Fibromyalgia. November 3, 2018 Raymond Hong, MD, MBA
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1 Fibromyalgia November 3, 2018 Raymond Hong, MD, MBA The following report is proprietary information and constitutes trade secrets of The MetroHealth System and may not be disclosed in whole or part to any external parties without the express consent of The MetroHealth System. This document is intended to be used internally for The MetroHealth System discussion.
2 DISCLOSURE None
3 Objectives 1. Identify differences between the 1990, 2010/2011, and 2016 American College of Rheumatology criteria for fibromyalgia 2. Recognize scenarios that may warrant a specialty referral for fibromyalgia 3. Review nonpharmacologic and pharmacologic treatments utilized in fibromyalgia
4 Key References 1. Higgs, JB. Fibromyalgia in Primary Care. Prim Care Clin Office Pract 2018;45: Clauw, DJ. Fibromyalgia: A Clinical Review. JAMA 2014;311(15): Arnold, LM. A Framework for Fibromyalgia Management for Primary Care Providers. Mayo Clin Proc 2012;87(5): Wolfe F, Hauser W. Fibromyalgia diagnosis and diagnostic criteria. Annals of Medicine 2011;43(7): Wolfe F, et al Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Seminars Arthritis Rheum 2016;46: Macfarlane GJ, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 2017;76:
5 Fibromyalgia (FM) Overview Criteria Management
6 Fibromyalgia Overview Overview Criteria Management
7 Fibromyalgia Overview Global prevalence is 2.7% (4.2% female, 1.4% male) 1 Up to 1 in 20 patients have FM symptoms in primary care 2 Diagnosis may be delayed by 2 years 3 Considered a centralized pain state 4 Central nervous system origins or amplification of pain Allodynia - heightened sensitivity to stimuli Hyperalgesia heightened response to painful stimuli Familial predisposition as supported by family and twin studies Biologic basis for fibromyalgia as evidenced by functional, chemical, and structural brain neuroimaging and CSF analysis 1. Queiroz LP. Curr Pain Headache Glennon P. Rep Rheum Dis Choy E. et al. BMC Health Serv Res Clauw DJ. JAMA 2014.
8 Fibromyalgia Criteria Overview Criteria Management
9 Fibromyalgia Criteria Smythe and Moldofksy nonrefreshing sleep, tender point count, and widespread aching pain Yunus, et al tender points and presence of generalized aches and pains involving 3 or more anatomic sites Wolfe, et al ACR s standardized classification criteria /2011 Wolfe, et al ACR preliminary diagnostic criteria Wolfe, et al Revisions to 2010/2011 criteria 1. Smythe HA, Moldofsky H. Bull Rheum Dis Yunus, et al. Semin Arthritis Rheum Wolfe F, et al. Arthritis Rheum Wolfe F, et al. Arthritis Care Res Wolfe F, et al. Seminars in Arthritis Rheum 2016.
10 1990 ACR criteria for the classification of FM 11 of 18 (61%) tender points 4kg of force exerted by palpating finger or thumb Chronic widespread pain (CWP) 3 months or more 4 quadrant plus axial pain Official recognition leads to legitimization ICD, NIH funding, studies, pt groups
11 1990 ACR criteria concerns Tender point survey often not performed Measurement and repeatability of 4kg of force is difficult Women overrepresented by tender point survey alone ~ 7:1 F:M ratio 1 Healthy normal females had significantly lower pressure pain thresholds than male counterparts at all FM tender points sites by algometer measurement 2 Non-pain symptoms not represented Fatigue reported > 90% and sleep disturbance reported > 80% in international survey 3 May only have moderate agreement with clinical diagnoses made in routine clinical practice 4 1. Robinson RL, et al. Pain Med Maquet D, et al. Eur J Pain Choy E, et al. BMC Health Serv Res Katz RS, et al. Arthritis Rheum 2006.
12 2010/2011 Preliminary Fibromyalgia Diagnostic Criteria CWP, fatigue, sleep and cognitive disturbance, and somatic symptoms Patient reported Widespread Pain Index (WPI) 2010 Patient reporting and physician rating combine to provide Symptom Severity Score (SSS) 2011 Patient reporting only for SSS 1. WPI > 7 AND SS > 5 OR WPI 3-6 AND SS > 9 2. Symptoms for at least 3 months 3. Patient does not have a disorder that otherwise explains the pain
