New guidelines for the diagnosis of fibromyalgia

Heymann, Roberto Ezequiel; Paiva, Eduardo S.; Martinez, José Eduardo; Helfenstein, Milton; Rezende, Marcelo Cruz; Provenza, José Roberto; Ranzolin, Aline; Assis, Marcos Renato de; Feldman, Daniel; Ribeiro, Luiz Gustavo Gonçalves; Souza, Eduardo José do Rosário e

doi:10.1016/j.rbre.2017.07.002

Cited by 33 publications

(36 citation statements)

References 49 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Regarding pharmacological treatment, 53.8% of the patients used antidepressants, a proportion that may be considered low, since international recommendations for the treatment of FM indicate antidepressants as the first treatment line 9 . The nursing intervention analyzed in this study is in line with the recommendations of the Brazilian Consensus for the treatment of FM, which reaffirms the importance of guidelines and programs for self-control of pain [17][18][19] . Therefore, nursing intervention with telephone monitoring was an effective strategy to improve treatment outcomes in patients with FM, confirming the efficacy of the recommendations of the national and international consensus for the treatment of this syndrome.…”

Section: Discussionsupporting

confidence: 76%

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

Ali

Sanches²,

Lauretti³

et al. 2018

Brazilian Journal of Pain

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES:Fibromyalgia is a non-inflammatory rheumatic syndrome, characterized by diffuse chronic musculoskeletal pain, usually accompanied by other symptoms not related to the locomotor system such as depression, fatigue, cognitive alterations, impaired sleep quality, and headache. This study aimed to evaluate the impact of a nursing intervention in the control of pain and depressive symptoms of patients with fibromyalgia. METHODS: A quasi-experimental study conducted through the electronic database review of a private chronic patients monitoring service. The sample included 353 patients with fibromyalgia who were attended in the period from 2014 to 2017. The nursing intervention included a home visit and the application of educational strategies over the telephone for 6 months. Participants were assessed using the verbal numerical rating scale and the Patient Health Questionnaire scale. The comparison between the continuous variables was performed by the t-paired test, and the comparison between the categorical variables was performed using the McNemar-Bowker test. The level of significance was set at p<0.05. RESULTS: Nursing intervention promoted a significant reduction in the average pain intensity (p<0.001) after the intervention. The reduction in the average depression score, however, was not significant (p=0.093), but the intervention significantly reduced the cases of moderate and very severe depression (p=0.01). CONCLUSION: Nursing intervention by telephone showed a positive impact on pain control and reduction of depressive symptoms in patients with fibromyalgia.

show abstract

Section: Discussionsupporting

confidence: 76%

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

Ali

Sanches²,

Lauretti³

et al. 2018

Brazilian Journal of Pain

View full text Add to dashboard Cite

show abstract

“…It is estimated that updating the FMS classification criteria, as well as the increased acceptance of the diagnosis, may directly influence the increase in the indicated values of prevalence. FMS has its classification criteria established by American College of Rheumatology 11 and these are widely discussed in Brazil in groups of rheumatologists 12 and groups of studies of pain 13 . Most of the cases in this study reported consulting -mainly -rheumatologists, followed by pain specialists.…”

Section: Discussionmentioning

confidence: 99%

The prevalence of fibromyalgia in Brazil – a population-based study with secondary data of the study on chronic pain prevalence in Brazil

