{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T19:47:26Z","timestamp":1790624846484,"version":"4.1.0"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,10,23]],"date-time":"2017-10-23T00:00:00Z","timestamp":1508716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Harry W. and Genevieve M. Pierong School of Nursing Memorial fund"},{"name":"Fibromyalgia Information Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Evaluation Clinical Practice"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Rationale, aims, and objectives<\/jats:title><jats:p>Primary care providers are increasingly expected to recognize and treat fibromyalgia (FM) without significant interaction with rheumatologists<jats:bold>.<\/jats:bold> The purpose of this study was to evaluate the potential usefulness of 3 simple measures (tenderness to digital pressure, BP cuff\u2010evoked pain, and a single patient question) as a screening test for possible FM in a patient with chronic pain.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 352 patients (mean age 50\u00a0\u00b1\u00a016.3\u00a0years, 70% female) scheduled for routine examination in 2 primary care practices were studied. They were comprised of 52 patients (14.8%) who carried a chart diagnosis of FM, 108 (30.7%) with chronic pain but not FM, and 192 who had neither pain nor FM (54.5%). Subjects were assessed for tenderness to digital pressure at 10 locations, BP cuff\u2010evoked pain, and a single question, <jats:italic>\u201cI have a persistent deep aching over most of my body\u201d (0\u201310).<\/jats:italic><\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>FM patients endorsed the single deep ache question substantially more than those with chronic pain but without FM (7.4\u00a0\u00b1\u00a02.9 vs 3.2\u00a0\u00b1\u00a03.4; <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001) and exhibited greater bilateral digital evoked tenderness (6.1\u00a0\u00b1\u00a03.1 vs 2.4\u00a0\u00b1\u00a02.4, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001), and BP\u2010evoked pressure pain (132.6\u00a0mmHg \u00b145.5 vs 169.2\u00a0mmHg \u00b148.0, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001). However, on multivariate logistic regressions, the BP cuff\u2010evoked pain became non\u2010significant. On further analyses, a useful screening test was provided by: (1) pain on pinching the Achilles tendon at 4\u00a0kg\/pressure over 4\u00a0seconds, and (2) and positive endorsement of the question <jats:italic>\u201cI have a persistent deep aching over most of my body\u201d<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These results suggest that 2 tests, taking less than 1\u00a0minute, can indicate a probable diagnosis of FM in a chronic pain patient. In the case of a positive screen, a follow\u2010up examination is required for confirmation or refutation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jep.12836","type":"journal-article","created":{"date-parts":[[2017,10,24]],"date-time":"2017-10-24T04:46:36Z","timestamp":1508820396000},"page":"173-179","source":"Crossref","is-referenced-by-count":11,"title":["A simple screening test to recognize fibromyalgia in primary care patients with chronic pain"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6384-8613","authenticated-orcid":false,"given":"Kim D.","family":"Jones","sequence":"first","affiliation":[{"name":"School of Nursing Oregon Health and Science University  Portland USA"},{"name":"School of Medicine (Anesthesiology and Perioperative Medicine) Oregon Health and Science University  Portland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan H.","family":"Aebischer","sequence":"additional","affiliation":[{"name":"School of Medicine (Family Medicine) Oregon Health and Science University  Portland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda W.","family":"St. John","sequence":"additional","affiliation":[{"name":"School of Medicine (Anesthesiology and Perioperative Medicine) Oregon Health and Science University  Portland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Friend","sequence":"additional","affiliation":[{"name":"School of Nursing Oregon Health and Science University  Portland USA"},{"name":"Department of Psychology, College of Arts and Sciences Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M.","family":"Bennett","sequence":"additional","affiliation":[{"name":"School of Nursing Oregon Health and Science University  Portland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,10,23]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11916-013-0356-5"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_2_12_4_1","unstructured":"Glennon. 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