Fibromyalgia & musculoskeletal pain

Trends in incidence, patient characteristics, healthcare use, and medication in fibromyalgia: A large Israeli cohort study

Semin Arthritis RheumPublished Retrospective cohort study

Authors' conclusion

FM diagnoses have increased substantially over time, accompanied by evolving clinical and treatment patterns.

Study context

Population
Patients aged 12–90 years diagnosed with fibromyalgia (FM) between 2009 and 2024, Clalit Health Services, southern Israel
Outcome
Temporal trends in incidence and prevalence of diagnosed FM
Follow-up
2009–2024
Methodological detailseight two-year intervals
  • Eight two-year intervals

Main finding

As reported in the abstract

Incidence and prevalence of diagnosed FM
  • Both incidence and prevalence increased significantly; prevalence rose from 1.04% to 3.88%
  • Largest incidence increases in ages 30-59 years; rates declined among adolescents

Observational data: associations, not effects.

Further findings

Patient characteristics

Proportion of male patients increased, mean age at diagnosis decreased, proportion without comorbid rheumatic disease increased
Psychiatric comorbidities (anxiety, depression, PTSD) increased; overall comorbidity burden stable

Healthcare utilisation

Fewer hospitalisations and specialist visits but increased imaging

Medication use

Use of recommended medications remained limited; pregabalin, duloxetine and gabapentin prescriptions increased; amitriptyline and NSAID use declined
Opioid use increased until 2019-2020 and subsequently decreased

Original publication

Trends in incidence, patient characteristics, healthcare use, and medication in fibromyalgia: A large Israeli cohort study. Semin Arthritis Rheum. Published 29 July 2026. doi:10.1016/j.semarthrit.2026.153046

Composed by AI from the published abstract and checked against it. How Briefs are made →

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