2010 American College of Rheumatology Adult Fibromyalgia Criteria for Use in an Adolescent Female Population with Juvenile Fibromyalgia
2010 American College of Rheumatology Adult Fibromyalgia Criteria for Use in an Adolescent Female Population with Juvenile Fibromyalgia
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DOI：
10.1016/j.jpeds.2015.10.011
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发表时间：
2016-02-01
影响因子：
5.1
通讯作者：
Kashikar-Zuck, Susmita
中科院分区：
文献类型：
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作者：
Ting, Tracy V.;Barnett, Kimberly;Kashikar-Zuck, Susmita
目的评价2010年美国风湿病学会（ACR）成人纤维肌痛标准在青少年纤维肌痛（JFM）中的应用价值。研究设计参与者包括47名被诊断为JFM的少女（平均年龄= 15.3岁）和48名年龄和性别匹配的患有局部慢性疼痛（例如头痛或腹痛）的青少年（平均年龄= 15.0岁）。一名受过训练的检查者进行广泛疼痛指数和症状严重程度测量，并完成一项手动压痛点检查。临床医生根据Yunus和马西（1985）标准填写一份表格，表明存在活动性JFM，这是JFM唯一可用和最常用的测量方法。结果以Yunus和马西标准为金标准，2010年ACR标准诊断JFM的敏感性为89.4%，特异性为87.5%。但是，建议对2010年ACR指标进行轻微修改，并纳入临床检查。
Objectives To evaluate the utility of the 2010 American College of Rheumatology (ACR) adult fibromyalgia criteria for use in adolescents with juvenile fibromyalgia (JFM).Study design Participants included 47 adolescent girls diagnosed with JFM (mean age = 15.3 years) and 48 ageand sex-matched adolescents (mean age = 15.0 years) with localized chronic pain (eg, headaches or abdominal pain). A trained examiner administered the Widespread Pain Index and Symptom Severity measures and also completed a manual tender point exam. Clinicians completed a form indicating the presence of active JFM per Yunus and Masi (1985) criteria, the only available and most commonly used measure for JFM. Criterion validity analysis was performed as well as t tests comparing symptoms between JFM and controls.Results With the Yunus and Masi criteria used as the gold standard, the 2010 ACR fibromyalgia criteria showed a sensitivity of 89.4% and specificity of 87.5%.Conclusion The 2010 ACR measure appears to be a valuable tool for the identification of JFM. However, a slight modification to the 2010 ACR measure and inclusion of a clinical exam is recommended.