Division of Rheumatology, Department of Medicine, King Saud University, Riyadh, Saudi Arabia.
Department of Medicine, King Saud University, Riyadh, Saudi Arabia.
Clin Rheumatol. 2019 Jan;38(1):165-172. doi: 10.1007/s10067-018-4313-x. Epub 2018 Oct 3.
The prevalence of fibromyalgia (FM) in physicians in training (PIT) in Saudi Arabia is unknown. The aim of this study is to evaluate the prevalence of FM in PIT using different screening tools and factors associated with its development. We also aimed at evaluating the level of agreement and correlation between screening tools. This was a cross-sectional study conducted in a single academic institution. PIT were invited to fill three questionnaires: Fibromyalgia Rapid Screening tool (FirST), Fibromyalgia Survey Questionnaire (FSQ), and London Fibromyalgia Epidemiology Study Screening Questionnaire (LFESSQ). A total of 182 PIT completed the questionnaire. They were predominantly males (57.1%), single (56.0%), and at resident level (86.7%). The median age was 28 (interquartile range = 4). The average number of house-calls/month was 3.2 (SD = 2.3). The prevalence of FM using the FirST, FSQ, and LFESSQ was 6.0%, 8.2%, and 11.6%, respectively. Six (3.3%) fulfilled the three criteria concurrently. After adjusting for different variables using the FSQ, PIT with family history of FM had 23.6 times the odds for testing positive (95% CI = 3.12, 178.37), and every extra house-call/month was associated with a 50% increase in the odds for testing positive for FM (95% CI = 1.00, 2.25). Percent agreement between tools was high (all > 86%). Results for kappa coefficient showed moderate agreement between FSQ scores and each of FirST and LFESSQ. There was poor agreement between FirST and LFESSQ. FM is prevalent among PIT. There is a high percent agreement and poor to moderate correlation between the screening tools used.
在沙特阿拉伯，受训医师（PIT）中纤维肌痛（FM）的患病率尚不清楚。本研究的目的是使用不同的筛查工具评估 PIT 中 FM 的患病率以及与 FM 发展相关的因素。我们还旨在评估筛查工具之间的一致性和相关性。这是一项在单一学术机构进行的横断面研究。邀请 PIT 填写三份问卷：纤维肌痛快速筛查工具（FirST）、纤维肌痛调查问卷（FSQ）和伦敦纤维肌痛流行病学研究筛查问卷（LFESSQ）。共有 182 名 PIT 完成了问卷。他们主要是男性（57.1%）、单身（56.0%）和住院医师（86.7%）。中位年龄为 28 岁（四分位距=4）。平均每月家访次数为 3.2（SD=2.3）。使用 FirST、FSQ 和 LFESSQ 诊断 FM 的患病率分别为 6.0%、8.2%和 11.6%。有 6 名（3.3%）同时满足三项标准。使用 FSQ 调整不同变量后，有 FM 家族史的 PIT 检测呈阳性的可能性增加 23.6 倍（95%CI=3.12,178.37），每月额外增加一次家访，FM 检测呈阳性的可能性增加 50%（95%CI=1.00,2.25）。工具之间的百分一致率很高（均>86%）。Kappa 系数的结果表明 FSQ 评分与 FirST 和 LFESSQ 之间具有中度一致性。FirST 和 LFESSQ 之间的一致性较差。FM 在 PIT 中很常见。使用的筛查工具之间具有很高的百分一致率和较差到中度的相关性。
