Prevalence of Fibromyalgia: A Population-Based Study in Olmsted County, Minnesota, Utilizing the Rochester Epidemiology Project
Prevalence of Fibromyalgia: A Population-Based Study in Olmsted County, Minnesota, Utilizing the Rochester Epidemiology Project
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DOI：
10.1002/acr.21896
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发表时间：
2013-05-01
影响因子：
4.7
通讯作者：
St Sauver, Jennifer
中科院分区：
文献类型：
--
作者：
Vincent, Ann;Lahr, Brian D.;St Sauver, Jennifer
目的 通过两种不同方法估计和比较明尼苏达州奥姆斯特德县纤维肌痛的患病率。方法第一种方法是使用罗切斯特流行病学项目（2005年1月1日至2009年12月31日）对奥姆斯特德县潜在纤维肌痛病例的医疗记录进行回顾性审查，以估计临床实践中诊断的纤维肌痛的患病率。第二种方法是使用纤维肌痛研究调查标准对奥姆斯特德县的成年人进行随机调查，以估计符合纤维肌痛研究调查标准的响应者的百分比。结果 在通过第一种方法识别的 3,410 名潜在患者中，有 1,115 名患者的病历中有医疗保健提供者记录的纤维肌痛诊断。通过这种方法诊断的纤维肌痛的年龄和性别调整患病率为 1.1%。通过第二种方法，在通过邮件收到调查的 2,994 人中，830 人（27.6%）做出了回应，44 人（5.3%）符合纤维肌痛研究调查标准。通过这种方法，奥姆斯特德县一般人群中经年龄和性别调整后的纤维肌痛患病率估计为 6.4%。结论 据我们所知，这是关于社区纤维肌痛诊断率的第一份报告。这也是第一份根据纤维肌痛研究调查标准评估患病率的报告。我们的结果表明，符合纤维肌痛研究调查标准的患者，尤其是男性，不太可能被诊断为纤维肌痛。
Objective To estimate and compare the prevalence of fibromyalgia by 2 different methods in Olmsted County, Minnesota. Methods The first method was a retrospective review of medical records of potential cases of fibromyalgia in Olmsted County using the Rochester Epidemiology Project (from January 1, 2005, to December 31, 2009) to estimate the prevalence of diagnosed fibromyalgia in clinical practice. The second method was a random survey of adults in Olmsted County using the fibromyalgia research survey criteria to estimate the percentage of responders who met the fibromyalgia research survey criteria. Results Of the 3,410 potential patients identified by the first method, 1,115 had a fibromyalgia diagnosis documented in the medical record by a health care provider. The age- and sex-adjusted prevalence of diagnosed fibromyalgia by this method was 1.1%. By the second method, of the 2,994 people who received the survey by mail, 830 (27.6%) responded and 44 (5.3%) met the fibromyalgia research survey criteria. The age- and sex-adjusted prevalence of fibromyalgia in the general population of Olmsted County by this method was estimated at 6.4%. Conclusion To the best of our knowledge, this is the first report of the rate at which fibromyalgia is being diagnosed in a community. This is also the first report of prevalence as assessed by the fibromyalgia research survey criteria. Our results suggest that patients, particularly men, who meet the fibromyalgia research survey criteria are unlikely to have been given a diagnosis of fibromyalgia.