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AB1090 Delay on fibromyalgia diagnosis and its impact on long term outcomes
  1. A. Ranzolin1,
  2. C.D.L. Marques1,
  3. A.P. Duarte1,
  4. C.A.D.C. Neto1,
  5. J. Trindade1,
  6. T. Fragoso1,
  7. A.T. Dantas1,
  8. A.D. do Prado2,
  9. F. Batistella2,
  10. I.G. da Silveira2,
  11. M.W. Keiserman2
  1. 1Rheumatology Department, Hospital Das Clínicas da Universidade Federal de Pernambuco, Recife
  2. 2Rheumatology Department, Hospital São Lucas da PUCRS, Porto Alegre, Brazil

Abstract

Background Fibromyalgia is a chronic pain syndrome which has a great impact on general health and functional capacity of affected subjects. As it is seen in other painful disorders, we hypothesized that an early approach would diminish the negative impacts fibromyalgia has on patient’s lives. In countries were fibromyalgia treatment is referred to rheumatologists (as it is in Brazil), and the access of patients to the specialist is delayed, we could imagine that patients with a greater time period between the initiation of symptoms until the diagnosis and the beginning of adequate treatment would have the worst outcomes. An unknown, yet important question is whether early diagnosis and early treatment can influence long term outcomes in fibromyalgia patients.

Objectives To correlate the time period between the initiation of symptoms until the diagnosis of Fibromyalgia and the beginning of treatment (delta time) to Fibromyalgia Impact Questionnaire (FIQ), Widespread Pain Index (WPI) and Symptoms Severity Scale (SSS) results.

Methods 151 patients from fibromyalgia clinics were evaluated in this cross-sectional study. At the time the subject attended the facility, an interview was performed and information to fulfill FIQ, WPI and SSS was collected. Spearman’s correlation test was used for comparison of nonparametric variables and considered significant at the 0.05 level.

Results All pacients were female. Means and standard deviation for FIQ, WPI and SSS were 57.65 (± 22.49), 14 (± 3.54) e 9.05 (± 2.62), respectively. Mean for delta time was 7.45 (± 8.06) years. Correlation for delta time and FIQ was 0.035 (p=0.63); delta time and WPI was 0.110 (p=0.179); delta time and SSS was 0.037 (p=0.649).

Conclusions We did not find a correlation among the time since the beginning of symptoms until fibromyalgia diagnosis and treatment to FIQ, WPI and SSS results. Regardless of the time that FM has been without diagnosis, its impact is important and should always be approached fully and appropriately.

  1. Wolfe et al, The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity. Arthritis Care & Research v 62(5) 2010.

  2. Häuser W et al. Guidelines on the management of fibromyalgia syndrome. European Journal of Pain 14(2010)

Disclosure of Interest None Declared

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