{"id":"https://openalex.org/W2156834867","doi":"https://doi.org/10.1185/03007990802316550","title":"Characteristics and patterns of healthcare utilization of patients with fibromyalgia in general practitioner settings in Germany","display_name":"Characteristics and patterns of healthcare utilization of patients with fibromyalgia in general practitioner settings in Germany","publication_year":2008,"publication_date":"2008-07-28","ids":{"openalex":"https://openalex.org/W2156834867","doi":"https://doi.org/10.1185/03007990802316550","mag":"2156834867","pmid":"https://pubmed.ncbi.nlm.nih.gov/18664319"},"language":"en","primary_location":{"id":"doi:10.1185/03007990802316550","doi":"https://doi.org/10.1185/03007990802316550","is_oa":false,"landing_page_url":"https://doi.org/10.1185/03007990802316550","pdf_url":null,"source":{"id":"https://openalex.org/S206643269","display_name":"Current Medical Research and Opinion","issn_l":"0300-7995","issn":["0300-7995","1473-4877"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current Medical Research and Opinion","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5088826060","display_name":"Ariel Berger","orcid":"https://orcid.org/0000-0002-8833-4544","observed_orcids":["https://orcid.org/0000-0002-8833-4544"]},"institutions":[{"id":"https://openalex.org/I4210122455","display_name":"Policy Analysis (United States)","ror":"https://ror.org/02jxrxr40","country_code":"US","type":"company","lineage":["https://openalex.org/I4210122455"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ariel Berger","raw_affiliation_strings":["Policy Analysis, Inc., Brookline, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Policy Analysis, Inc., Brookline, MA, USA","institution_ids":["https://openalex.org/I4210122455"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110205176","display_name":"Alesia Sadosky","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180857899","display_name":"Pfizer (United States)","ror":"https://ror.org/01xdqrp08","country_code":"US","type":"company","lineage":["https://openalex.org/I180857899"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Alesia Sadosky","raw_affiliation_strings":["Pfizer Inc., New York, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pfizer Inc., New York, NY, USA","institution_ids":["https://openalex.org/I180857899"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5074219855","display_name":"Ellen M. Dukes","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I180857899","display_name":"Pfizer (United States)","ror":"https://ror.org/01xdqrp08","country_code":"US","type":"company","lineage":["https://openalex.org/I180857899"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ellen Dukes","raw_affiliation_strings":["Pfizer Inc., New York, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pfizer Inc., New York, NY, USA","institution_ids":["https://openalex.org/I180857899"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032364601","display_name":"Susan A. Martin","orcid":"https://orcid.org/0000-0002-9594-5036","observed_orcids":["https://orcid.org/0000-0002-9594-5036"]},"institutions":[{"id":"https://openalex.org/I180857899","display_name":"Pfizer (United States)","ror":"https://ror.org/01xdqrp08","country_code":"US","type":"company","lineage":["https://openalex.org/I180857899"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Susan Martin","raw_affiliation_strings":["Pfizer Inc., Ann Arbor, MI, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pfizer Inc., Ann Arbor, MI, USA","institution_ids":["https://openalex.org/I180857899"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5087472431","display_name":"John Edelsberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210122455","display_name":"Policy Analysis (United States)","ror":"https://ror.org/02jxrxr40","country_code":"US","type":"company","lineage":["https://openalex.org/I4210122455"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"John Edelsberg","raw_affiliation_strings":["Policy Analysis, Inc., Brookline, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Policy Analysis, Inc., Brookline, MA, USA","institution_ids":["https://openalex.org/I4210122455"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5055762239","display_name":"Gerry Oster","orcid":"https://orcid.org/0000-0002-8637-7495","observed_orcids":["https://orcid.org/0000-0002-8637-7495"]},"institutions":[{"id":"https://openalex.org/I4210122455","display_name":"Policy Analysis (United States)","ror":"https://ror.org/02jxrxr40","country_code":"US","type":"company","lineage":["https://openalex.org/I4210122455"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Gerry Oster","raw_affiliation_strings":["Policy Analysis, Inc., Brookline, MA, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Policy Analysis, Inc., Brookline, MA, USA","institution_ids":["https://openalex.org/I4210122455"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5055762239"],"corresponding_institution_ids":["https://openalex.org/I4210122455"],"apc_list":null,"apc_paid":null,"fwci":2.0363,"has_fulltext":false,"cited_by_count":39,"citation_normalized_percentile":{"value":0.85545231,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":87,"max":98},"biblio":{"volume":"24","issue":"9","first_page":"2489","last_page":"2499"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11282","display_name":"Fibromyalgia