Evidence map›Paper›PMID 29392213›Full record

ReviewPain reports2017

Diagnostic confounders of chronic widespread pain: not always fibromyalgia.

Winfried Häuser, Serge Perrot, Claudia Sommer, Yoram Shir, Mary-Ann Fitzcharles

Abstract readReview
In one paragraph

Review in Pain reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. [Fibromyalgia syndrome].Innere Medizin (Heidelberg, Germany) · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Winfried HäuserDepartment Internal Medicine I, Klinikum Saarbrücken, Saarbrücken, Germany.
Serge PerrotCentre de la Douleur, Cochin Hospital, Paris Descartes University, Paris, France.
Claudia SommerDepartment of Neurology, University of Würzburg, Wurzburg, Germany.
Yoram ShirAlan Edwards Pain Management Unit, McGill University Health Centre, Montreal, QC, Canada.
Mary-Ann FitzcharlesAlan Edwards Pain Management Unit, McGill University Health Centre, Montreal, QC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionChronic widespread pain (CWP) is the defining feature of fibromyalgia (FM), a worldwide prevalent condition. Chronic widespread pain is, however, not pathognomonic of FM, and other conditions may present similarly with CWP, requiring consideration of a differential diagnosis.

objectivesTo conduct a literature search to identify medical conditions that may mimic FM and have highlighted features that may differentiate these various conditions from FM.

methodsA comprehensive literature search from 1990 through September 2016 was conducted to identify conditions characterized by CWP.

resultsConditions that may mimic FM may be categorized as musculoskeletal, neurological, endocrine/metabolic, psychiatric/psychological, and medication related. Characteristics pertaining to the most commonly identified confounding diagnoses within each category are discussed; clues to enable clinical differentiation from FM are presented; and steps towards a diagnostic algorithm for mimicking conditions are presented.

conclusionAlthough the most likely reason for a complaint of CWP is FM, this pain complaint can be a harbinger of illness other than FM, prompting consideration of a differential diagnosis. This review should sensitize physicians to a broad spectrum of conditions that can mimic FM.

Indexed as

Differential diagnosisFibromyalgia

Identifiers

PMID29392213
PMCPMC5741304

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.