Classification of fibromyalgia. A systematic review of the literature
Clasificación de la fibromialgia. Revisión sistemática de la literatura
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"apellidos" => "José Plazas-Fernández" ] 4 => array:2 [ "nombre" => "Joan" "apellidos" => "Heras-Navarro" ] 5 => array:2 [ "nombre" => "Jordi" "apellidos" => "Galván-Cervera" ] 6 => array:2 [ "nombre" => "Joana" "apellidos" => "Porcel-Carbonell" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173574309700905?idApp=UINPBA00004M" "url" => "/21735743/0000000500000002/v1_201305061553/S2173574309700905/v1_201305061553/en/main.assets" ] "en" => array:14 [ "idiomaDefecto" => true "titulo" => "Classification of fibromyalgia. A systematic review of the literature" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "55" "paginaFinal" => "62" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Rafael Berenguer, Manuel Ramos-Casals, Antoni Siso, Javier Rivera" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Rafael" "apellidos" => "Berenguer" "email" => array:1 [ 0 => "rbelenguer@gmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Manuel" "apellidos" => "Ramos-Casals" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Antoni" "apellidos" => "Siso" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Javier" "apellidos" => "Rivera" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Unit of Fibromyalgia, Hospital 9 d’Octubre, Valencia, Spain" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Department of Autoimmune Disease, IDIBAPS, Hospital Clínic, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "CAP Les Corts, GESCLINIC, Hospital Clínic, Barcelona, Spain" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Department of Rheumatology, Instituto Provincial de Reumatología, Madrid, Spain" "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Clasificación de la fibromialgia. Revisión sistemática de la literatura" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-04-14" "fechaAceptado" => "2008-07-30" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec112021" "palabras" => array:3 [ 0 => "Fibromyalgia" 1 => "Classification" 2 => "Chronic pain" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec112020" "palabras" => array:3 [ 0 => "Fibromialgia" 1 => "Clasificación" 2 => "Dolor crónico" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">To review the scientific literature concerning the classification of fibromyalgia (FM), including previous studies focusing on the gnosologic evaluation of FM, with the aim of proposing a classificatory hypothesis based on the current scientific evidence.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Systematic review using a baseline MEDLINE search. Search terms included “fibromyalgia” and “classification.” Additional articles were identified through a comprehensive manual search of the references of retrieved articles.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">This systematic review has identified, on the one hand, several classificatory proposals based on psychopathological aspects, and, on the other hand, the key role of associated diseases. Based on the scientific evidence currently available, the following FM subsets were defined: patients with no associated processes (type I FM), patients with associated rheumatic/autoimmune chronic diseases (type II FM), patients with severe psychiatric disorders (type III FM) and patients with simulated FM (type IV FM).</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Few studies have specifically analyzed the classification of FM into subgroups with a more homogeneous clinical expression. Correct classification of patients with FM requires the integration of two key concepts (psychopathological evaluation and coexistence of comorbid processes), with an individual diagnostic evaluation by a multidisciplinary team.