and Chronic Fatigue Syndrome Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11282","display_name":"Fibromyalgia and Chronic Fatigue Syndrome Research","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fibromyalgia","display_name":"fibromyalgia","score":1.0},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.9980000257492065},{"id":"https://openalex.org/keywords/general-practitioners","display_name":"general practitioners","score":0.8880000114440918},{"id":"https://openalex.org/keywords/primary-care","display_name":"primary care","score":0.7319999933242798},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.9340000152587891},{"id":"https://openalex.org/keywords/specialist-referral","display_name":"specialist referral","score":0.7409999966621399},{"id":"https://openalex.org/keywords/sick-notes","display_name":"sick notes","score":0.8989999890327454},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.652999997138977},{"id":"https://openalex.org/keywords/painful-neuropathy","display_name":"painful neuropathy","score":0.8100000023841858},{"id":"https://openalex.org/keywords/general-practice-consultations","display_name":"general practitioner visits","score":0.5139999985694885}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9540184736251831},{"id":"https://openalex.org/C2777831278","wikidata":"https://www.wikidata.org/wiki/Q540571","display_name":"Fibromyalgia","level":2,"score":0.7929292321205139},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.6009867191314697},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.5762511491775513},{"id":"https://openalex.org/C500440147","wikidata":"https://www.wikidata.org/wiki/Q701216","display_name":"Pharmacotherapy","level":2,"score":0.5189989805221558},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.5185635685920715},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.5173448920249939},{"id":"https://openalex.org/C45827449","wikidata":"https://www.wikidata.org/wiki/Q5270338","display_name":"Diagnosis code","level":3,"score":0.478933185338974},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4218241572380066},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4090990722179413},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.39929938316345215},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.1845172643661499},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.0},{"id":"https://openalex.org/C139719470","wikidata":"https://www.wikidata.org/wiki/Q39680","display_name":"Macroeconomics","level":1,"score":0.0},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000700","descriptor_name":"Analgesics","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D000700","descriptor_name":"Analgesics","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005356","descriptor_name":"Fibromyalgia","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D005356","descriptor_name":"Fibromyalgia","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":true},{"descriptor_ui":"D005858","descriptor_name":"Germany","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010821","descriptor_name":"Physicians, Family","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016022","descriptor_name":"Case-Control Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1185/03007990802316550","doi":"https://doi.org/10.1185/03007990802316550","is_oa":false,"landing_page_url":"https://doi.org/10.1185/03007990802316550","pdf_url":null,"source":{"id":"https://openalex.org/S206643269","display_name":"Current Medical Research and Opinion","issn_l":"0300-7995","issn":["0300-7995","1473-4877"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-d","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320547","host_organization_name":"Taylor & Francis","host_organization_lineage":["https://openalex.org/P4310320547","https://openalex.org/P4310320449"],"host_organization_lineage_names":["Taylor & Francis","Informa"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current Medical Research and Opinion","raw_type":"journal-article"},{"id":"pmid:18664319","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/18664319","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Current medical research and opinion","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320307765","display_name":"Pfizer","ror":"https://ror.org/01xdqrp08"},{"id":"https://openalex.org/F4320325330","display_name":"European League Against