13 Wolfe F, et al. Arthritis Care Res 2010.
14 Physician rated somatic symptoms (0-3) Somatic symptoms that might be considered: Muscle pain, irritable bowel syndrome, fatigue/tiredness, thinking or remembering problem, muscle weakness, headache, pain/cramps in abdomen, numbness/tingling, dizziness, insomnia, depression, constipation, pain in upper abdomen, nausea, nervousness, chest pain, blurred vision, fever, diarrhea, dry mouth, itching, wheezing, Raynaud s phenomenon, hives/welts, ringing in ears, vomiting, heartburn, oral ulcers, loss of/change in taste, seizures, dry eyes, shortness of breath, loss of appetite, rash, sun sensitivity, hearing difficulties, easy bruising, hair loss, frequent urination, painful urination, and bladder spasms
15
16 2016 Revisions to the 2010/2011 criteria Adds Generalized pain via regions to eliminate Regional Pain Syndromes as a confounder Left upper (region 1) Right upper (region 2) Left lower (region 3) Right lower (region 4) Axial (region 5) Adds that other conditions do not invalidate fibromyalgia 1. Generalized pain present in at least 4 or 5 regions 2. Symptoms for at least 3 months 3. WPI > 7 AND SS > 5 OR WPI 3-6 AND SS > 9 4. A diagnosis of fibromyalgia is valid irrespective of other diagnoses. A diagnosis of fibromyalgia does not exclude the presence of other clinically important illnesses
17 Wolfe F, et al. Seminars in Arthritis Rheum 2016
18 Use of the Fibromyalgia Severity Scale (FS) WPI + SSS 0 (no symptoms) 31 (most severe) FS < 12 cannot satisfy FM criteria Can be approximate guide to FM diagnosis In populations 92-96% of those with FS score > 12 satisfy FM criteria Can provide approximate measure of severity For those with previous FM diagnosis, FS score < 12 may suggest improvement
19 Practical assessment in the clinic History Multifocal, chronic pain not fully explained by injury or inflammation Exam Tender point survey Firm pressure over several IP joints, phalanges, and forearms Pain all over or only forearms may suggest low central pain threshold Tenderness at small joints only with swelling may suggest inflammatory arthritis or autoimmune disorder Questionnaire 1 page 2016 questionnaire to assess WPI, SS, and FS
20 Practical assessment in the clinic Lab No diagnostic lab CBC (clue for other chronic disease) Creatinine, calcium, AST, ALT (renal function and liver enzymes to ensure candidacy for medications, liver enzymes to clue for viral hepatitis, calcium to rule out hyperparathyroidism) TSH (rule out thyroid abnormality as cause of pain or somatic symptoms) 25-OH vitamin D (significant deficiency may be associated with osteomalacia)? ESR and CRP? CPK if on statin ANA and RF not recommended unless suspicion of Rheumatoid Arthritis or ANA-associated connective tissue disease
21 Specialty referral indications Suspected inflammatory arthritis, autoinflammatory condition, or immune-mediated defined rheumatic connective tissue disease (Rheumatology) Refractory to therapy (multi-disciplinary pain clinic, eg Pain and Healing Center) Significant comorbid psychiatric issues (Psychiatry or psychology) Suspected physiologic sleep disorder (Sleep Medicine) Neuromuscular disorder (Neurology)
22 Selected Indications for specialty referral of the fibromyalgia patient HIggs JB. Primary Care: Clinics in Office Practice. 2018
23 Fibromyalgia Management Overview Criteria Management
24 Assert the diagnosis Establishing diagnosis can provide substantial relief to patients 1 Decreased healthcare costs with fewer referrals and diagnostic testing after diagnosis of FM made 2 Not just a diagnosis of exclusion 1. White KP, et al. Arthritis Rheum Annemans L, et al. Arthritis Rheum 2008.
25 Start with nonpharmacologic management Best studied non-pharmacologic interventions (1A level of evidence) Education Cognitive behavioral therapy Exercise Magnitude of treatment response often exceeds pharmaceuticals Greatest benefit observed is in domain of improved function 1,2 Population survey suggests patients feel non-pharmacologic treatments most effective for relief of FM symptoms 3 1. Williams DA, et al. J Rheumatol Goldenberg DL, et al. JAMA Häuser W, et al. BMC Musculskel Disorder 2012.
26 Education Central pain, decreased pain threshold Not a destructive arthritis Multiple education visits or goal-setting visits Condition, sleep, exercise, mood External education Support groups, Arthritis Foundation University of Michigan FibroGuide
27 Pharmacologic management Trial of TCA compound (eg, cyclobenzaprine, amitriptyline, nortriptyline) Comorbid depression, consider SNRI Comorbid anxiety or sleep issue, consider gabapentoid Use of opioids discouraged Endogenous opioid system is hyperactive 1 May worsen FM-related hyperalgesia and increase risk of opioidinduced hyperalgesia 2 NSAIDs and acetaminophen may be used for peripheral nociceptive pain 1. Harris RE, et al. J Neurosci Brummett CM, et al. Anesthesiology 2013.
28 EULAR 2017 FM management recommendations Macfarlane GJ, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 2017
29 Key References 1. Higgs, JB. Fibromyalgia in Primary Care. Prim Care Clin Office Pract 2018;45: Clauw, DJ. Fibromyalgia: A Clinical Review. JAMA 2014;311(15): Arnold, LM. A Framework for Fibromyalgia Management for Primary Care Providers. Mayo Clin Proc 2012;87(5): Wolfe F, Hauser W. Fibromyalgia diagnosis and diagnostic criteria. Annals of Medicine 2011;43(7): Wolfe F, et al Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Seminars Arthritis Rheum 2016;46: Macfarlane GJ, et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 2017;76:
30 Thank you Raymond Hong, MD, MBA
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