2016 Revisions to the 2010/2011 Fibromyalgia Diagnostic Criteria
| Criteria: 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 Widespread pain index (WPI) 4-6 and symptom severity (SS) scale score ≥9. 2) Generalized pain: Pain must be present in at least 4 of 5 regions. Jaw, chest, and abdominal pain are not included in generalized pain definition. 3) Symptoms have been generally for at least 3 months. 4) A diagnosis of fibromyalgia is valid irrespective of other diagnoses. A diagnosis of fibromyalgia does not exclude the presence of other clinically important illnesses. Ascertainment: 1) WPI Note the number of areas in which the patient has had pain over the last week. In how many areas has the patient had pain? (Score will be between 0 and 19) | |||
| Region 1: Left Upper Region -Jaw, left * -Shoulder girdle, left -Upper arm, left -Lower arm, left | Region 2: Right Upper Region -Jaw, right * -Shoulder girdle, right -Upper arm, right -Lower arm, right | Region 5: Axial Region -Neck -Upper back -Lower back -Chest * -Abdomen * | |
| Region 3: Left Lower Region -Hip (buttock, trochanter), left -Upper leg, left -Lower leg, left | Region 4: Right Lower Region -Hip (buttock, trochanter), right -Upper leg, right -Lower leg, right | ||
| * Not included in generalized pain definition | |||
| 2) SS scale score The SS scale score is the sum of the severity of the 3 symptoms (fatigue, waking unrefreshed, cognitive symptoms) plus the sum of the number of 3 symptoms (headaches, pain or cramps in lower abdomen, depression) (The final score is between 0 and 12) - For the each of the 3 symptoms below, indicate the level of severity over the past week using the following scale: 0 = no problem 1 = slight or mild problems, generally mild or intermittent 2 = moderate, considerable problems, often present and/or at a moderate level 3 = severe: pervasive, continuous, life-disturbing problems Fatigue (0-3) Waking unrefreshed (0-3) Cognitive symptoms (0-3) - During the previous 6 months indicate the number of the following symptoms the patient has been bothered by: - Headaches (0-1) - Pain or cramps in lower abdomen (0-1) - Depression (0-1) The fibromyalgia severity (FS) scale is the sum of the WPI and the SS scale | |||
From: Fibromyalgia
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