{"id":"https://openalex.org/W4408587745","doi":"https://doi.org/10.1186/s41927-025-00483-1","title":"The impact of changes in fibromyalgia diagnosis criteria: using NAMCS data (2010\u20132019) to identify trends","display_name":"The impact of changes in fibromyalgia diagnosis criteria: using NAMCS data (2010\u20132019) to identify trends","publication_year":2025,"publication_date":"2025-03-18","ids":{"openalex":"https://openalex.org/W4408587745","doi":"https://doi.org/10.1186/s41927-025-00483-1","pmid":"https://pubmed.ncbi.nlm.nih.gov/40098011","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/11917024"},"language":"en","primary_location":{"id":"doi:10.1186/s41927-025-00483-1","doi":"https://doi.org/10.1186/s41927-025-00483-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s41927-025-00483-1","pdf_url":null,"source":{"id":"https://openalex.org/S4210216491","display_name":"BMC Rheumatology","issn_l":"2520-1026","issn":["2520-1026"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Rheumatology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s41927-025-00483-1","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5116688559","display_name":"Anthony Rubano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I132446568","display_name":"Campbell University","ror":"https://ror.org/00dv9q566","country_code":"US","type":"education","lineage":["https://openalex.org/I132446568"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Anthony Rubano","raw_affiliation_strings":["Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA","institution_ids":["https://openalex.org/I132446568"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5015924173","display_name":"Michael R. Jiroutek","orcid":"https://orcid.org/0000-0002-0136-1305","observed_orcids":["https://orcid.org/0000-0002-0136-1305"]},"institutions":[{"id":"https://openalex.org/I132446568","display_name":"Campbell University","ror":"https://ror.org/00dv9q566","country_code":"US","type":"education","lineage":["https://openalex.org/I132446568"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Michael R. Jiroutek","raw_affiliation_strings":["Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA"],"raw_orcid":"https://orcid.org/0000-0002-0136-1305","affiliations":[{"raw_affiliation_string":"Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA","institution_ids":["https://openalex.org/I132446568"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5093229138","display_name":"Susan Avila Misciagno","orcid":"https://orcid.org/0000-0001-5374-2022","observed_orcids":["https://orcid.org/0000-0001-5374-2022"]},"institutions":[{"id":"https://openalex.org/I132446568","display_name":"Campbell University","ror":"https://ror.org/00dv9q566","country_code":"US","type":"education","lineage":["https://openalex.org/I132446568"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Susan Avila Misciagno","raw_affiliation_strings":["Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA. smisciagno@campbell.edu","Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA"],"raw_orcid":"https://orcid.org/0000-0001-5374-2022","affiliations":[{"raw_affiliation_string":"Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA. smisciagno@campbell.edu","institution_ids":["https://openalex.org/I132446568"]},{"raw_affiliation_string":"Department of Pharmaceutical & Clinical Sciences, Campbell University, Buies Creek, NC, USA","institution_ids":["https://openalex.org/I132446568"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5093229138"],"corresponding_institution_ids":["https://openalex.org/I132446568"],"apc_list":{"value":2190,"currency":"USD","value_usd":2190},"apc_paid":{"value":2190,"currency":"USD","value_usd":2190},"fwci":2.9495,"has_fulltext":true,"cited_by_count":6,"citation_normalized_percentile":{"value":0.90117831,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":97},"biblio":{"volume":"9","issue":"1","first_page":"33","last_page":"33"},"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":1.0,"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":1.0,"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/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":0.0,"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/T10084","display_name":"Musculoskeletal