Is fibromyalgia the most common diagnosis amongst female out-patients?
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20175147Keywords:
Fibromyalgia, Poly arthralgia, Tender points, DolorimeterAbstract
Background: The objectives of this study were to determine the prevalence of fibromyalgia syndrome (FMS) among women coming to outpatient department.
Methods: A total of 68,625 female patients were evaluated out of which 47,901 were in the inclusion criteria. The screening protocol included interview items that have been defined as components of FMS using the 1990 American College of Rheumatology (ACR) classification criteria. Data was entered in mx excel sheet and results were analyzed. The socio-demographic data was expressed in proportions.
Results: Out of 47,901 female patients, about 40.7% of the patients were diagnosed to have fibromyalgia syndrome (FMS). Out of which the major group of patients belong to married, unskilled women aged between 40-60 years of age.
Conclusions: Fibromyalgia syndrome is the commonest diagnosis among the female patients coming to orthopedic outpatient department.
References
Bigatti SM, Hernandez AM, Cronan TA, Rand KL. Sleep disturbances in fibromyalgia syndrome: relationship to pain and depression. Arthritis Care Res. 2008;59(7):961–7.
Clauw DJ. Fibromyalgia: an overview. American J Med. 2009;122(12):3–13.
Giesecke T, Williams DA, Harris RE, Cupps TR, Tian X, Tian TX, et al. Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis Rheumatism. 2003;48(10):2916–22.
Mease P. Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment. J Rheumatol. 2005;75(6):21.
Woolf AD. The bone and joint decade 2000-2010. Ann Rheum Dis. 2000;59(2):81-2.
Katz RS, Wolfe F, Michaud K. Fibromyalgia diagnosis: a comparison of clinical, survey, and American College of Rheumatology criteria. Arthritis Rheum. 2006;54(1):169-76.
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, et al. Report of the Multicenter Criteria Committee The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum. 1990;33(2):160-72.
Gowers WR. A lecture on lumbago: its lessons and analogues: delivered at the national hospital for the paralysed and epileptic. Br Med J. 1904;1:117–21.
Bengtsson A, Henriksson K. Fibromyalgins orsaker ba°de perifera och centrala (The cause of fibromyalgia both peripheral and central). La¨kartidningen. 1996;193:161–5.
Yunus M. Towards a model of pathophysiology of fibromyalgia: aberrant central pain mechanisms with peripheral modulation. J Rheumatol. 1992;19:846–50.
Pillemer S, Bradley L, Crofford L, Moldofsky H, Chrousos G. The neuroscience and endocrinology of fibromyalgia. Arthritis Rheum. 1997;40:1928–39.
Goldenberg D. Psychological symptoms and psychiatric diagnoses in patients with fibromyalgia. J Rheumatol. 1989;16:127–30.
Kellner R. Psychosomatic syndromes, somatization and somatoform disorder. Psychother Psychosom 1994;61:4–24.
Schochat T, Croft P, Raspe H. The epidemiology of fibromyalgia. Br J Rheumatol. 1994;33:783–6.
Croft P, Burt J, Schollum J, Thomas E, Macfarlane G, Silman A. More pain more tender points: Is fibromyalgia just the end of a continuous spectrum? Ann Rheum Dis. 1996;55:482–5.
Wolfe F. The relation between tender points and fibromyalgia symptom variables: Evidence that fibromyalgia is not a discrete disorder in the clinic. Ann Rheum Dis. 1997;56:268–71.
