Original Article2010 American College of Rheumatology Adult Fibromyalgia Criteria for Use in an Adolescent Female Population with Juvenile Fibromyalgia
Section snippets
Methods
A convenience sample of pediatric patients, ages 11-17 years with a known diagnosis of active primary JFM as determined by a pediatric rheumatologist, were recruited from a tertiary care rheumatology clinic. The 1985 Yunus and Masi criteria, the most widely used criteria in pediatric clinical practice and research studies, were used to diagnose JFM. Given that symptoms of FM can wax and wane, adolescents with a known diagnosis of JFM who did not have active symptoms (ie, did not meet criteria
Results
A total of 105 eligible patients were approached, and 97 (92.4%) agreed to participate. Eight patients who were approached declined to participate primarily because of heightened pain at time of contact and/or time constraints in the day. One patient with JFM had missing data, and another patient with JFM was discovered during data examination to have not met criteria for active JFM and, therefore, both were excluded from final analysis. The final sample (N = 95) consisted of 47 patients with
Discussion
In this preliminary validation study, the 2010 ACR FM Criteria appear to have very good sensitivity (89.4%) and specificity (87.5%) for use in diagnosing JFM in adolescents. In comparison, the initial validation study for adults with FM correctly classified 88.1% of patients with FM.15 At face value, the 2010 ACR criteria offer a simplified means of diagnosing a complex condition like FM. In comparison with the previous classification criteria—either the Yunus and Masi11 or the 1990 ACR Criteria
References (25)
- et al.
Non-specific musculoskeletal pain in preadolescents. Prevalence and 1-year persistence
Pain
(1997) - et al.
Direct and indirect costs of fibromyalgia to patients and their families
J Orthop Nursing
(2003) - et al.
Habituation and sensitization to heat and cold pain in women with fibromyalgia and healthy controls
Pain
(2008) - et al.
Joint hypermobility and fibromyalgia in schoolchildren
Ann Rheum Dis
(1993) - et al.
Assessment of nonarticular tenderness and prevalence of primary fibromyalgia syndrome in healthy Italian schoolchildren
Arthritis Rheum
(1998) - et al.
Controlled follow-up study of physical and psychosocial functioning of adolescents with juvenile primary fibromyalgia syndrome
Rheumatology
(2010) - et al.
Social functioning and peer relationships of adolescents with juvenile fibromyalgia syndrome
Arthritis Rheum
(2007) - et al.
Anxiety, mood, and behavioral disorders among pediatric patients with juvenile fibromyalgia syndrome
Clin J Pain
(2008) - et al.
Patterns of healthcare utilization and cost in patients with newly diagnosed fibromyalgia
Am J Manag Care
(2010) - et al.
Long-term outcomes of adolescents with juvenile-onset fibromyalgia in early adulthood
Pediatrics
(2014)
The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee
Arthritis Rheum
Juvenile primary fibromyalgia syndrome. A clinical study of thirty-three patients and matched normal controls
Arthritis Rheum
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Supported by the National Institutes of Health/National Institute of Arthritis and Musculoskeletal and Skin Diseases (K24 AR056687 [to S.K.-Z.]). The authors declare no conflicts of interest.