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The impact of moving from a widespread to multi-site pain definition on other fibromyalgia symptoms
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Dean, Linda E., Arnold, Lesley, Crofford, Leslie, Bennett, Robert, Goldenberg, Don, Fitzcharles, Mary-Ann, Paiva, Eduardo S., Staud, Roland, Clauw, Dan, Sarzi-Puttini, Piercarlo, Jones, Gareth T., Ayorinde, Abimbola, Fluß, Elisa, Beasley, Marcus and Macfarlane, Gary J. (2017) The impact of moving from a widespread to multi-site pain definition on other fibromyalgia symptoms. Arthritis Care & Research, 69 (12). pp. 1878-1886. doi:10.1002/acr.23214
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Official URL: http://dx.doi.org/10.1002/acr.23214
Abstract
Objectives: The current study investigated whether associations between pain and the additional symptoms associated with fibromyalgia are different in persons with chronic widespread (CWP) compared to multi-site pain (MSP), with or without joint areas.
Patients/Methods: Six studies were utilized: 1958 British birth cohort, EpiFunD, Kid LBP, MUSICIAN, SHAMA and WHEST (females) studies. MSP was defined as the presence of pain in ≥8/≥10 body sites (adults/children) indicated on 4-view body manikins; conducted firstly to include joints (+joints) and secondly without (-joints).
The relationship between pain and fatigue, sleep disturbance, somatic symptoms and mood impairment, were assessed using logistic regression. Results are presented as odds ratios (OR), with 95% confidence intervals (CI).
Results: There were 34,818 participants across the study populations (adults: mean age range 42-56yrs, % male 43-51 (excluding WHEST), CWP prevalence 12-17%). Amongst those reporting MSP, the proportion reporting CWP ranged between 62-76%.
Amongst those reporting the symptoms associated with fibromyalgia, there was an increased likelihood of reporting pain, the magnitude of which were similar regardless of definition used. For example, within WHEST; reporting moderate/severe fatigue (Chalder fatigue scale 4-11) was associated with over a 5-fold increase in likelihood of reporting pain [CWP OR 5.2, 95%CI 3.9-6.9; MSP+joints 6.5, 5.0-8.6; MSP-joints 6.5, 4.7-9.0].
| Item Type: | Journal Article | ||||||||
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| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Medicine > Warwick Medical School |
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| Journal or Publication Title: | Arthritis Care & Research | ||||||||
| Publisher: | Wiley-Blackwell Publishing Ltd. | ||||||||
| ISSN: | 2151-464X | ||||||||
| Official Date: | December 2017 | ||||||||
| Dates: |
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| Volume: | 69 | ||||||||
| Number: | 12 | ||||||||
| Page Range: | pp. 1878-1886 | ||||||||
| DOI: | 10.1002/acr.23214 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Restricted or Subscription Access |
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