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線維筋痛症の新旧診断基準併用による診断基準


579人(550人は女性) のFM患者と294人 (240人は女性)の対照者が研究に参加。FM患者は以前リウマチ医に診断される。全員the 1990 ACR 基準 (1990c) とthe modified 2010 ACR 基準(m-2010c)で評価。結果:圧痛点の数との相関はwidespread pain index (WPI)は0.69, symptoms severity (SS) は0.65、polysymptomatic distress (PSD) scalesは0.71 (すべてP < 0.001). WPI, SS およびPSDは 圧痛点の数よりもFMの健康に関連した生活の質の強さ, 全般的な疲労と抑うつとより強く相関。1990cの感度は84.1特異度は 97.6であり、m-2010cの感度は88.3特異度は 91.8. 両方の基準とも正確性は同じであり0.89。もし 1990c およびm-2010cを併用して二つのうち1つを満たすとFMと診断すると、感度、正確度、正確度は各々96.7, 89.8 および0.94. オリジナルのカットオフポイント(WPI ≥ 7, SS ≥ 5 and PSD ≥ 12)は本研究で最も良い検査の特徴.
Rheumatology (Oxford). 2014 May 14. pii: keu169. [Epub ahead of print]
Validation of the modified 2010 American College of Rheumatology diagnostic criteria for fibromyalgia in a Spanish population.1請求
Segura-Jiménez V1, Aparicio VA2, Alvarez-Gallardo IC3, Soriano-Maldonado A3, Estévez-López F3, Delgado-Fernández M3, Carbonell-Baeza A3.
•1Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Granada, Department of Physiology, Faculty of Pharmacy, University of Granada, Granada and Department of Physical Education, Faculty of Sciences Education, University of Cádiz, Cádiz, Spain. vsegura@ugr.es
•2Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Granada, Department of Physiology, Faculty of Pharmacy, University of Granada, Granada and Department of Physical Education, Faculty of Sciences Education, University of Cádiz, Cádiz, Spain.Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Granada, Department of Physiology, Faculty of Pharmacy, University of Granada, Granada and Department of Physical Education, Faculty of Sciences Education, University of Cádiz, Cádiz, Spain.
•3Department of Physical Activity and Sport, Faculty of Sport Sciences, University of Granada, Department of Physiology, Faculty of Pharmacy, University of Granada, Granada and Department of Physical Education, Faculty of Sciences Education, University of Cádiz, Cádiz, Spain.

by fibromyalgia11 | 2014-05-18 17:31 | FMの診断
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世界標準の線維筋痛症を専門家が説明します


by fibromyalgia11
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