Al-Allaf A W
Rheumatology Section, Department of Medicine (MBC 46), King Faisal Specialist Hospital and Research Centre, Riyadh, Kingdom of Saudi Arabia.
J Clin Rheumatol. 2007 Aug;13(4):199-201. doi: 10.1097/RHU.0b013e31812e6b0c.
Fibromyalgia syndrome (FMS) usually affects women of working age. We expect significant work-related disability in association with FMS. Because of the variety of symptoms, these patients often have multiple visits to their general practitioners with many referrals and visits to various specialists.
To investigate the impact of fibromyalgia on working disability and health system utilization.
This was a case-control study comparing fibromyalgia outpatient attendees with controls attending nonrheumatology outpatient clinics in Eastern Scotland. One hundred thirty-six patients with FMS and 152 age- and sex-matched controls completed a postal questionnaire about their working history and attendance at various outpatient clinics and general practitioners' visits.
Significant number of patients with FMS (46.8%) reported that they lost their job because of the disease, compared with only 14.1% of controls (P < 0.00001). There was no significant difference in health system utilization between patients with FMS and other clinic controls in a subset of patients surveyed.
Fibromyalgia is significantly associated with reports of working disability. Reasons for this decreased employment need to be investigated. The impact on the health system appeared to be the same as for patients with known specific organic diseases with regard to the number of general practitioner or hospital visits.
纤维肌痛综合征（FMS）通常影响工作年龄的女性。我们预计FMS会导致与工作相关的严重残疾。由于症状多样，这些患者经常多次就诊于全科医生，并有许多转诊以及看各种专科医生。
调查纤维肌痛对工作残疾和卫生系统利用的影响。
这是一项病例对照研究，将纤维肌痛门诊患者与苏格兰东部非风湿病门诊的对照者进行比较。136例FMS患者和152例年龄及性别匹配的对照者完成了一份关于其工作经历、在各种门诊就诊情况以及看全科医生次数的邮寄问卷调查。
大量FMS患者（46.8%）报告称他们因该病失去了工作，而对照者中只有14.1%（P < 0.00001）。在接受调查的一部分患者中，FMS患者与其他门诊对照者在卫生系统利用方面没有显著差异。
纤维肌痛与工作残疾报告显著相关。这种就业减少的原因需要进行调查。就看全科医生或住院的次数而言，其对卫生系统的影响似乎与已知特定器质性疾病的患者相同。
