Fibromiyalji Tanısı İçin Eski ve Yeni Kriterler:Değerlendirme ve Karşılaştırma

Amaç: Eski ve yeni Fibromiyalji Sendromu (FMS) tanı kriterleri arasındaki farklılıkları değerlendirmekve tanı kriterleri ile Fibromiyalji Etki Anketi (FEA) arasındaki ilişkiyi saptamaktır.Materyal ve Metot: Yaygın ağrı şikayeti olan 132 kadın hasta çalışmaya dahil edildi. Hastalara ACR1990; hassas nokta sayısı, ACR 2010; yaygın ağrı indeksi (YAİ)‐semptom şiddet skalası (SSS), ACR 2010modifiye kriterler; (YAİ‐modifiye skor) ve 2013 ACR alternatif tanı kriterleri; ağrı yerleşim skoru (AYS)‐semptom etki skoru (SES) ile uygulandı. Fonksiyonel durum değerlendirilmesi FEA ile yapıldı. Bulgular: Hastaların ortalama yaşı 47,68±8,31 yıl idi. Ortalama BMI 29,34±4,92 idi. ACR 1990 kriterleregöre hastaların %34,80’i FMS tanısı alırken, ACR 2010 kriterlerine göre %37,90 hasta, ACR 2010‐modkriterlerine göre %42,40 hasta, 2013 ACR alternatif kriterlerine göre %18,20 hasta FMS tanısı almıştı.ACR 1990, ACR 2010 ve ACR 2010‐mod kriterleri arasında farklılık gözlenmezken, ACR 2013 alternatifkriterleri AYS ve SES skoru ile diğerlerinden anlamlı olarak farklıydı (p

Old and New Criteria for the Diagnosis of Fibromyalgia:Comparison and Evaluation

Objectives: To evaluate the differences between the diagnostic criteria of old and new Fibromyalgia Syndrome (FMS) and to determine the relationship between the diagnostic criteria and the Fibromyalgia Impact Questionnaire (FIQ).Materials and Methods: A total of 132 women with generalized pain were included in the study. ACR 1990 to the patients, the number of tender points, ACR 2010; widespread pain index (WPI) ‐ symptom severity scale (SSS), ACR 2010 modified criteria; (WPI‐modified score) and alternative diagnostic criteria for 2013 ACR; pain location score (PLS) was applied with Symptom Impact Questionnaire (SIQR). Functional status evaluation was performed with FIQ.Results: The mean age of the patients was 47.68 ± 8.31 years. The mean BMI was 29.34 ± 4.92. While 34.8% of the patients were diagnosed as FMS according to ACR 1990 criteria, 37.9% according to ACR 2010 criteria, 42.4% according to ACR 2010‐mode criteria and 18.2% according to ACR alternative criteria were diagnosed as FMS. While ACR 1990, ACR 2010 and ACR 2010‐mode criteria did not differ, the ACR 2013 alternative criteria were significantly different from those of the others by WPI and SES score (p

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