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The american collegeof rheumatology 1990criteria for theclassification offibromyalgia Frederick WolfeH A SmytheMuhammad B. Yunus1990 год

The american college of rheumatology 1990 criteria for the classification of fibromyalgia
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Аннотация: Abstract To develop criteria for the classification of fibromyalgia, we studied 558 consecutive patients: 293 patients with fibromyalgia and 265 control patients. Interviews and examinations were performed by trained, blinded assessors. Control patients for the group with primary fibromyalgia were matched for age and sex, and limited to patients with disorders that could be confused with primary fibromyalgia. Control patients for the group with secondary‐concomitant fibromyalgia were matched for age, sex, and concomitant rheumatic disorders. Widespread pain (axial plus upper and lower segment plus left‐ and right‐sided pain) was found in 97.6% of all patients with fibromyalgia and in 69.1% of all control patients. The combination of widespread pain and mild or greater tenderness in ⩾ 11 of 18 tender point sites yielded a sensitivity of 88.4% and a specificity of 81.1%. Primary fibromyalgia patients and secondary‐concomitant fibromyalgia patients did not differ statistically in any major study variable, and the criteria performed equally well in patients with and those without concomitant rheumatic conditions. The newly proposed criteria for the classification of fibromyalgia are 1) widespread pain in combination with 2) tenderness at 11 or more of the 18 specific tender point sites. No exclusions are made for the presence of concomitant radiographic or laboratory abnormalities. At the diagnostic or classification level, the distinction between primary fibromyalgia and secondary‐concomitant fibromyalgia (as defined in the text) is abandoned.
Год издания: 1990
Авторы: Frederick Wolfe, H A Smythe, Muhammad B. Yunus, Robert M. Bennett, Claire Bombardier, Don L. Goldenberg, Peter Tugwell, Stephen Campbell, Micha Abeles, Patricia Clark, Adel G. Fam, Stephen J. Farber, Justus J. Fiechtner, Cindy Franklin, Robert Gatter, Daniel Hamaty, James Lessard, Alan S. Lichtbroun, Alfonse T. Masi, Glenn A. McCain, W. J. Reynolds, Thomas J. Romano, I. Jon Russell, Robert P. Sheon
Издательство: Wiley
Источник: Arthritis & Rheumatism
Ключевые слова: Fibromyalgia and Chronic Fatigue Syndrome Research, Musculoskeletal pain and rehabilitation
Другие ссылки: Arthritis & Rheumatism (HTML)
PubMed (HTML)