TY - JOUR T1 - Fibromiyalji Tanısı İçin Eski ve Yeni Kriterler: Değerlendirme ve Karşılaştırma TT - Old and New Criteria for the Diagnosis of Fibromyalgia: Comparison and Evaluation AU - Çağlıyan Türk, Ayla PY - 2019 DA - March DO - 10.17098/amj.542154 JF - Ankara Medical Journal JO - Ankara Med J PB - Ankara Yildirim Beyazit University WT - DergiPark SN - 2148-4570 SP - 83 EP - 95 VL - 19 IS - 1 LA - tr AB - Amaç: Eskive yeni Fibromiyalji Sendromu (FMS) tanı kriterleri arasındaki farklılıklarıdeğerlendirmek ve tanı kriterleri ile Fibromiyalji Etki Anketi (FEA) arasındakiilişkiyi saptamaktır.Materyal ve Metot: Yaygın ağrışikayeti olan 132 kadın hasta çalışmaya dahil edildi. Hastalara ACR 1990; hassasnokta sayısı, ACR 2010; yaygın ağrı indeksi (YAİ)-semptom şiddet skalası (SSS),ACR 2010 modifiye kriterler; (YAİ-modifiye skor) ve 2013 ACR alternatif tanıkriterleri; ağrı yerleşim skoru (AYS)-semptom etki skoru (SES) ile uygulandı.Fonksiyonel durum değerlendirilmesi Fibromiyalji Etki Anketi (FEA) ileyapıldı. Bulgular: Hastalarınortalama yaşı 47,68±8,31 yıl idi. Ortalama BMI 29,34±4,92 idi. ACR 1990kriterlere göre hastaların %34,80’i FMS tanısı alırken, ACR 2010 kriterlerinegöre %37,90 hasta, ACR 2010-mod kriterlerine göre %42,40 hasta, 2013 ACRalternatif kriterlerine göre %18,20 hasta FMS tanısı almıştı. ACR 1990, ACR2010 ve ACR 2010-mod kriterleri arasında farklılık gözlenmezken, ACR 2013alternatif kriterleri AYS ve SES skoru ile diğerlerinden anlamlı olarakfarklıydı (p<0,05). Hassas nokta sayısı ile FEA total skor arasında anlamlıkorelasyon vardı (r: 0.511 p<0,001). SSS ile FEA total skor (r: 0.643p<0,001), modifiye skor ile FEA total skor ilişkiliydi (r: 0,417 p<0.05).Hassas nokta sayısı, YAİ (r=0,363 p<0,05) ve SSS (r=0,290 p<0,05) ilepozitif yönde anlamlı; modifiye skor ile pozitif yönde anlamlı (r= 0,342p<0,05) korelasyon saptandı. Hassas nokta sayısı ile AYS ve SES skoru arasındakorelasyon saptanmadı (p>0,05). Sonuç: ACR1990, ACR 2010 ve modifiye 2010 ACR kriterleri arasında tanı koyma sıklığıaçısından anlamlı bir fark saptanmamıştır. ACR 2013 alternatif kriterleri isetanı koyma oranını anlamlı derecede azaltmıştır. FMS’nin neden olduğu yaşamkalitesi ve fonksiyonel durum değişikliklerinin SŞS ile ilişkilidir.  KW - Fibromiyalji KW - tanı kriterleri KW - Fibromiyalji etki anketi N2 - Objectives: To evaluate the differences between the diagnostic criteria of old andnew Fibromyalgia Syndrome (FMS) and to determine the relationship between thediagnostic criteria and the Fibromyalgia Impact Questionnaire (FIQ). Materialsand Methods: A total of 132 women withgeneralized pain were included in the study. ACR 1990 to the patients, thenumber of tender points, ACR 2010; widespread pain index (WPI) - symptomseverity scale (SSS), ACR 2010 modified criteria; (WPI-modified score) andalternative diagnostic criteria for 2013 ACR; pain location score (PLS) wasapplied with Symptom Impact Questionnaire (SIQR). Functional status evaluationwas performed with FIQ. Results: The mean age of the patients was 47.68 ± 8.31 years. The mean BMI was29.34 ± 4.92. While 34.8% of the patients were diagnosed as FMS according to ACR1990 criteria, 37.9% according to ACR 2010 criteria, 42.4% according to ACR2010-mode criteria and 18.2% according to ACR alternative criteria werediagnosed as FMS. While ACR 1990, ACR 2010 and ACR 2010-mode criteria did notdiffer, the ACR 2013 alternative criteria were significantly different fromthose of the others by WPI and SES score (p <0.05). FIQ total score wascorrelated with SSS (r: 0.643 p <0.001) and modified score (r: 0.417 p<0.05). The number of tender points was positively significant with WPI (r =0.363 p <0.05) and SSS (r = 0.290 p <0.05); There was a significantpositive correlation (r = 0.342 p <0.05) with the modified score. There wasno correlation between the number of tender points and the score of PLS andSIQR (p> 0.05).Conclusion: There was no significant difference between the ACR 1990, ACR 2010 andmodified 2010 ACR criteria in terms of diagnosis frequency. The ACR2013alternative criteria significantly reduced the rate of diagnosis. Quality oflife and functional state changes caused by FMS are associated with SSS. CR - Moyano S, Kilstein JG, Alegre de Miguel C. New diagnostic criteria for fibromyalgia: Here to stay? Reumatol Clin. 2015;11(4):210-4 CR - Nazlıkul H. Fibromyalgia syndrome. Journal of Complementary Medicine, Regulation and Neural Therapy 2014;8(2):1-9 CR - Koca TT. 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UR - https://doi.org/10.17098/amj.542154 L1 - https://dergipark.org.tr/en/download/article-file/674816 ER -