Antivalle, M

Atzeni, F

Batticciotto, A

Ditto, M

Gerardi, Mc

Mutti, A

Sarzi-Puttini, P

Talotta, R

English

Gerardi, MC

Archivio istituzionale della ricerca - Università di Padova

Date: Sunday, November 5, 2017Session Title: Fibromyalgia, Soft TissueDisorders, Regional and Speci c ClinicalPain Syndromes Poster ISession Type: ACR Poster Session ASession Time: 9:00AM-11:00AMABSTRACT NUMBER: 152Patients Failing to Ful ll 2016 Criteria for FibromyalgiaRepresent a Truly Di erent Population SubsetMarco Antivalle , Maria Chiara Ditto , Alberto Batticciotto , Rossella Talotta , Maria ChiaraGerardi , Alessandra Mutti , Fabiola Atzeni  and Piercarlo Sarzi-Puttini , Rheumatology,Rheumatology Unit, ASST Fatebenefratelli - Sacco, L. Sacco University Hospital, Milano, Italy,Rheumatology Unit, ASST Fatebenefratelli - Sacco, L. Sacco University Hospital, Milan, Italy,Rheumatology Unit, ASST Fatebenefratelli - Sacco, L. Sacco University Hospital, Milano, ItalyMeeting: 2017 ACR/ARHP Annual MeetingDate of  rst publication: September 18, 2017Keywords: Diagnostic criteria and  bromyalgiaSESSION INFORMATIONBackground/Purpose: The 2010/2011  bromyalgia (FMS) diagnostic criteria (1) were recentlyrevised, with the addition of a generalized pain criterion in order to avoid misclassi cation of regionalpain syndromes; furthermore, the diagnosis of  bromyalgia is now valid irrespective of otherdiagnoses. Aim of the present study was to evaluate whether patients classi ed as having (2016+) ornot having (2016-) FMS by 2016 revised criteria truly represent di erent populations.Methods: 334 patients (306 F and 28 M) with a diagnosis of FMS according to 2011 criteria wereincluded in the study;  mean age was 46.82 yrs (range 16 – 75), and  mean disease duration 6.25 yrs(range 3 months -34 yrs). Widespread Pain Index (WPI) and Symptom Severity Scale (SSS) wereassessed by a localized version of the Fibromyalgia Survey Questionnaire; furthermore, patients wereasked to report the presence or absence -in the last 7 days- of each of the 41 somatic symptomssuggested by the original 2010 classi cation paper (2). An evaluation of overall pain level in the last 7days (0-10 numeric rating scale, NRS), and of fatigue by the FACIT-Fatigue questionnaire wereavailable in 101 and 137 patients respectively. Statistical analysis was performed by IBM SPSS v 22.Di erences of mean values and of proportions were evaluated by parametric or non-parametricmethods as appropriate.Results: the diagnosis of FMS was con rmed by 2016 criteria in   290 (86.8%) patients, and notcon rmed in   44 (13.2%) patients. Mean age (47.62 ± 10.6 yrs vs 46.69 ± 11.7 yrs, p=0.625), meandisease duration (6.27 ± 6.37 vs 6.25 ± 6.10 yrs, p=0.982), the percentage of females (93.2% vs 91.4%,p=0.688), and the association  with other clinically relevant diseases (27.3% vs 18.6%, p=0.179) werenot di erent in the 2016- group as compared to 2016+ group. 2016- patients had signi cantly lowervalues of polysymptomatic distress scale (PSD: 16.59 ± 2.4   vs 21.86 ± 4.5 p < 0.001), and of pain-related variables (WPI: 7.57 ± 2.1   vs 12.66 ± 3.4, p< 0.001; TP: 10.54±5.4 vs   13.28 ± 4.3,   p=0.001;NRS:   5.64 ± 2.9 vs 7.46 ± 1.9   p=0.022). SSS was similar in the 2 groups (9.03 ± 1.9 vs 9.20 ± 1.9p=0.599), but the number of somatic symptoms reported was signi cantly lower in 2016- patients(14.44 ± 5.0 vs 17.49 ± 6.6 p=0.005, Fig. 1), which reported higher levels of fatigue (FACIT-Fatigue 28.3± 10.8 vs 21.17 ± 10.0, p=0.010).1,2 3 3 33 3 3 3 123PDFCROWD.COMConclusion: The rate of disagreement between 2011 and 2016 criteria (13.2%) in our study is veryclose to the results (13.8%) reported in the only comparison study published to date (3). Patientsfailing to meet 2016 criteria seem to represent a truly di erent population, characterized by lowerpolysymptomatic distress, lower overall pain, and fewer somatic symptoms.References:1.                  Wolfe F,  et al. Semin Arthritis Rheum. 2016 Dec;46(3):319-3292.                  Wolfe F,  et al. Arthritis Care Res (Hoboken). 2010 May;62(5):600-103.                  Ablin JN, Wolfe F. J Rheumatol. 2017 Jun 1. [Epub ahead of print]Disclosure: M. Antivalle, None; M. C. Ditto, None; A. Batticciotto, None; R. Talotta, None; M. C.Gerardi, None; A. Mutti, None; F. Atzeni, None; P. Sarzi-Puttini, None.To cite this abstract in AMA style:Antivalle M, Ditto MC, Batticciotto A, Talotta R, Gerardi MC, Mutti A, Atzeni F, Sarzi-Puttini P.Patients Failing to Ful ll 2016 Criteria for Fibromyalgia Represent a Truly Di erent PopulationSubset [abstract]. Arthritis Rheumatol. 2017; 69 (suppl 10).https://acrabstracts.org/abstract/patients-failing-to-ful ll-2016-criteria-for- bromyalgia-represent-a-truly-di erent-population-subset/. Accessed July 2, 2020.ACR Meeting Abstracts - https://acrabstracts.org/abstract/patients-failing-to-ful ll-2016-criteria-for- bromyalgia-represent-a-truly-di erent-population-subset/PDFCROWD.COMThis site uses cookies: Find out more.Okay, thanksPDFCROWD.COM

Patients Failing to Fulfill 2016 Criteria for Fibromyalgia Represent a Truly Different Population Subset

https://www.research.unipd.it/bitstream/11577/3344159/1/pat%20fai.pdf

Patients Failing to Fulfill 2016 Criteria for Fibromyalgia Represent a Truly Different Population Subset

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