pain and rehabilitation","score":0.0,"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":0.9909999966621399},{"id":"https://openalex.org/keywords/diagnostic-criteria","display_name":"diagnostic criteria","score":0.8939999938011169},{"id":"https://openalex.org/keywords/2010-acr-criteria","display_name":"2010 ACR criteria","score":0.8920000195503235},{"id":"https://openalex.org/keywords/misdiagnosis","display_name":"misdiagnosis","score":0.8650000095367432},{"id":"https://openalex.org/keywords/rheumatoid-arthritis","display_name":"rheumatoid arthritis","score":0.7940000295639038},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.972000002861023},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.9760000109672546},{"id":"https://openalex.org/keywords/somatic-symptoms","display_name":"somatic symptoms","score":0.996999979019165},{"id":"https://openalex.org/keywords/incidence-trends","display_name":"incidence trends","score":0.6819999814033508},{"id":"https://openalex.org/keywords/national-ambulatory-medical-care-survey","display_name":"National Ambulatory Medical Care Survey","score":0.8379999995231628}],"concepts":[{"id":"https://openalex.org/C2777831278","wikidata":"https://www.wikidata.org/wiki/Q540571","display_name":"Fibromyalgia","level":2,"score":0.8483341932296753},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.4720248281955719},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.35197770595550537},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.16506221890449524}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.1186/s41927-025-00483-1","doi":"https://doi.org/10.1186/s41927-025-00483-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s41927-025-00483-1","pdf_url":null,"source":{"id":"https://openalex.org/S4210216491","display_name":"BMC Rheumatology","issn_l":"2520-1026","issn":["2520-1026"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Rheumatology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:11917024","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11917024/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11917024/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"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":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Rheumatol","raw_type":"Text"},{"id":"pmid:40098011","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40098011","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":"BMC rheumatology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:8a36376024644bcbb57391788af04e79","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/8a36376024644bcbb57391788af04e79","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Rheumatology, Vol 9, Iss 1, Pp 1-11 (2025)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s41927-025-00483-1","doi":"https://doi.org/10.1186/s41927-025-00483-1","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s41927-025-00483-1","pdf_url":null,"source":{"id":"https://openalex.org/S4210216491","display_name":"BMC Rheumatology","issn_l":"2520-1026","issn":["2520-1026"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","doyens","jufo-1","ki-jl-1","norway-1","oarl","poland-20","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Rheumatology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4408587745.pdf","grobid_xml":"https://content.openalex.org/works/W4408587745.grobid-xml"},"referenced_works_count":30,"referenced_works":["https://openalex.org/W1950256523","https://openalex.org/W1998713427","https://openalex.org/W2049056319","https://openalex.org/W2056108471","https://openalex.org/W2061185580","https://openalex.org/W2071957826","https://openalex.org/W2107026044","https://openalex.org/W2210246545","https://openalex.org/W2253364553","https://openalex.org/W2513715080","https://openalex.org/W2561677721","https://openalex.org/W2620556755","https://openalex.org/W2740904711","https://openalex.org/W2804490106","https://openalex.org/W2914175854","https://openalex.org/W2918794604","https://openalex.org/W2922853138","https://openalex.org/W2970692964","https://openalex.org/W3033093565","https://openalex.org/W3041423925","https://openalex.org/W3107057426","https://openalex.org/W3