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See Latest ArticlesReliability of ACR criteria over time to differentiate classic fibromyalgia from nonspecific widespread pain syndrome: a 6-month prospective cohort study
Modern Rheumatology, 09/22/09
Bidari A et al. – This study showed the ACR 1990 criteria was not able to consistently classify affected patients with FM syndrome within a group of patients having nonspecific body pain and multiple tender points over 6 months of follow–up.
Methods- Prospective cohort study
- Patients who were clinically suspected of having FM and had a normal screening laboratory evaluation were scheduled for dolorimetry
- Those found to have 6 or more tender points were considered eligible and labeled as either classic or atypical FM if they did or did not, respectively, fulfil ACR criteria
- The 2 groups were assessed using the Fibromyalgia Impact Questionnaire (FIQ) and compared using baseline characteristics
- The dolorimetric exam and FIQ 6 months later
- Of 91 patients who participated in this study, 70 completed the follow–up. Of them, 34 (49%) patients were identified as atypical, and 36 (51%) were labeled as classic FM
- At first visit, the classic FM group had higher scores on sleep quality, stiffness, anxiety, depression, and total FIQ score (p < 0.05) but not for other variables
- At 6 months, there was no significant difference between the 2 groups in all measured variables
- Labeling shift from classic to atypical FM and vice versa occurred at a rate of 36.1 and 32.4%, respectively
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