Research Article Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

[Dolphin]

Free full text: https://www.ecronicon.com/ecne/pdf/ECNE-05-00119.pdf

Research Article Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia

Leonard A Jason1*, Stephanie McManimen1, Madison Sunnquist1, Julia L Newton2 and Elin Bolle Strand3
1DePaul University, Chicago, USA 2Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, UK 3Oslo University Hospital, Oslo, Norway *Corresponding Author: Leonard A Jason, Center for Community Research, DePaul University, 990 W. Fullerton Ave., Suite 3100, Chicago, USA.

Citation: Leonard A Jason., et al. “Examining those Meeting IOM Criteria Versus IOM Plus Fibromyalgia”. EC Neurology 5.1 (2017): 19-28.

Received: February 14, 2017; Published: March 08, 2017

Abstract

The Institute of Medicine (IOM) recently developed clinical criteria for chronic fatigue syndrome (CFS). There might be additional criteria that could select a more homogenous and impaired group of patients, particularly those with pain. The current study focused on criteria which involved meeting the four IOM criteria, excluding medical and psychiatric co-morbidities, along with having fibromyalgia (FM). Findings indicated that those meeting the IOM clinical criteria plus FM were more impaired on a wide variety of symptoms and functional areas than those meeting on the IOM criteria or those with just 6 months of fatigue. The implications of using such research criteria are discussed.

Keywords: Myalgic Encephalomyelitis; Chronic Fatigue Syndrome; Fibromyalgia; Case Definitions

 

[Dolphin]

Fibromyalgia Group (FM):

To meet criteria for this group, we first selected all those who met the above IOM criteria. Next, we included individuals who indicated they had been diagnosed with FM. These individuals were not included in the IOM criteria defined above. We next excluded cases if their fatigue/symptoms were due to other medical problems, medications, or psychiatric conditions excluded by the Fukuda., et al. [1] and Carruthers., et al. [6] case definitions. For example, we excluded individuals from this category if they mentioned that their illness was psychological or primarily psychologically caused. Methods of obtaining this information did vary by sample, as for samples with a physician diagnosis (Newcastle and Norway) would be obtained after a medical examination, whereas with those who just completed the DSQ for the DePaul sample, symptoms were obtained by self-report.

One limitation of the present study is that individuals indicated that they had been diagnosed with FM, but we did not have an independent verification of this diagnosis. It is certainly possible that given the range of practitioners who make this diagnosis, some respondents may have been misdiagnosed with FM. Still, at least for those that self-report having this diagnosis, the findings do suggest that this group does have considerably more pain, which provides some additional supportive data regarding their diagnosis.

They don't explicitly mention the possibility that some of the people not classified as having fibromyalgia could have fibromyalgia if they were examined.

It also doesn't distinguish between the 1990 definition for Fibromyalgia that requires tender points and the broader definition that had came in in 2010 (?) that doesn't require tender points.

 

[Dolphin]

All the data is in the tables which are not complicated to understand.
I'm not sure the text adds much extra.

 

[*GG*]

I have been diagnosed with CFS (2005), 1994 Fukuda criteria)) and Fibromyalgia (2008). So the tender points etc?..criteria.

GG