Fibromyalgia & musculoskeletal pain

The value of inquiring patients about local discomfort during blood pressure measurement for fibromyalgia detection. A cross-sectional study

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

Inquiring female patients about local discomfort during routine blood pressure measurement is a simple and efficient procedure for fibromyalgia detection.

Study context

Population
Adult patients attending a rheumatology outpatient clinic (84% female)84% female
Participants
491 patients
Exposure
Sphygmomanometry-induced allodynia vs 2016 Wolfe et al. FM criteria questionnaire
Outcome
FM according to the 2016 Wolfe diagnostic criteria (diagnostic accuracy of sphygmomanometry-induced allodynia)
Methodological detailsDiagnostic accuracy, Single rheumatology outpatient clinic
  • Diagnostic accuracy
  • Single rheumatology outpatient clinic

Main finding

As reported in the abstract

Diagnostic accuracy for FM (2016 Wolfe criteria) in women
GroupSensitivitySpecificity
"Much" local pain23%96%

"Much" local pain

Sensitivity23%
Specificity96%

Observational data: associations, not effects.

Further findings

Prevalence in women

FM
25%
Sphygmomanometry-induced allodynia
27%

Prevalence in men

Fulfilled FM criteria
15%
Sphygmomanometry-induced allodynia
2%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

The value of inquiring patients about local discomfort during blood pressure measurement for fibromyalgia detection. A cross-sectional study. Semin Arthritis Rheum. Published 13 May 2023. doi:10.1016/j.semarthrit.2023.152218

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