The modification of the american college of rheumatology preliminary diagnostic criteria for fibromyalgia should be supplemented and revised.

摘要

The American College of Rheumatology (ACR) 1990 criteria (1990 criteria) had been virtually the sole diagnostic criteria for fibromyalgia (FM) until the ACR preliminary diagnostic criteria for FM (2010 criteria)1 were reported. In 2011, a modification of the ACR preliminary diagnostic criteria for FM (2011 criteria)2 was reported. Because the 2011 criteria are confusing, they should be supplemented and revised.1. The abstract of an article that includes the 2011 criteria has the following diagnostic criteria: FM symptom scale/score > 132. However, the appendix has the following diagnostic criteria: Widespread Pain Index > 7 and Symptom Severity Score > 5 or Widespread Pain Index between 3-6 and Symptom Severity Score > 92. Which is correct? Or, do these different descriptions have a clear purpose?2. In the Materials and Methods2 the widespread pain questionnaire asks patients to indicate whether they have had pain or tenderness. However, the appendix notes the number of areas in which the patient has had pain2. Which is correct?