Marques Amelia Pasqual, Santo Adriana de Sousa do Espírito, Berssaneti Ana Assumpção, Matsutani Luciana Akemi, Yuan Susan Lee King
Universidade de São Paulo (USP), Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, São Paulo, SP, Brazil.
Universidade de São Paulo (USP), Faculdade de Medicina, Departamento de Fisioterapia, Fonoaudiologia e Terapia Ocupacional, São Paulo, SP, Brazil.
Rev Bras Reumatol Engl Ed. 2017 Jul-Aug;57(4):356-363. doi: 10.1016/j.rbre.2017.01.005. Epub 2017 Feb 8.
The present study aimed to update the literature review on the prevalence of fibromyalgia published in 2006. A bibliographical survey was carried out from 2005 to 2014 in the MEDLINE, Web of Science, Embase, LILACS and SciELO databases and 3274 records were identified. Five researchers selected the studies, following the inclusion criteria: studies that obtained the prevalence of fibromyalgia. Fibromyalgia studies in associated diseases were excluded. When screening by title and abstract, 2073 irrelevant articles were excluded. The full texts of 210 articles were evaluated for eligibility and this review included 39 studies, described in 41 articles. The selected studies were grouped into four categories: (A) prevalence of fibromyalgia in the general population; (B) prevalence of fibromyalgia in women; (C) prevalence of fibromyalgia in rural and urban areas; (D) prevalence of fibromyalgia in special populations. The literature shows values of fibromyalgia prevalence in the general population between 0.2 and 6.6%, in women between 2.4 and 6.8%, in urban areas between 0.7 and 11.4%, in rural areas between 0.1 and 5.2%, and in special populations values between 0.6 and 15%. This literature review update shows a significant increase in fibromyalgia prevalence studies in the world. The new 2010 American College of Rheumatology criteria have not been widely used yet and the COPCORD (Community-oriented program for control of Rheumatic Diseases) methodology has increased the quality of studies on the prevalence of rheumatic diseases in general.
本研究旨在更新2006年发表的关于纤维肌痛患病率的文献综述。于2005年至2014年在MEDLINE、科学引文索引、Embase、拉丁美洲及加勒比地区卫生科学数据库和科学电子图书馆在线数据库中进行了文献调查，共识别出3274条记录。五名研究人员按照纳入标准选择研究：即得出纤维肌痛患病率的研究。排除了关于相关疾病的纤维肌痛研究。通过标题和摘要筛选时，排除了2073篇不相关的文章。对210篇文章的全文进行了合格性评估，本综述纳入了41篇文章中描述的39项研究。所选研究分为四类：(A) 普通人群中纤维肌痛的患病率；(B) 女性中纤维肌痛的患病率；(C) 农村和城市地区纤维肌痛的患病率；(D) 特殊人群中纤维肌痛的患病率。文献显示，普通人群中纤维肌痛患病率的值在0.2%至6.6%之间，女性中在2.4%至6.8%之间，城市地区在0.7%至11.4%之间，农村地区在0.1%至5.2%之间，特殊人群的值在0.6%至15%之间。本次文献综述更新显示，全球范围内纤维肌痛患病率研究显著增加。2010年美国风湿病学会的新标准尚未得到广泛应用，而社区导向性风湿病控制项目方法总体上提高了风湿病患病率研究的质量。
