Physician Judgment May Be Best Strategy for Accurate Fibromyalgia Diagnosis, Review Says

Physician Judgment May Be Best Strategy for Accurate Fibromyalgia Diagnosis, Review Says
When it comes to identifying fibromyalgia, the objective judgment of a physician appears to be better than any of the current diagnostic scale scores and may be the only reliable method for an accurate and valid diagnosis, a review study suggests. The review, "Challenges in fibromyalgia diagnosis: from meaning of symptoms to fibromyalgia labeling," published in The Korean Journal of Pain," focuses on discussing important but less evident factors that can profoundly affect under- or over-diagnosis of fibromyalgia. Fibromyalgia (FM) is an extremely complex, multifactorial disease, whose clinical diagnosis has always been a hard-to-solve puzzle for physicians. It is characterized by chronic widespread pain, physical exhaustion, sleep problems, and cognitive issues. However, most patients diagnosed with the condition often report other symptoms that can occur in various other diseases, including psychological disorders. This confuses the boundaries between what is clinically considered fibromyalgia and what is not, which can lead to an incorrect diagnosis and inappropriate treatment for the patient. There are other important factors that also contribute to this phenomenon, including patients' healthcare-seeking behavior and physicians' ability to define and recognize clear diagnostic criteria for fibromyalgia. "Due to diversity of symptoms presentation and severity over time, it is possible that an individual with FM seeks medical help and is diagnosed with the FM label at one time, and the same patient, at another time, is given a diagnosti
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