The Japanese version of the modified ACR Preliminary Diagnostic Criteria for Fibromyalgia and the Fibromyalgia Symptom Scale: reliability and validity
Chie Usui 1 , Kotaro Hatta1 , Satoko Aratani2 , Naoko Yagishita3 , Kenya Nishioka4 , Teruhisa Kanazawa5 , Kenji Itoh6 , Yoshihisa Yamano3 , Hiroyuki Nakamura7 , Toshihiro Nakajima2 , Kusuki Nishioka2
18 January 2012
23 August 2012
24 September 2012
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Purpose The aim of this study is to investigate the reliability and validity of the Japanese version of the modified American College of Rheumatology (ACR) Preliminary Diagnostic Criteria for Fibromyalgia (mACR 2010-J) and the Fibromyalgia Symptom Scale (mFS-J). Methods According to the ACR 1990 classification criteria, patients with chronic pain were divided into the fibromyalgia group and nonfibromyalgia group (rheumatoid arthritis and osteoarthritis). Patients in both groups were assessed using mACR 2010-J and mFS-J. Results 294 of 462 (64 %) patients in the fibromyalgia group met mACR 2010-J, whereas 4 % (9/231) of the nonfibromyalgia group did, with sensitivity of 64 %, specificity of 96 %, positive predictive value of 97 %, negative predictive value of 56 %, and positive likelihood ratio of 16.3. Mean total scores on mFS-J significantly differentiated the fibromyalgia from the nonfibromyalgia group. According to the value of the Youden index, the best cutoff score for the mFS-J was 9/10. Conclusion Our findings indicate that mACR 2010-J as a positive test and mFS-J as a quantification scale might be suitable for assessing fibromyalgia among Japanese chronic pain populations.
Diagnostic criteria, Fibromyalgia, Symptom scale, Modified ACR Preliminary Diagnostic Criteria for Fibromyalgia