Souza¹,

Perissinotti

2018

Brazilian Journal of Pain

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVES: The prevalence of the fibromyalgia syndrome has been estimated in some Brazilian cities and regions, and previous population-based studies investigating this prevalence, as well as the profile of medical consultations are unknown. METHODS: This study used the database constructed by a previous study of authors to identify the prevalence of chronic pain in Brazil. The cases that reported pain for more than 6 months and with a diagnosis of fibromyalgia were selected. The studied descriptive variables were age, intensity and frequency of pain, pain interference in self-care, walking, working, social life, sexual life, sleep quality, if pain causes sadness or depression or influences the emotional aspects. The total sample was evaluated by rheumatologists and pain-expert doctors. RESULTS: Thirteen cases from the initial database were selected since they reported the diagnosis of the prevalence of the fibromyalgia syndrome representing 2% of the initial study population, average age 35.8 years (9.8). The predominance of the fibromyalgia syndrome was in females (n=11). Pain intensity was 7.3 (2.4), the frequency and duration of pain were constant in the majority of the sample (n=9). Most of the cases report a serious pain interference with sleep (n=8), many said that pain interferes with the work (n=5), irritability (5) and finally, some report that pain has a moderate interference in self-care (n=5), walking (n=6), social life (n=6), sexual life (n=5) and causes moderate sadness or depression (n=5). CONCLUSION: The prevalence of the fibromyalgia syndrome was estimated in 2% of the Brazilian population, based on secondary data of a study on chronic pain prevalence in Brazil. The data was collected in 2015-2016. The most reported complaints were intense and daily pain that interferes with sleep. The prevalence of fibromyalgia in Brazil-a population-based study with secondary data of the study on chronic pain prevalence in Brazil A prevalência da fibromialgia no Brasil-estudo de base populacional com dados secundários da pesquisa de prevalência de dor crônica brasileira

show abstract

“…According to the American College of Rheumatologist [4], the new diagnostic criteria reveal that the patient should have a generalized pain index with a score greater than seven, a severity index of symptoms including fatigue, non-restorative sleep, cognitive symptoms, and somatic symptoms with scores greater than five, in addition to the symptom index is greater than or equal to nine. Symptoms should have been present for at least three months and the patient should have no other problem explaining the symptoms.…”

Section: Introductionmentioning

confidence: 99%

Sleep Quality and Perception of the Disease in Fibromyagic Patients at the School of Physiotherapy Clinic of Gurupi University

Alves¹,

Silva²,

Morais³

et al. 2020

JAMMR

View full text Add to dashboard Cite

Introduction:Fibromyalgia is a rheumatic syndrome that mainly affects women, being more common in the age group between 30 and 55 years of age, with reports of diffuse and chronic pain for more than three months. Despite the presence of hyperalgic points called "tender points" there Alves et al.; JAMMR, 31(10): 1-14, 2019; Article no.JAMMR.53660 2 is no evidence of deformities to organs and joints. Its confirmation is clinical after the exclusion of other pathologies. Objective: The objective of this research aims to analyze the clinical picture and sleep quality in patients with fibromyalgia, coming from the School of Physiotherapy Clinic of Gurupi University. Materials and Methods: The research has a qualiquantitative character, consisting of 22 female participants, divided into 2 groups: Experimental Group (EG -11 participants) and Control Group (CG -11 participants), all of whom came from the School of Physiotherapy Clinic of Gurupi University. For the collection of information, questions were used semi-structured, which were: 1) Identification form (preparedby academics to register participants and identify information about the previous history of the disease); 2) Questionnaire of perception of the disease (collected through an interview directed and recorded by undergraduates and later transcribed) and, 3) Pittsburgh's sleep qua-dealing index. The entire protocol was performed after 20 treatment sessions, both for the experimental group and for the control group, according to inclusion and exclusion criteria. The results were descriptively analyzed according to the tabulation in Microsoft Office ® (2010) and inferential with significance p<0.05, through the Program SPSS 18.0. Results: The results show a decrease in the perception of the quality of life, through sleep quality. Discursive findings show the binding of fibromyalgia with depression, chronic pain and discouragement. The statistical results show a picture of little quality of restorative sleep because more than half of the interviewees say they take to sleep, have bad dreams and raise several times during the night. It is noteworthy that most volunteers said they could sleep more than 6 hours a night with sleep efficiency greater than 85%, only half of the sample confirmed eating, between 3 or more times, sleeping medications. Conclusion: The reports analyzed showed the relevance in improving the quality of life of the participants undergoing treatment. However, the statistical data alone did not present a significant differentiation between the participants of the control group and the experimental group. Only when observing, sleep quality tends to be better for participants who are having a physiotherapeutic follow-up. Original Research Article

show abstract

New guidelines for the diagnosis of fibromyalgia

Cited by 33 publications

References 49 publications

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

The prevalence of fibromyalgia in Brazil – a population-based study with secondary data of the study on chronic pain prevalence in Brazil

Sleep Quality and Perception of the Disease in Fibromyagic Patients at the School of Physiotherapy Clinic of Gurupi University

Contact Info

Product

Resources

About