RT journal article
T1 Validation of the modified 2010 American College of Rheumatology diagnostic criteria for fibromyalgia in a Spanish population
A1 Segura Jiménez, Víctor
A1 Aparicio, Virginia Ariadna
A1 Álvarez Gallardo, Inmaculada Concepción
A1 Soriano Maldonado, Alberto
A1 Estévez  López, Fernando
A1 Delgado Fernández, Manuel
A1 Carbonell Baeza, Ana
A2 Didáctica de la Educación FísicaPlástica y Musical
K1 Fatigue
K1 Impact of fibromyalgia
K1 Polysymptomatic distress scale
K1 Quality of life
K1 Questionnaire
K1 Sensitivity
K1 Specificity
K1 Symptom severity
K1 Tender points
K1 Widespread pain index
AB Objective. The aim of this study was to validate the modified 2010 ACR preliminary criteria for FM in a Spanish population. Methods. Five hundred and seventy-nine (550 women) FM and 294 (240 women) control participants were enrolled in the study. FM patients were previously diagnosed by a rheumatologist. All participants underwent both the 1990 ACR criteria (1990c) and the modified 2010 ACR criteria (m-2010c). Results. The tender points count showed correlations of 0.69, 0.65 and 0.71 with the widespread pain index (WPI), symptoms severity (SS) and polysymptomatic distress (PSD) scales, respectively (all P < 0.001). The WPI, SS and PSD showed greater correlations with impact of FM health-related quality of life, general fatigue and depression than the tender points count. The 1990c showed sensitivity and specificity values of 84.1 and 97.6, respectively, whereas the m-2010c showed values of 88.3 and 91.8, respectively. Both criteria showed the same overall accuracy, with a value of 0.89. When the 1990c and m-2010c were combined and patients had to satisfy one of two criteria to be diagnosed with FM, the sensitivity, specificity and accuracy of questionnaires were 96.7, 89.8 and 0.94, respectively. The original cut-off points (WPI ≥ 7, SS ≥ 5 and PSD ≥ 12) showed the best test characteristics in the present study. Conclusion. The m-2010c, with the same cut-off points as the original version, are a valid tool for the diagnosis of FM in our population. Whenever possible, the combination of the 1990c and m-2010c is recommended (patients have to meet one of the two criteria to be diagnosed), since this approach showed the best diagnostic characteristics.
PB Oxford University Press
SN 1462-0324
YR 2014
FD 2014
LK http://hdl.handle.net/10498/30642
UL http://hdl.handle.net/10498/30642
LA eng
NO We acknowledge Oxford University Press and Rheumatology for publishing our scientific article:Segura-Jiménez, V., Aparicio, V. A., Álvarez-Gallardo, I. C., Soriano-Maldonado, A., Estévez-López, F., Delgado-Fernández, M., & Carbonell-Baeza, A. (2014). Validation of the modified 2010 American College of Rheumatology diagnostic criteria for fibromyalgia in a Spanish population. Rheumatology (United Kingdom), 53(10), 1803-1811. https://doi.org/10.1093/RHEUMATOLOGY/KEU169
DS Repositorio Institucional de la Universidad de Cádiz
RD 12-nov-2026