The Present and Future Adequacy of Rheumatology Manpower. A Study of Health Care Needs And Physician Supply

Marder, William D.; Meenan, Robert F.; Felson, David T.; Reichlin, Morris; Birnbaum, Neal S.; Croft, Joseph D.; Dore, Robin K.; Kaplan, Herbert; Kaufman, Ronald L.; Stobo, John D.

doi:10.1002/art.1780341002

Cited by 71 publications

(36 citation statements)

References 5 publications

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“…Fibromyalgia is the second most common disorder seen by rheumatologists in the US [10]. Prevalence is between 2% to 5% in the general population [11] and 5% to 20% of patients in medical clinics [12].…”

Section: Prevalencementioning

confidence: 99%

Fibromyalgia: An overview

Thompson

Lettich²,

Takeshita³

2003

Curr Psychiatry Rep

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In this article, the authors review current concepts in fibromyalgia. Findings regarding diagnosis, prevalence, comorbidities, and potential pathophysiologic links are discussed. Although fibromyalgia continues to be a complex disorder, there are specific criteria one must meet. Fibromyalgia questionnaires, along with commonalities of age, gender, menopause status, sleep disturbances, and mood symptoms, may aid in the diagnosis. Additionally, the close relationship between fibromyalgia and other chronic disorders should alert the physician to explore for comorbid illness. The relationship between fibromyalgia and irritable bowel syndrome, migraine headaches, and obesity are addressed. The roles of the hypothalamic-pituitary-axis, potential effects of neurotransmitters, and gender-specific hormones all substantiate this diagnosis and provide clues to causality, as well as venues for future treatment.

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Section: Prevalencementioning

confidence: 99%

Fibromyalgia: An overview

Thompson

Lettich²,

Takeshita³

2003

Curr Psychiatry Rep

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“…The actual number of US rheumatologists practicing in 1990 was 3,200. The ACR conducted a detailed needs assessment study of realistically projected rheumatology manpower numbers based on 19 diagnoses, and estimated that the ideal number of rheumatologists needed for optimal care in 1990 was 3,619 (5).…”

Section: The Way We Werementioning

confidence: 99%

Yesterday, today, and tomorrow

Tindall¹

2006

Arthritis & Rheumatism

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“…This disease frequently leads to a marked impairment of normal physical activity and sexual relationship. Despite being the second commonest syndrome seen often in rheumatology clinics, treatment of FM is frequently unsatisfactory, and many patients have significant problems in their sexual activity with a chronic or remitting course [1].…”

Section: Introductionmentioning

confidence: 99%

Sexual disorder improvement: a target or a way in treatment of fibromyalgia. A case report and brief review

Sadrediny

Molaeephard²,

Mir-Ahmadi³

2009

Mod Rheumatol

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Previous studies had shown the relation between fibromyalgia (FM) and sexual impairment as a symptom of established disease, which causes often serious problems in partners' relationship. We described a middle-aged man with FM who was refractory to conventional treatments after an 8-year history of generalized chronic pain. He underwent multiple treatment modalities, such as tricyclic antidepressants, selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and nonpharmacological therapies, with no dramatic success. Psychiatric assessment revealed a homosexual tendency. He and his wife were informed about the problem. A change in sexual behavior caused a significant resolution of symptoms over a 6-month period, and he no longer receives medication for FM. This is the first case report to demonstrate the efficacy of sexual disorder improvement in the treatment of refractory FM.

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The Present and Future Adequacy of Rheumatology Manpower. A Study of Health Care Needs And Physician Supply

Cited by 71 publications

References 5 publications

Fibromyalgia: An overview

Fibromyalgia: An overview

Yesterday, today, and tomorrow

Sexual disorder improvement: a target or a way in treatment of fibromyalgia. A case report and brief review

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