Gatta Gianluca, La Forgia Daniele, Fanizzi Annarita, Massafra Raffaella, Somma Francesco, Belfiore Maria Paola, Pacella Daniela, Cappabianca Salvatore, Salvia Antonio Alessandro Heliot
Dipartimento di Medicina di Precisione Università Della Campania "Luigi Vanvitelli", 80127 Napoli, Italy.
IRCCS Istituto Tumori "Giovanni Paolo II", 70124 Bari, Italy.
Healthcare (Basel). 2021 Oct 9;9(10):1340. doi: 10.3390/healthcare9101340.
Fibromyalgia is a widespread condition which is currently underdiagnosed; therefore we conceived this study in order to assess whether a diagnostic suspicion may be assumed during widespread screening procedures, so that patients for which a reasonable diagnostic suspicion exist may be redirected towards rheumatologic evaluation. We analyzed a sample of 1060 patients, all of whom were female and undergoing standard breast cancer screening procedures, and proceeded to evaluate the level of pain they endured during mammographic exam. We also acquired a range of other information which we related to the level of pain endured; we suggested a rheumatologic examination for those patients who endured the highest level of pain and then we evaluated how many patients in this subgroup were actually diagnosed with fibromyalgia. Out of the 1060 patients who participated to our study, 139 presented level 4 pain intensity; One patient did not go for rheumatologic examination; the remaining 138 underwent rheumatologic evaluation, and 50 (36%, 28-44, 95% CI) were diagnosed with fibromyalgia. Our study shows that assessing the level of pain endured by patients during standard widespread screening procedures may be an effective asset in deciding whether or not to suggest specialist rheumatologic evaluation for fibromyalgia.
纤维肌痛是一种普遍存在但目前诊断不足的病症；因此，我们开展了这项研究，以评估在广泛的筛查程序中是否可以做出诊断怀疑，从而使存在合理诊断怀疑的患者能够转向风湿科评估。我们分析了1060名患者的样本，所有患者均为女性且正在接受标准的乳腺癌筛查程序，并着手评估她们在乳房X光检查期间所忍受的疼痛程度。我们还获取了一系列与所忍受疼痛程度相关的其他信息；我们建议对那些忍受疼痛程度最高的患者进行风湿科检查，然后我们评估了该亚组中有多少患者实际被诊断为纤维肌痛。在参与我们研究的1060名患者中，139名表现出4级疼痛强度；1名患者未进行风湿科检查；其余138名接受了风湿科评估，其中50名（36%，28 - 44，95%置信区间）被诊断为纤维肌痛。我们的研究表明，在标准的广泛筛查程序中评估患者所忍受的疼痛程度，可能是决定是否建议对纤维肌痛进行专科风湿科评估的一项有效依据。
