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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.