American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity
Wolfe, F, Clauw, DJ, Fitzcharles, MA, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 2010; 62:600. Copyright © 2010 American College of Rheumatology.| A patient satisfies diagnostic criteria for fibromyalgia if the following 3 conditions are met: | |||
| 1) Widespread pain index (WPI) ≥7 and symptom severity (SS) scale score ≥5 or WPI 3-6 and SS scale score ≥9. | |||
| 2) Symptoms have been present at a similar level for at least 3 months. | |||
| 3) The patient does not have a disorder that would otherwise explain the pain.
The SS scale score is the sum of the severity of the 3 symptoms (fatigue, waking unrefreshed, cognitive symptoms) plus the extent (severity) of somatic symptoms in general. The final score is between 0 and 12. |
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