</p>" ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Recopilar la información existente sobre la clasificación de la fibromialgia (FM), analizar los antecedentes relevantes en relación con una subdivisión nosológica y proponer una hipótesis clasificatoria fundamentada en la evidencia científica existente en la actualidad.</p> <span class="elsevierStyleSectionTitle">Metodología</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Revisión sistemática de la literatura mediante búsqueda en la página web PubMed. Los términos de búsqueda en MEDLINE fueron «fibromyalgia» y «classification». Se realizó una búsqueda manual adicional entre las referencias de los artículos seleccionados.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">La revisión sistemática de la literatura ha permitido identificar, por una parte, la existencia de varias propuestas clasificatorias esencialmente basadas en criterios psicopatológicos y, por otra parte, la importancia de evaluar las enfermedades relacionadas con la FM. Según la evidencia analizada, se han identificado los siguientes subgrupos clasificatorios en el paciente que cumple los criterios vigentes de 1990: pacientes sin ninguna enfermedad concomitante (FM tipo I), pacientes con enfermedades crónicas reumáticas y autoinmunitarias (FM tipo II), pacientes con grave alteración en la esfera psicopatológica (FM tipo III) y pacientes simuladores (FM tipo IV).</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Son pocos los estudios que analizan de forma específica cómo identificar subgrupos de pacientes con FM con una expresión clínica más homogénea. El análisis ha permitido identificar que los principales aspectos a evaluar en la clasificación del paciente con FM son el perfil psicopatológico y la coexistencia de otros procesos. Una adecuada clasificación del paciente con FM sólo puede realizarse mediante una evaluación diagnóstica individualizada por parte de un equipo mutidisciplinario.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:79 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The Copenhagen Declaration. Journal Musculoskeletal Pain" "autores" => array:1 [ 0 => array:2 [ "colaboracion" => "Consensus Document on Fibromyalgia" "etal" => false ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "1993" "editorial" => "The Haworth Press" "editorialLocalizacion" => "New York" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 6 | 14 | 20 |
| 2024 October | 31 | 40 | 71 |
| 2024 September | 49 | 29 | 78 |
| 2024 August | 40 | 44 | 84 |
| 2024 July | 39 | 51 | 90 |
| 2024 June | 45 | 37 | 82 |
| 2024 May | 28 | 37 | 65 |
| 2024 April | 34 | 23 | 57 |
| 2024 March | 36 | 38 | 74 |
| 2024 February | 30 | 24 | 54 |
| 2024 January | 26 | 27 | 53 |
| 2023 December | 35 | 26 | 61 |
| 2023 November | 32 | 31 | 63 |
| 2023 October | 45 | 25 | 70 |
| 2023 September | 46 | 38 | 84 |
| 2023 August | 29 | 16 | 45 |
| 2023 July | 33 | 30 | 63 |
| 2023 June | 27 | 21 | 48 |
| 2023 May | 26 | 18 | 44 |
| 2023 April | 26 | 14 | 40 |
| 2023 March | 39 | 27 | 66 |
| 2023 February | 19 | 55 | 74 |
| 2023 January | 19 | 26 | 45 |
| 2022 December | 38 | 46 | 84 |
| 2022 November | 29 | 26 | 55 |
| 2022 October | 24 | 61 | 85 |
| 2022 September | 30 | 46 | 76 |
| 2022 August | 36 | 52 | 88 |
| 2022 July | 30 | 37 | 67 |
| 2022 June | 38 | 40 | 78 |
| 2022 May | 33 | 49 | 82 |
| 2022 April | 41 | 66 | 107 |
| 2022 March | 44 | 60 | 104 |
| 2022 February | 40 | 30 | 70 |
| 2022 January | 26 | 45 | 71 |
| 2021 December | 33 | 59 | 92 |
| 2021 November | 55 | 81 | 136 |
| 2021 October | 79 | 55 | 134 |
| 2021 September | 46 | 60 | 106 |