183362976","https://openalex.org/W4280628544","https://openalex.org/W4310496574","https://openalex.org/W4385895862","https://openalex.org/W4388523431","https://openalex.org/W4390876915","https://openalex.org/W4392514056","https://openalex.org/W4392562496","https://openalex.org/W4402554738"],"related_works":["https://openalex.org/W7167835924","https://openalex.org/W6894319727","https://openalex.org/W2084131409","https://openalex.org/W4205763344","https://openalex.org/W2620556755","https://openalex.org/W4381786807","https://openalex.org/W2513715080","https://openalex.org/W3018877629","https://openalex.org/W4393931774","https://openalex.org/W2148749793"],"abstract_inverted_index":{"BACKGROUND:":[0],"Fibromyalgia":[1],"is":[2],"currently":[3],"diagnosed":[4,139],"under":[5],"the":[6,13,31,36,44,48,64,69,77,83,110,132,158,164,167,175,178,182,194,197,242,245,257,260,267,274,301],"2016":[7,198,258],"research":[8],"criteria,":[9,181,199,259],"a":[10,149,188,202,230,252],"combination":[11],"of":[12,40,54,79,94,102,107,127,131,134,160,169,177,184,196,247,256,283,303],"2010":[14,122,179,275],"and":[15,82,88,91,216,285,292],"2011":[16],"criteria":[17,32,50,67,262,276],"revisions.":[18],"The":[19,281],"current":[20,70,261],"guidelines":[21],"have":[22],"led":[23],"to":[24,30,47,63,73,123,156,193,225,269,295],"ongoing":[25],"misdiagnosis":[26],"issues":[27],"dating":[28],"back":[29],"initially":[33],"established":[34],"by":[35],"1990":[37],"American":[38],"College":[39],"Rheumatology":[41],"(ACR).":[42],"Given":[43],"extensive":[45],"revisions":[46],"diagnostic":[49,66,306],"in":[51,76,163,187,244,251,273,300],"2016,":[52],"instances":[53],"over-and":[55],"under-diagnosing":[56],"as":[57,59],"well":[58],"measurement":[60],"errors":[61],"corresponding":[62],"different":[65],"utilized,":[68],"study":[71,101],"sought":[72],"investigate":[74],"changes":[75],"incidence":[78],"fibromyalgia":[80,86,137,170,189,231,253],"diagnoses":[81],"associations":[84],"between":[85],"diagnosis":[87,171,190,254,302],"relevant":[89],"comorbidities":[90,284,299],"somatic":[92,286],"symptoms":[93,287],"interest.":[95],"METHODS:":[96],"This":[97],"retrospective,":[98],"observational,":[99],"cross-sectional":[100],"adults":[103],"(18":[104],"+":[105],"years":[106],"age)":[108],"used":[109],"most":[111],"recently":[112],"available":[113,162],"National":[114],"Ambulatory":[115],"Medical":[116],"Care":[117],"Survey":[118],"(NAMCS)":[119],"datasets":[120],"from":[121],"2019.":[124],"A":[125],"plot":[126],"annual":[128],"point":[129],"estimates":[130],"proportion":[133,246],"visits":[135,185,249],"where":[136],"was":[138,145,154,206],"(and":[140],"associated":[141,228],"95%":[142,213,220],"confidence":[143],"intervals)":[144],"generated.":[146],"In":[147],"addition,":[148],"multivariable":[150],"logistic":[151],"regression":[152],"model":[153],"constructed":[155],"assess":[157],"relationship":[159],"covariates":[161],"NAMCS":[165,248],"on":[166,241],"outcome":[168],"(yes/no).":[172],"RESULTS:":[173],"Since":[174],"implementation":[176],"ACR":[180],"percentage":[183],"resulting":[186,250],"increased":[191],"prior":[192],"release":[195],"after":[200],"which":[201],"general":[203],"downward":[204],"trend":[205],"observed.":[207],"Both":[208],"rheumatoid":[209,290],"arthritis":[210,291],"(OR":[211,218],"5.51,":[212],"CI":[214,221],"2.87-10.58)":[215],"depression":[217,293],"2.61,":[219],"1.90-3.58)":[222],"were":[223],"found":[224],"be":[226,296],"strongly":[227],"with":[229],"diagnosis.":[232],"Other":[233],"comorbid":[234,270],"conditions":[235,271],"showed":[236],"minimal":[237],"associations.":[238],"CONCLUSIONS:":[239],"Based":[240],"fluctuation":[243],"post-implementation":[255],"may":[263],"not":[264],"accurately":[265],"represent":[266],"sensitivity":[268],"seen":[272],"through":[277],"symptom":[278],"severity":[279],"scales.":[280],"analysis":[282],"revealed":[288],"that":[289],"continue":[294],"two":[297],"defining":[298],"fibromyalgia;":[304],"however,":[305],"challenges":[307],"remain.":[308],"CLINICAL":[309],"TRIAL":[310],"NUMBER:":[311],"Not":[312],"applicable.":[313]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":3}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2025-03-19T00:00:00"}