Prevalence of Fibromyalgia: A Population‐Based Study in Olmsted County, Minnesota, Utilizing the Rochester Epidemiology Project

Vincent, Ann; Lahr, Brian D.; Wolfe, Frederick; Clauw, Daniel J.; Whipple, Mary O.; Oh, Terry H.; Barton, Debra L.; Sauver, Jennifer L. St.

doi:10.1002/acr.21896

Cited by 318 publications

(232 citation statements)

References 13 publications

(19 reference statements)

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“…The present study did not examine the association between deployment and FMS diagnosis. Other characteristics that we found to be related to FMS diagnoses were consistent with prior studies, including older age and female sex [1,3,5,14]. The FMS-female sex association is worth noting because women continue to be one of the fastest growing subsets of VHA users [30].…”

Section: Discussionsupporting

confidence: 77%

“…The prevalence of FMS in our study of OIF/OEF/OND Veterans was within the range reported in studies of civilian [1] and military populations [3]. Researchers have reported that among Gulf war Veterans, deployment (versus nondeployment) may be associated with a doubling of the risk of FMS (odds ratio 2.32 [95% CI: 1.02-5.27]) [29].…”

Section: Discussionsupporting

confidence: 56%

“…Of these, we identified 15,420 male and 4,179 female Veterans who had ≥1 outpatient diagnosis of FMS by the International Classification of Diseases9th Revision-Clinical Modification (ICD-9-CM) code 729.1: myalgia and myositis, unspecified. Researchers have cautioned that a single ICD-9-CM FMS diagnosis or diagnoses in nonrheumatology settings may have limited specificity to identify true FMS cases [1,[14][15]. To improve the specificity of our FMS case definition and to be consistent with prior research of VHA administrative data [16], we only included Veterans who received ≥1 FMS diagnosis in a rheumatology specialty care setting (identified by corresponding clinic stop code of 314) or ≥2 FMS diagnoses on separate dates within 12 mo, regardless of outpatient care setting.…”

Section: Participantsmentioning

confidence: 99%

“…The prevalence of fibromyalgia syndrome (FMS), a condition characterized primarily by widespread chronic musculoskeletal pain, has been estimated to range from 1.0 to 6.0 percent in the U.S. civilian population [1][2]. Among U.S. Department of Defense (DOD) healthcare beneficiaries aged <65 yr, a prevalence of 0.7 percent has been reported [3].…”

Section: Introductionmentioning

confidence: 99%

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Fibromyalgia syndrome care of Iraq- and Afghanistan-deployed Veterans in Veterans Health Administration

et al. 2016

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Abstract-Little is known regarding fibromyalgia syndrome (FMS) care among Operation Iraqi Freedom/Operation Enduring Freedom/Operation New Dawn (OIF/OEF/OND) Veterans. Current recommendations include interdisciplinary, teambased combined care approaches and limited opioid use. In this study of OIF/OEF/OND Veterans who accessed Veterans Health Administration services between 2002 and 2012, we hypothesized that combined care (defined as at least 4 primary care visits/yr with visits to mental health and/or rheumatology) versus <4 primary care visits/yr only would be associated with lower risk of at least 2 opioid prescriptions 12 mo following an FMS diagnosis. Using generalized linear models with a loglink, the Poisson family, and robust standard errors, we estimated risk ratios (RRs) and 95% confidence intervals (CIs). We found that 1% of Veterans had at least 2 FMS diagnoses (International Classification of Diseases-9th Revision-Clinical Modification code 729.1) or at least 1 FMS diagnosis by rheumatology. Veterans with (vs without) FMS were more likely to be female, older, Hispanic, and never/currently married. Combined primary, mental health, and rheumatology care was associated with at least 2 opioid prescriptions (RR [95% CI] for males 2.2 [1.1-4.4] and females 2. 8 [0.4-18.6]). Also, combined care was associated with at least 2 nonopioid painrelated prescriptions, a practice supported by evidence-based clinical practice guidelines. In tandem, these results provide mixed evidence of benefit of combined care for FMS. Future studies of healthcare encounter characteristics, care coordination, and benefits for Veterans with FMS are needed.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionsupporting

confidence: 56%

Section: Participantsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Fibromyalgia syndrome care of Iraq- and Afghanistan-deployed Veterans in Veterans Health Administration

et al. 2016

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“…Therefore, the degree of recognition of FM as a disease might be higher in 2011 than it was in 2003. An FM study conducted in the US in 2010 suggested that the estimated incidence of FM may be higher when data are obtained from FM surveys using the modification of the ACR 2010 criteria than when data are obtained using the former clinical FM criteria applied in clinical settings (18).…”

Section: Discussionmentioning

confidence: 99%

An Epidemiologic Internet Survey of Fibromyalgia and Chronic Pain in Japan

Nakamura

Nishioka

Usui

et al. 2014

Arthritis Care & Research

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Objective. To determine the epidemiologic features and symptom characteristics of fibromyalgia (FM) in Japan, and compare them with those for other chronic pain (CP) diagnoses.Methods. An internet survey was conducted in June and July 2011. The questionnaire consisted of 111 questions, including assessments of the Japanese version of the 2010 American College of Rheumatology preliminary diagnostic criteria for FM, the Japanese Fibromyalgia Impact Questionnaire, and additional questions regarding pain and lifestyle. Results. The questionnaire was completed by 20,407 male and female respondents in all prefectures of Japan. Of the survey population, 2,524 respondents (12.4%) reported symptoms consistent with CP; of these, 425 (2.1%) reported symptoms consistent with FM. Among respondents with FM and CP, 61% and 53%, respectively, were women. Pain severity and Widespread Pain Index scores were significantly higher in respondents meeting the diagnostic criteria for FM than in those meeting the criteria for CP. In terms of symptom severity scores, the proportions of respondents reporting the 3 major symptoms as "highly applicable" and greater numbers of 41 somatic symptoms were higher among respondents with FM than among those with CP. The incidence of FM in the present survey was similar to that reported (1.7%) in a study of FM in Japan in 2003, despite the use of the newer, easier to use 2010 diagnostic criteria. Conclusion. Because FM usually presents with more severe and more widely distributed pain, as well as more nonpainful symptoms than CP, our results suggest that FM is a different clinical phenotype of CP.

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