| 2021 August | 53 | 53 | 106 |
| 2021 July | 40 | 43 | 83 |
| 2021 June | 33 | 58 | 91 |
| 2021 May | 39 | 56 | 95 |
| 2021 April | 104 | 92 | 196 |
| 2021 March | 69 | 38 | 107 |
| 2021 February | 58 | 50 | 108 |
| 2021 January | 46 | 30 | 76 |
| 2020 December | 35 | 34 | 69 |
| 2020 November | 37 | 48 | 85 |
| 2020 October | 26 | 27 | 53 |
| 2020 September | 44 | 32 | 76 |
| 2020 August | 27 | 29 | 56 |
| 2020 July | 25 | 29 | 54 |
| 2020 June | 48 | 17 | 65 |
| 2020 May | 52 | 23 | 75 |
| 2020 April | 53 | 22 | 75 |
| 2020 March | 30 | 19 | 49 |
| 2020 February | 5 | 0 | 5 |
| 2020 January | 6 | 0 | 6 |
| 2019 September | 5 | 0 | 5 |
| 2019 August | 1 | 0 | 1 |
| 2019 July | 1 | 0 | 1 |
| 2019 June | 2 | 0 | 2 |
| 2019 March | 5 | 0 | 5 |
| 2019 January | 2 | 0 | 2 |
| 2018 December | 1 | 0 | 1 |
| 2018 May | 5 | 3 | 8 |
| 2018 April | 28 | 23 | 51 |
| 2018 March | 20 | 23 | 43 |
| 2018 February | 20 | 12 | 32 |
| 2018 January | 23 | 11 | 34 |
| 2017 December | 18 | 10 | 28 |
| 2017 November | 21 | 13 | 34 |
| 2017 October | 23 | 18 | 41 |
| 2017 September | 26 | 18 | 44 |
| 2017 August | 23 | 58 | 81 |
| 2017 July | 21 | 27 | 48 |
| 2017 June | 33 | 16 | 49 |
| 2017 May | 40 | 17 | 57 |
| 2017 April | 17 | 39 | 56 |
| 2017 March | 23 | 49 | 72 |
| 2017 February | 23 | 12 | 35 |
| 2017 January | 33 | 19 | 52 |
| 2016 December | 105 | 20 | 125 |
| 2016 November | 82 | 9 | 91 |
| 2016 October | 106 | 13 | 119 |
| 2016 September | 79 | 11 | 90 |
| 2016 August | 44 | 2 | 46 |
| 2016 July | 28 | 6 | 34 |
| 2016 February | 1 | 0 | 1 |
| 2016 January | 1 | 0 | 1 |
| 2015 December | 1 | 0 | 1 |
| 2015 November | 1 | 0 | 1 |
| 2015 September | 1 | 0 | 1 |
| 2015 July | 11 | 8 | 19 |
| 2015 June | 15 | 22 | 37 |
| 2015 May | 34 | 29 | 63 |
| 2015 April | 21 | 30 | 51 |
| 2015 March | 20 | 16 | 36 |
| 2015 February | 17 | 12 | 29 |
| 2015 January | 16 | 24 | 40 |
| 2014 December | 20 | 21 | 41 |
| 2014 November | 15 | 22 | 37 |
| 2014 October | 15 | 18 | 33 |
| 2014 September | 9 | 25 | 34 |
| 2014 August | 23 | 26 | 49 |
| 2014 July | 26 | 25 | 51 |
| 2014 June | 28 | 20 | 48 |
| 2014 May | 27 | 17 | 44 |
| 2014 April | 19 | 12 | 31 |
| 2014 March | 28 | 31 | 59 |
| 2014 February | 31 | 25 | 56 |
| 2014 January | 23 | 20 | 43 |
| 2013 December | 24 | 12 | 36 |
| 2013 November | 16 | 19 | 35 |
| 2013 October | 31 | 14 | 45 |
| 2013 September | 28 | 24 | 52 |
| 2013 August | 25 | 19 | 44 |
| 2013 July | 28 | 11 | 39 |
| 2013 June | 27 | 17 | 44 |
| 2013 May | 18 | 19 | 37 |
| 2013 April | 27 | 17 | 44 |
| 2013 March | 17 | 16 | 33 |
| 2013 February | 11 | 10 | 21 |
| 2013 January | 17 | 16 | 33 |
| 2012 December | 14 | 9 | 23 |
| 2012 November | 6 | 9 | 15 |
| 2012 October | 4 | 13 | 17 |
| 2012 September | 4 | 2 | 6 |
| 2012 July | 1 | 0 | 1 |
| 2012 April | 1 | 0 | 1 |
| 2012 March | 3 | 0 | 3 |
| 2012 February | 1 | 0 | 1 |
| 2012 January | 5 | 0 | 5 |
| 2011 December | 2 | 0 | 2 |
| 2011 November | 6 | 0 | 6 |
| 2011 October | 1 | 0 | 1 |
| 2011 September | 2 | 0 | 2 |
| 2011 August | 2 | 0 | 2 |
| 2011 July | 1 | 0 | 1 |
| 2011 June | 2 | 0 | 2 |
| 2011 May | 1 | 0 | 1 |
| 2011 March | 7 | 0 | 7 |
| 2011 February | 8 | 0 | 8 |
| 2011 January | 10 | 0 | 10 |
| 2010 December | 2 | 0 | 2 |
| 2010 November | 5 | 0 | 5 |
| 2010 October | 4 | 0 | 4 |
| 2010 September | 8 | 0 | 8 |
| 2010 August | 4 | 0 | 4 |
| 2010 July | 2 | 0 | 2 |
| 2010 June | 10 | 0 | 10 |
| 2010 May | 7 | 0 | 7 |
| 2010 April | 12 | 0 | 12 |
| 2010 March | 5 | 0 | 5 |
| 2010 February | 1 | 0 | 1 |
| 2010 January | 4 | 0 | 4 |
| 2009 December | 5 | 0 | 5 |
| 2009 November | 22 | 0 | 22 |
| 2009 October | 7 | 0 | 7 |
| 2009 September | 18 | 0 | 18 |
| 2009 August | 25 | 0 | 25 |
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