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Cited 14 time in webofscience Cited 15 time in scopus
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Fibromyalgia diagnosis: a review of the past, present and future

Authors
Wang, Sheng-MinHan, ChangsuLee, Soo-JungPatkar, Ashwin A.Masand, Prakash S.Pae, Chi-Un
Issue Date
Jun-2015
Publisher
TAYLOR & FRANCIS LTD
Keywords
assessment; controversy; diagnosis; fibromyalgia; history; pain
Citation
EXPERT REVIEW OF NEUROTHERAPEUTICS, v.15, no.6, pp.667 - 679
Indexed
SCIE
SCOPUS
Journal Title
EXPERT REVIEW OF NEUROTHERAPEUTICS
Volume
15
Number
6
Start Page
667
End Page
679
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/7857
DOI
10.1586/14737175.2015.1046841
ISSN
1473-7175
Abstract
Diagnosis of fibromyalgia (FM) remains controversial even though diverse diagnostic criteria have been developed. This review looks at the history, evolution of diagnostic criteria, endless controversy, recent trends and future perspectives regarding FM diagnosis. Some have criticized that diagnosis of FM could lead to medicalization, whereas others have raised concerns of under-diagnosing FM. With the evolution of diagnosis criteria from American College of Rheumatology 1990 to modified American College of Rheumatology 2010, diagnosis of FM has become simpler. The recent trend of applying patient-reported questionnaires has also increased a simpler FM diagnosis. Reliable biomarkers will not be available for the foreseeable future, so diverse assessment tools will have to be used more pro-actively. After initial diagnosis, multiple and comprehensive assessment measures are needed during the course of treatment in order to better understand type and severity of FM symptoms. These, in turn, could help classify FM based on symptom domain, symptom severity, and comorbidity which would enable more personalized treatment.
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Han, Changsu
구로병원 (Department of Psychiatry, Ansan Hospital)
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