015.1046841 |url=}}</ref><ref name="pmid21285161">{{cite journal |vauthors=Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB |title=Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia |journal=J. Rheumatol. |volume=38 |issue=6 |pages=1113–22 |year=2011 |pmid=21285161 |doi=10.3899/jrheum.100594 |url=}}</ref><ref name="pmid22094193">{{cite journal |vauthors=Atzeni F, Cazzola M, Benucci M, Di Franco M, Salaffi F, Sarzi-Puttini P |title=Chronic widespread pain in the spectrum of rheumatological diseases |journal=Best Pract Res Clin Rheumatol |volume=25 |issue=2 |pages=165–71 |year=2011 |pmid=22094193 |doi=10.1016/j.berh.2010.01.011 |url=}}</ref><ref name="pmid20461783">{{cite journal |vauthors=Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB, Yunus MB |title=The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity |journal=Arthritis Care Res (Hoboken) |volume=62 |issue=5 |pages=600–10 |year=2010 |pmid=20461783 |doi=10.1002/acr.20140 |url=}}</ref> | The most widely accepted set of diagnostic criteria for fibromyalgia was developed in 2010 by the Multicenter Criteria Committee of the American College of Rheumatology.<ref name="pmid26035624">{{cite journal |vauthors=Wang SM, Han C, Lee SJ, Patkar AA, Masand PS, Pae CU |title=Fibromyalgia diagnosis: a review of the past, present and future |journal=Expert Rev Neurother |volume=15 |issue=6 |pages=667–79 |year=2015 |pmid=26035624 |doi=10.1586/14737175.2015.1046841 |url=}}</ref><ref name="pmid21285161">{{cite journal |vauthors=Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB |title=Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia |journal=J. Rheumatol. |volume=38 |issue=6 |pages=1113–22 |year=2011 |pmid=21285161 |doi=10.3899/jrheum.100594 |url=}}</ref><ref name="pmid22094193">{{cite journal |vauthors=Atzeni F, Cazzola M, Benucci M, Di Franco M, Salaffi F, Sarzi-Puttini P |title=Chronic widespread pain in the spectrum of rheumatological diseases |journal=Best Pract Res Clin Rheumatol |volume=25 |issue=2 |pages=165–71 |year=2011 |pmid=22094193 |doi=10.1016/j.berh.2010.01.011 |url=}}</ref><ref name="pmid20461783">{{cite journal |vauthors=Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB, Yunus MB |title=The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity |journal=Arthritis Care Res (Hoboken) |volume=62 |issue=5 |pages=600–10 |year=2010 |pmid=20461783 |doi=10.1002/acr.20140 |url=}}</ref> | ||
===Criteria=== | ===Criteria=== | ||
A patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met: | A patient satisfies American College of Rheumatology) ACR 2016 diagnostic criteria for fibromyalgia if the following 3 conditions are met<ref name="pmid27916278">{{cite journal| author=Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RL et al.| title=2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. | journal=Semin Arthritis Rheum | year= 2016 | volume= 46 | issue= 3 | pages= 319-329 | pmid=27916278 | doi=10.1016/j.semarthrit.2016.08.012 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27916278 }} </ref>: | ||
*Widespread pain index (WPI) > 7 and symptom severity (SS) scale score >5 or WPI 3–6 and SS scale score >9 | *Widespread pain index (WPI) > 7 and symptom severity (SS) scale score >5 or WPI 3–6 and SS scale score >9 | ||
*Symptoms have been present at a similar level for at least 3 months | *Symptoms have been present at a similar level for at least 3 months | ||
*The patient does not have a disorder that would otherwise explain the pain | *The patient does not have a disorder that would otherwise explain the pain | ||
===Ascertainment=== | ===Ascertainment=== | ||
1. WPI: Note the number of areas in which the patient has had pain over the last week. In how many areas has the patient had pain? | 1. WPI: Note the number of areas in which the patient has had pain over the last week. In how many areas has the patient had pain? | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
The most widely accepted set of diagnostic criteria for fibromyalgia was developed in 2010 by the Multicenter Criteria Committee of the American College of Rheumatology. A patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met:[1][2][3][4]
- Widespread pain index (WPI) > 7 and symptom severity (SS) scale score >5 or WPI 3–6 and SS scale score >9
- Symptoms have been present at a similar level for at least 3 months
- The patient does not have a disorder that would otherwise explain the pain
Diagnostic Criteria
The most widely accepted set of diagnostic criteria for fibromyalgia was developed in 2010 by the Multicenter Criteria Committee of the American College of Rheumatology.[1][2][3][4]
Criteria
A patient satisfies American College of Rheumatology) ACR 2016 diagnostic criteria for fibromyalgia if the following 3 conditions are met[5]:
- Widespread pain index (WPI) > 7 and symptom severity (SS) scale score >5 or WPI 3–6 and SS scale score >9
- Symptoms have been present at a similar level for at least 3 months
- The patient does not have a disorder that would otherwise explain the pain
Ascertainment
1. WPI: Note the number of areas in which the patient has had pain over the last week. In how many areas has the patient had pain?
- Score will be between 0 and 19.
- Areas for pain are: shoulder girdle, left hip (buttock and trochanter), left jaw, left upper back, shoulder girdle, right hip (buttock and trochanter), right jaw, right lower back, upper arm, left upper leg, left chest, neck, upper arm, right upper leg, right abdomen, right lower arm, left lower leg, left lower arm, and right lower leg
2. SS scale score: For the each of the 3 symptoms below, indicate the level of severity over the past week using the following scale:
- 0 = no problem
- 1 = slight or mild problems, generally mild or intermittent
- 2 = moderate, considerable problems, often present and/or at a moderate level
- 3 = severe: pervasive, continuous, life-disturbing problems
Symptoms:
- Fatigue
- Waking unrefreshed
- Cognitive symptoms
Considering somatic symptoms in general, indicate whether the patient has:
- 0 = no symptoms
- 1 = few symptoms
- 2 = moderate number of symptoms
- 3 = severe symptoms
The SS scale score is the sum of the severity of the 3 symptoms (fatigue, waking unrefreshed, cognitive symptoms) plus the extent (severity) of somatic symptoms in general. The final score is between 0 and 12.
References
- ↑ 1.0 1.1 Wang SM, Han C, Lee SJ, Patkar AA, Masand PS, Pae CU (2015). "Fibromyalgia diagnosis: a review of the past, present and future". Expert Rev Neurother. 15 (6): 667–79. doi:10.1586/14737175.2015.1046841. PMID 26035624.
- ↑ 2.0 2.1 Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB (2011). "Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia". J. Rheumatol. 38 (6): 1113–22. doi:10.3899/jrheum.100594. PMID 21285161.
- ↑ 3.0 3.1 Atzeni F, Cazzola M, Benucci M, Di Franco M, Salaffi F, Sarzi-Puttini P (2011). "Chronic widespread pain in the spectrum of rheumatological diseases". Best Pract Res Clin Rheumatol. 25 (2): 165–71. doi:10.1016/j.berh.2010.01.011. PMID 22094193.
- ↑ 4.0 4.1 Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P, Russell AS, Russell IJ, Winfield JB, Yunus MB (2010). "The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity". Arthritis Care Res (Hoboken). 62 (5): 600–10. doi:10.1002/acr.20140. PMID 20461783.
- ↑ Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RL; et al. (2016). "2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria". Semin Arthritis Rheum. 46 (3): 319–329. doi:10.1016/j.semarthrit.2016.08.012. PMID 27916278.