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Table 3 Ranked criteria reported by physicians for assessing fibromyalgia severity (N = 28) based on the open-ended question "When you assess the severity of fibromyalgia as a condition in your patients, what are the top 5 items (specific symptoms, specific physical findings, specific abnormal lab findings, etc.) that influence your decision-making?"

From: Toward characterization and definition of fibromyalgia severity

Ranked criteria, n (%) of responses
#1 #2 #3 #4 #5
Pain*, 17 (60.7) Functional disability, 6 (21.4) Fatigue, 4 (14.3) Functional disability, 4 (14.3) Fatigue severity, 3 (10.7)
FIQ, 3 (10.7) Pain, 4 (14.3) Functional disability, 3 (10.7) Presence of comorbidities, 4 (14.3) Duration of symptoms, 1 (3.6)
Functional disability, 2 (7.1) Sleep disruption, 4 (14.3) Sleep disruption, 3 (10.7) Sleep disruption, 3 (10.7) Pain, 1 (3.6)
Tender points, 2 (7.1) Duration of symptoms, 3 (10.7) Presence of comorbidities, 3 (10.7) Fatigue severity, 2 (7.1) Sleep disruption, 1 (3.6)
Fatigue, 1 (3.6) Tender points, 2 (7.1) Pain, 2 (7.1) Pain, 1 (3.6) Global assessment,1 (3.6)
QoL, 1 (3.6) Presence of comorbidities, 2 (7.1) Tender points, 2 (7.1) QoL, 1 (3.6) Tender points, 1 (3.6)
Sleep disruption, 1 (3.6) Fatigue, 1 (3.6) QoL, 1 (3.6) Other, 5 (17.9) Number of medications, 1 (3.6)
Clinical history, 1 (3.6) FIQ, 1 (3.6) Duration of symptoms, 1 (3.6) None listed, 7 (25.0) Other, 7 (25.0)
  HAQ, 1 (3.6) Global assessment, 1 (3.6)   None listed, 12 (42.9)
  Other, 2 (6.9) Number of medications, 1 (3.6)   
  None listed, 1 (3.6) Other, 4 (14.3   
  1. FIQ, Fibromyalgia Impact Questionnaire; QoL, Quality of life; HAQ, Health Assessment Questionnaire. *Pain includes intensity and/or quality characteristics. "Other" category includes laboratory abnormalities, cognitive/behavioral status, psychological impact, work status
  2. Columns are ordered by decreasing rank, rows are ordered by the proportion of physicians designating a particular numerical rank for the specific symptom.