The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity

  title={The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity},
  author={Frederick Wolfe and Daniel J. Clauw and Mary-Ann Fitzcharles and Don L. Goldenberg and Robert S. Katz and Philip J. Mease and Anthony S. Russell and Irwin Jon Russell and John B. Winfield and Muhammad B. Yunus},
  journal={Arthritis Care \& Research},
To develop simple, practical criteria for clinical diagnosis of fibromyalgia that are suitable for use in primary and specialty care and that do not require a tender point examination, and to provide a severity scale for characteristic fibromyalgia symptoms. 
Criteria for the Diagnosis of Fibromyalgia: Validation of the Modified 2010 Preliminary American College of Rheumatology Criteria and the Development of Alternative Criteria
To validate the 2011 modification of the 2010 American College of Rheumatology (ACR) preliminary criteria for the diagnosis of fibromyalgia (2011ModCr) and develop alternative criteria in a sample of
Fibromyalgia Research Criteria
  • F. Wolfe
  • Medicine
    The Journal of Rheumatology
  • 2014
A modified version of the ACR Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity is published.
Fibromyalgia with chronic rheumatic diseases in South Korea: a comparison of clinical and American College of Rheumatology criteria
To describe the prevalence and characteristics of fibromyalgia (FM) in patients with underlying rheumatic disease, and to compare it by three different measures.
Comparison of Physician‐Based and Patient‐Based Criteria for the Diagnosis of Fibromyalgia
The American College of Rheumatology (ACR) 2010 preliminary fibromyalgia diagnostic criteria require symptom ascertainment by physicians. The 2011 survey or research modified ACR criteria use only
Critical Review AAPT Diagnostic Criteria for Fibromyalgia
The ACTTION-APS FM taxonomy provides an evidence-based diagnostic system for FM that includes diagnostic criteria, common features, comorbidities, consequences, and putative mechanisms that might improve the recognition of FM in clinical practice.
Fibromyalgia: Honing fibromyalgia diagnosis
Most rheumatologists recognize the characteristic presentation of fibromyalgia in everyday clinical practice, but for other clinicians diagnosis can be difficult because of poor understanding of the
The Prevalence of Fibromyalgia in the General Population: A Comparison of the American College of Rheumatology 1990, 2010, and Modified 2010 Classification Criteria
The current study aimed to determine the population prevalence of fibromyalgia and to compare differences in prevalence using the alternative criteria.
Diagnosis of Fibromyalgia: Disagreement Between Fibromyalgia Criteria and Clinician‐Based Fibromyalgia Diagnosis in a University Clinic
This work compared expert physician diagnosis with published criteria for fibromyalgia diagnosis and found that up to 75% of persons reporting a physician diagnosis of fibromy arthritis would not satisfy published criteria.
The Problematic Nature of Fibromyalgia Diagnosis in the Community
This work examined whether fibromyalgia was accurately diagnosed in the community and found that it was not, according to current definitions.
Clinical Characteristics of Fibromyalgia in a Chronic Pain Population
To compare fibromyalgia (FM) characteristics among patients identified in a community‐based chronic pain cohort based on traditional International Classification of Diagnoses 9th revision (ICD‐9)


The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee.
Criteria for the classification of fibromyalgia are widespread pain in combination with 2) tenderness at 11 or more of the 18 specific tender point sites, and no exclusions are made for the presence of concomitant radiographic or laboratory abnormalities.
Fibromyalgia syndrome, a problem of tautology
Primary fibromyalgia (fibrositis): clinical study of 50 patients with matched normal controls.
Fibromyalgia: where are we a decade after the American College of Rheumatology classification criteria were developed?
The data on pain processing in FM demonstrate that the central representation of pain correlates with patient reports of pain, and that purely behavioral or psychological factors are not primarily responsible for the pain and tenderness seen in FM.
Chronic widespread pain and fibromyalgia: Should reports of increased mortality influence management?
Studies are currently underway which will determine whether initial observations of an increased mortality risk can be replicated, and whether reports of new symptoms are likely to indicate underlying new pathology.
Awareness of diagnostic and clinical features of fibromyalgia among family physicians.
Family physicians in Israel are quite unfamiliar with the diagnostic criteria of FS, though educational exposure improves their awareness and knowledge.
Widespread pain: is an improved classification possible?
A redefinition of widespread pain has produced a group of subjects whose pain is likely to be more "widespread" and is associated more strongly with factors such as psychological disturbance, fatigue, sleep problems, and tender points, and may be more appropriate in epidemiological studies.
Fibromyalgia syndrome: review of clinical presentation, pathogenesis, outcome measures, and treatment.
  • P. Mease
  • Medicine, Psychology
    The Journal of rheumatology. Supplement
  • 2005
The multifaceted nature of FM suggests that multimodal individualized treatment programs may be necessary to achieve optimal outcomes in patients with this syndrome.
Pain extent and diagnosis: development and validation of the regional pain scale in 12,799 patients with rheumatic disease.
  • F. Wolfe
  • Medicine
    The Journal of rheumatology
  • 2003
The RPS is a valid scale of pain extent that can be useful to identify patients with FM or used to develop a new definition of FM, even among patients with concomitant illnesses such as RA and OA.
Fibromyalgia syndrome.
Fibromyalgia syndrome has become a focus on interest in many areas of research and healing, since its aetiology seems to include aspects of neuro-endocrine imbalance, musculoskeletal modifications, psychosocial overtones and a variety of additional possible involvements such as irritable bowel, fatigue and sleep disturbance.