Fibromyalgia & musculoskeletal pain

Optimising fibromyalgia criteria: evidence from the UK Biobank

Semin Arthritis RheumPublished Diagnostic accuracy study

Authors' conclusion

In this large population-based study, simplified criteria incorporating a single question on widespread pain and easier-to-apply symptom cut-offs performed marginally better in identifying those with a diagnosis of FM.

Study context

Population
UK Biobank participants who completed an "Experience of Pain" online questionnaireUK Biobank
Participants
167,184 participants
Comparison
FM2016 criteria vs simplified criteria for identifying self-reported FM
Outcome
Performance in identifying individuals with self-reported FM (sensitivity, specificity, CUI+ and CUI-)
Methodological detailspopulation-based, logistic regression, clinical utility indices (CUI+ and CUI-)
  • Population-based
  • Logistic regression
  • Clinical utility indices (CUI+ and CUI-)

Performance

As reported in the abstract

Identification of self-reported FM
Test or modelSpecificitySensitivityCUI+CUI-
FM201698.4 %37.0 %0.111
Simplified criteria0.1630.974

Specificity

FM201698.4 %
Simplified criteria— not stated in the abstract

Sensitivity

FM201637.0 %
Simplified criteria— not stated in the abstract

CUI+

FM20160.111
Simplified criteria0.163

CUI-

FM2016— not stated in the abstract
Simplified criteria0.974

Further findings

Other definitions of widespread pain performed less well

Original publication

Optimising fibromyalgia criteria: evidence from the UK Biobank. Semin Arthritis Rheum. Published 28 August 2025. doi:10.1016/j.semarthrit.2025.152824

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