{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T04:48:08Z","timestamp":1792903688193,"version":"4.5.0"},"reference-count":44,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T00:00:00Z","timestamp":1552608000000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Recently, some studies suggested that clinical diagnosis of fibromyalgia is inaccurate and does not reflect current definitions. However, this hypothesis has not been tested. We examined whether fibromyalgia was accurately diagnosed in the community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We surveyed 3276 primary care patients to determine current fibromyalgia status by criteria (Crit<jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content>). We also determined whether the patients had a physician's diagnosis of fibromyalgia (<jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content>) and the level of symptom severity as measured by the polysymptomatic distress scale (<jats:styled-content style=\"fixed-case\">PSD<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> and Crit<jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content> was 6.1% (95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 5.3%, 6.9%) and 5.5% (95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 4.8%, 6.3%), respectively. However, only 32.2% with <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> met 2016 criteria (Crit<jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content>), and only 35.4% with Crit<jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content> also had <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content>. The kappa statistic for diagnostic agreement was 0.296 (minimal agreement). The mean <jats:styled-content style=\"fixed-case\">PSD<\/jats:styled-content> score was 12.4 and 18.4 in <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> and Crit<jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content>, respectively. The odds ratio for being a woman compared with being a man was 3.2 for <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> versus 1.9 for Crit<jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content>,<jats:italic> P<\/jats:italic> = 0.023. Of the patients with <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content>, 68.3% received specific fibromyalgia pharmacotherapy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There is little agreement between <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> and Crit<jats:styled-content style=\"fixed-case\">FM<\/jats:styled-content>. Only one\u2010third of <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> satisfy fibromyalgia criteria, and only one\u2010third of patients who meet the criteria have a clinical diagnosis of fibromyalgia. Physician diagnosis is biased and more likely in women. Fibromyalgia treatment is common in <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> (70.7%). Overall, <jats:styled-content style=\"fixed-case\">MDFM<\/jats:styled-content> appears subjective and unrelated to fibromyalgia criteria. There appears to be no common definition of fibromyalgia in the community.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr2.1006","type":"journal-article","created":{"date-parts":[[2019,3,15]],"date-time":"2019-03-15T07:26:30Z","timestamp":1552634790000},"page":"43-51","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["The Problematic Nature of Fibromyalgia Diagnosis in the Community"],"prefix":"10.1002","volume":"1","author":[{"given":"Sachin","family":"Srinivasan","sequence":"first","affiliation":[{"name":"Kansas University School of Medicine  Wichita"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eamon","family":"Maloney","sequence":"additional","affiliation":[{"name":"Kansas University School of Medicine  Wichita"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brynn","family":"Wright","sequence":"additional","affiliation":[{"name":"Kansas University School of Medicine  Wichita"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Kansas University School of Medicine  Kansas City"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. James","family":"Kallail","sequence":"additional","affiliation":[{"name":"Kansas University School of Medicine  Wichita"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes J.","family":"Rasker","sequence":"additional","affiliation":[{"name":"Faculty of Behavioral, Management and Social sciences University of Twente  Drienerlolaan Enschede Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Winfried","family":"H\u00e4user","sequence":"additional","affiliation":[{"name":"Klinikum Saarbr\u00fccken, Saarbr\u00fccken, Germany, and Technische Universit\u00e4t M\u00fcnchen  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2801-6413","authenticated-orcid":false,"given":"Frederick","family":"Wolfe","sequence":"additional","affiliation":[{"name":"National Data Bank for Rheumatic Diseases  Wichita KS"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2005.06.018"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keg129"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2015.22"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20140"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2016.08.012"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-12-356"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2014.48"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-10-102"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138024"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0157235"},{"key":"e_1_2_7_13_1","unstructured":"ReedM HerrmannM.New Insights into Fibromyalgia. 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