Predictors of Clinical Outcome in Fibromyalgia After a Brief Interdisciplinary Fibromyalgia Treatment Program: Single Center Experience

Terry H. Oh, Tanya L. Hoskin, Connie A. Luedtke, Toby N. Weingarten, Ann Vincent, Chul H. Kim, Jeffrey M. Thompson

Research output: Contribution to journalArticle

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Abstract

Objective: To determine which patient characteristics are closely associated with a positive response to a brief interdisciplinary fibromyalgia treatment program (FTP). Design: A prospective cohort study. Setting: FTP at a tertiary medical center. Participants: A total of 536 patients with a confirmed diagnosis of fibromyalgia who underwent the FTP and completed the Fibromyalgia Impact Questionnaire (FIQ) at baseline and 6-12 months after treatment. Interventions: A brief 1.5-day interdisciplinary FTP, which included evaluation with a registered nurse and a physician for a diagnosis or confirmation of fibromyalgia, fibromyalgia education, interactive self management session, and physical and occupational therapy. Main Outcome Measurements: The responder definition was an improvement of 14% or more in the FIQ total score from their baseline to 6-12 months after treatment. Results: Mean (standard deviation) age of our patients was 50.3 ± 13.0 years; 515 women (96%) and 23 men (4%). Two hundred forty-eight patients (46%) met the responder definition at 6-12 months follow-up. In an univariate analysis, younger age (P = .008), college or higher education (P = .02), fewer tender points (P = .048), and higher FIQ depression subscore (P = .02) significantly predicted positive response. In a multivariate analysis, these factors all remained statistically significant. In addition, a positive abuse history became significant (P = .03). There was no significant association for gender, duration of symptoms, marital status, employment, smoking status, or 3 numeric rating scale pain scores. Conclusions: Patients with younger age, more years of education (with college or graduate degree), higher baseline FIQ depression score, lower tender point count, and absent abuse history experience greater benefit from a brief FTP.

Original languageEnglish (US)
Pages (from-to)257-263
Number of pages7
JournalPM and R
Volume4
Issue number4
DOIs
StatePublished - Apr 2012

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Fibromyalgia
Therapeutics
Education
Depression
Occupational Therapy
Marital Status
Self Care
Cohort Studies
Multivariate Analysis
Smoking
Nurses
Prospective Studies

ASJC Scopus subject areas

  • Rehabilitation
  • Neurology
  • Clinical Neurology
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Oh, T. H., Hoskin, T. L., Luedtke, C. A., Weingarten, T. N., Vincent, A., Kim, C. H., & Thompson, J. M. (2012). Predictors of Clinical Outcome in Fibromyalgia After a Brief Interdisciplinary Fibromyalgia Treatment Program: Single Center Experience. PM and R, 4(4), 257-263. https://doi.org/10.1016/j.pmrj.2011.10.014

Predictors of Clinical Outcome in Fibromyalgia After a Brief Interdisciplinary Fibromyalgia Treatment Program : Single Center Experience. / Oh, Terry H.; Hoskin, Tanya L.; Luedtke, Connie A.; Weingarten, Toby N.; Vincent, Ann; Kim, Chul H.; Thompson, Jeffrey M.

In: PM and R, Vol. 4, No. 4, 04.2012, p. 257-263.

Research output: Contribution to journalArticle

Oh, TH, Hoskin, TL, Luedtke, CA, Weingarten, TN, Vincent, A, Kim, CH & Thompson, JM 2012, 'Predictors of Clinical Outcome in Fibromyalgia After a Brief Interdisciplinary Fibromyalgia Treatment Program: Single Center Experience', PM and R, vol. 4, no. 4, pp. 257-263. https://doi.org/10.1016/j.pmrj.2011.10.014
Oh, Terry H. ; Hoskin, Tanya L. ; Luedtke, Connie A. ; Weingarten, Toby N. ; Vincent, Ann ; Kim, Chul H. ; Thompson, Jeffrey M. / Predictors of Clinical Outcome in Fibromyalgia After a Brief Interdisciplinary Fibromyalgia Treatment Program : Single Center Experience. In: PM and R. 2012 ; Vol. 4, No. 4. pp. 257-263.
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