Rheumatism","ror":"https://ror.org/03f7j3221"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":41,"referenced_works":["https://openalex.org/W70749314","https://openalex.org/W1491750971","https://openalex.org/W1498726486","https://openalex.org/W1800325447","https://openalex.org/W1807951500","https://openalex.org/W1821125407","https://openalex.org/W1958713871","https://openalex.org/W1978078020","https://openalex.org/W1980586440","https://openalex.org/W1988133998","https://openalex.org/W1989373393","https://openalex.org/W1990079987","https://openalex.org/W1990180765","https://openalex.org/W1992436256","https://openalex.org/W2002233624","https://openalex.org/W2004035928","https://openalex.org/W2010942808","https://openalex.org/W2013721829","https://openalex.org/W2016353609","https://openalex.org/W2024568609","https://openalex.org/W2040055619","https://openalex.org/W2048628544","https://openalex.org/W2058039318","https://openalex.org/W2066654535","https://openalex.org/W2069923031","https://openalex.org/W2072820550","https://openalex.org/W2076281511","https://openalex.org/W2077888723","https://openalex.org/W2093196756","https://openalex.org/W2095271994","https://openalex.org/W2098293209","https://openalex.org/W2101973999","https://openalex.org/W2102583650","https://openalex.org/W2135164725","https://openalex.org/W2245623237","https://openalex.org/W2253364553","https://openalex.org/W2341970774","https://openalex.org/W2396765387","https://openalex.org/W2410072590","https://openalex.org/W2561932350","https://openalex.org/W3216011186"],"related_works":["https://openalex.org/W7115186200","https://openalex.org/W2132027286","https://openalex.org/W3178126847","https://openalex.org/W1498726486","https://openalex.org/W2020146351","https://openalex.org/W2110718390","https://openalex.org/W2801169567","https://openalex.org/W2175661674","https://openalex.org/W142078543","https://openalex.org/W2897223988"],"abstract_inverted_index":{"OBJECTIVE:":[0],"To":[1],"examine":[2],"characteristics":[3],"and":[4,66,105,108,116,150,168,203,248,269,272,295],"patterns":[5],"of":[6,9,17,77,111,135,138,142,147,152,164,186,274,287,298],"healthcare":[7,109,299],"utilization":[8,110],"patients":[10,80,101,112,167,212,223,229],"with":[11,35,53,81,222,282],"fibromyalgia":[12],"(FM)":[13],"under":[14,284],"the":[15,114,123,173,225,261,270,285],"care":[16,286],"general":[18],"practitioners":[19],"(GPs)":[20],"in":[21,40,113,172,224,260,289],"Germany.":[22],"RESEARCH":[23],"DESIGN":[24],"AND":[25],"METHODS:":[26],"Retrospective":[27],"cohort":[28],"study,":[29],"using":[30],"a":[31,73],"large":[32],"electronic":[33],"database":[34,263],"information":[36],"on":[37,103],"GP":[38,85,143,235,267],"encounters":[39,55,86],"Germany":[41,290],"(IMS":[42],"MediPlus).":[43],"We":[44,70],"identified":[45],"all":[46],"patients,":[47,193],"aged":[48],">":[49],"or":[50,83],"=18":[51],"years,":[52],"any":[54],"for":[56,90,200],"FM":[57,91,100,115,166,192,211,228,283],"(ICD-10":[58],"diagnosis":[59],"code":[60],"M79.7)":[61],"between":[62],"February":[63,126],"1,":[64,127],"2004":[65],"January":[67],"31,":[68,129],"2007.":[69,130],"also":[71,213],"constituted":[72],"comparison":[74,117,174,201,226],"group":[75],"consisting":[76],"randomly":[78],"selected":[79],"one":[82],"more":[84,210,293],"-":[87,92],"but":[88],"none":[89],"during":[93],"this":[94],"period,":[95,125],"who":[96],"we":[97],"matched":[98],"to":[99,266],"based":[102],"age":[104,177],"sex.":[106],"Characteristics":[107],"groups":[118],"were":[119,182],"then":[120],"examined":[121],"over":[122],"1-year":[124],"2006-January":[128],"MAIN":[131],"OUTCOME":[132],"MEASURES:":[133],"Prevalence":[134],"co-morbidities;":[136],"use":[137],"pain-related":[139,215],"pharmacotherapy;":[140],"number":[141,146,151,171],"office":[144],"visits;":[145],"specialist":[148],"referrals;":[149],"sick":[153,249],"notes":[154,250],"(physician-excused":[155],"absences":[156],"from":[157],"work).":[158],"RESULTS:":[159],"The":[160,184],"study":[161,262],"sample":[162],"consisted":[163],"4983":[165],"an":[169],"identical":[170],"group.":[175],"Mean":[176],"was":[178,189],"58":[179],"years;":[180],"87%":[181],"women.":[183],"prevalence":[185],"various":[187],"co-morbidities":[188,294],"greater":[190],"among":[191],"including":[194],"painful":[195],"neuropathies":[196],"(33%":[197],"vs.":[198,206,218,239,245,253],"18%":[199],"group)":[202],"depression":[204],"(20%":[205],"5%)":[207],"(both":[208],"p<0.01);":[209],"received":[214],"pharmacotherapy":[216],"(67%":[217],"28%;":[219],"p<0.01).":[220,257],"Compared":[221],"group,":[227],"averaged":[230],"approximately":[231],"twice":[232],"as":[233],"many":[234],"visits":[236],"(11.4":[237],"[SD=10.1]":[238],"5.8":[240],"[7.5]),":[241],"referrals":[242],"(4.5":[243],"[5.2]":[244],"2.2":[246],"[3.6]),":[247],"(0.6":[251],"[1.8]":[252],"0.3":[254],"[1.1])":[255],"(all":[256],"LIMITATIONS:":[258],"Information":[259],"is":[264],"limited":[265],"encounters,":[268],"sensitivity":[271],"specificity":[273],"our":[275],"case-finding":[276],"methods":[277],"are":[278],"unknown.":[279],"CONCLUSIONS:":[280],"Patients":[281],"GPs":[288],"have":[291],"comparatively":[292],"higher":[296],"levels":[297],"utilization.":[300]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":2},{"year":2019,"cited_by_count":2},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2016,"cited_by_count":3},{"year":2015,"cited_by_count":3},{"year":2014,"cited_by_count":5},{"year":2013,"cited_by_count":3},{"year":2012,"cited_by_count":4}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
