TY - JOUR
T1 - Predictors of Clinical Outcome in Fibromyalgia After a Brief Interdisciplinary Fibromyalgia Treatment Program
T2 - Single Center Experience
AU - Oh, Terry H.
AU - Hoskin, Tanya L.
AU - Luedtke, Connie A.
AU - Weingarten, Toby N.
AU - Vincent, Ann
AU - Kim, Chul H.
AU - Thompson, Jeffrey M.
N1 - Funding Information:
Research support: This publication was supported by National Institutes of Health (NIH)/National Center for Research Resources Clinical and Translational Science Awards grant UL1 RR024150 . Its contents are solely the responsibility of the authors and do not necessarily represents the official views of the NIH.
PY - 2012/4
Y1 - 2012/4
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=84860241274&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84860241274&partnerID=8YFLogxK
U2 - 10.1016/j.pmrj.2011.10.014
DO - 10.1016/j.pmrj.2011.10.014
M3 - Article
C2 - 22541373
AN - SCOPUS:84860241274
SN - 1934-1482
VL - 4
SP - 257
EP - 263
JO - PM and R
JF - PM and R
IS - 4
ER -