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Diagnosis of fibromyalgia syndrome-a comparison of Association of the Medical Scientific Societies in Germany, survey, and American College of Rheumatology criteria.
Clin J Pain. 2010 Jul-Aug; 26(6):505-11.CJ

Abstract

OBJECTIVES

The survey and the Association of the Medical Scientific Societies in Germany (AWMF) criteria had been developed to overcome problems associated with tender point criterion of the American College of Rheumatology (ACR) (lacking validation for clinical diagnosis, inconsistent use by rheumatologists, and nonrheumatologists) for the clinical diagnosis of fibromyalgia syndrome (FMS). We compared the concordance between these 3 criteria.

METHODS

Consecutive patients of different clinical settings referred for the evaluation of chronic widespread pain or management of established FMS diagnosis were assessed by medical history, a complete physical examination including tender points, and questionnaires [self-constructed symptoms questionnaire, regional pain scale (RPS), Patient Health Questionnaire (PHQ 9 and 15)]. FMS according to AWMF-criteria was diagnosed by the history of widespread pain (axial and all 4 extremities), the symptoms sleep disturbances, fatigue, and feeling of swelling or stiffness of the hands or feet or face (Numeric rating scale >or=1/10 each symptom) and the exclusion of somatic diseases sufficiently explaining the symptoms. FMS according to survey criteria was diagnosed by regional pain scale score >or=8 and fatigue score >or=6/10 on a visual analogue scale.

RESULTS

Out of 310 patients, 292 could be analysed. AWMF and ACR were concordant in 86.6%, AWMF and survey criteria were concordant in 78.8% and survey and ACR-criteria were concordant in 79.5% of the cases.

DISCUSSION

AWMF, survey, and ACR criteria were moderately concordant. As AWMF and survey criteria do not require tender point examination, these criteria can be used by nonrheumatologists for the clinical diagnosis of FMS.

Authors+Show Affiliations

Department of Internal Medicine I, Klinikum Saarbrücken gGmbH, Saarbrücken, Germany. whaeuser@klinikum-saarbruecken.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

20551725

Citation

Häuser, Winfried, et al. "Diagnosis of Fibromyalgia Syndrome-a Comparison of Association of the Medical Scientific Societies in Germany, Survey, and American College of Rheumatology Criteria." The Clinical Journal of Pain, vol. 26, no. 6, 2010, pp. 505-11.
Häuser W, Hayo S, Biewer W, et al. Diagnosis of fibromyalgia syndrome-a comparison of Association of the Medical Scientific Societies in Germany, survey, and American College of Rheumatology criteria. Clin J Pain. 2010;26(6):505-11.
Häuser, W., Hayo, S., Biewer, W., Gesmann, M., Kühn-Becker, H., Petzke, F., von Wilmoswky, H., & Langhorst, J. (2010). Diagnosis of fibromyalgia syndrome-a comparison of Association of the Medical Scientific Societies in Germany, survey, and American College of Rheumatology criteria. The Clinical Journal of Pain, 26(6), 505-11. https://doi.org/10.1097/AJP.0b013e3181d92a6c
Häuser W, et al. Diagnosis of Fibromyalgia Syndrome-a Comparison of Association of the Medical Scientific Societies in Germany, Survey, and American College of Rheumatology Criteria. Clin J Pain. 2010 Jul-Aug;26(6):505-11. PubMed PMID: 20551725.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosis of fibromyalgia syndrome-a comparison of Association of the Medical Scientific Societies in Germany, survey, and American College of Rheumatology criteria. AU - Häuser,Winfried, AU - Hayo,Sebastian, AU - Biewer,Werner, AU - Gesmann,Mechthild, AU - Kühn-Becker,Hedi, AU - Petzke,Frank, AU - von Wilmoswky,Hubertus, AU - Langhorst,Jost, PY - 2010/6/17/entrez PY - 2010/6/17/pubmed PY - 2010/9/24/medline SP - 505 EP - 11 JF - The Clinical journal of pain JO - Clin J Pain VL - 26 IS - 6 N2 - OBJECTIVES: The survey and the Association of the Medical Scientific Societies in Germany (AWMF) criteria had been developed to overcome problems associated with tender point criterion of the American College of Rheumatology (ACR) (lacking validation for clinical diagnosis, inconsistent use by rheumatologists, and nonrheumatologists) for the clinical diagnosis of fibromyalgia syndrome (FMS). We compared the concordance between these 3 criteria. METHODS: Consecutive patients of different clinical settings referred for the evaluation of chronic widespread pain or management of established FMS diagnosis were assessed by medical history, a complete physical examination including tender points, and questionnaires [self-constructed symptoms questionnaire, regional pain scale (RPS), Patient Health Questionnaire (PHQ 9 and 15)]. FMS according to AWMF-criteria was diagnosed by the history of widespread pain (axial and all 4 extremities), the symptoms sleep disturbances, fatigue, and feeling of swelling or stiffness of the hands or feet or face (Numeric rating scale >or=1/10 each symptom) and the exclusion of somatic diseases sufficiently explaining the symptoms. FMS according to survey criteria was diagnosed by regional pain scale score >or=8 and fatigue score >or=6/10 on a visual analogue scale. RESULTS: Out of 310 patients, 292 could be analysed. AWMF and ACR were concordant in 86.6%, AWMF and survey criteria were concordant in 78.8% and survey and ACR-criteria were concordant in 79.5% of the cases. DISCUSSION: AWMF, survey, and ACR criteria were moderately concordant. As AWMF and survey criteria do not require tender point examination, these criteria can be used by nonrheumatologists for the clinical diagnosis of FMS. SN - 1536-5409 UR - https://www.unboundmedicine.com/medline/citation/20551725/Diagnosis_of_fibromyalgia_syndrome_a_comparison_of_Association_of_the_Medical_Scientific_Societies_in_Germany_survey_and_American_College_of_Rheumatology_criteria_ DB - PRIME DP - Unbound Medicine ER -