Electronic medical record data to identify variables associated with a fibromyalgia diagnosis: importance of health care resource utilization

Journal of Pain Research
Elizabeth T MastersStuart L Silverman

Abstract

Diagnosis of fibromyalgia (FM) is often challenging. Identifying factors associated with an FM diagnosis may guide health care providers in implementing appropriate diagnostic and management strategies. This retrospective study used the de-identified Humedica electronic medical record (EMR) database to identify variables associated with an FM diagnosis. Cases (n=4,296) were subjects ≥18 years old with ≥2 International Classification of Diseases, Ninth Revision (ICD-9) codes for FM (729.1) ≥30 days apart during 2012, associated with an integrated delivery network, with ≥1 encounter with a health care provider in 2011 and 2012. Controls without FM (no-FM; n=583,665) did not have the ICD-9 codes for FM. Demographic, clinical, and health care resource utilization variables were extracted from structured EMR data. Univariate analysis identified variables showing significant differences between the cohorts based on odds ratios (ORs). Consistent with FM epidemiology, FM subjects were predominantly female (78.7% vs 64.5%; P<0.0001) and slightly older (mean age 53.3 vs 52.7 years; P=0.0318). Relative to the no-FM cohort, the FM cohort was characterized by a higher prevalence of nearly all evaluated comorbidities; the ORs suggested a hig...Continue Reading

Citations

Jan 29, 2016·International Journal of Clinical Practice·L M ArnoldE H S Choy
May 17, 2015·The Journal of Rheumatology·Donald A RedelmeierRobert J Tibshirani
Jul 9, 2017·BMC Musculoskeletal Disorders·Termeh FeinbergKim Karen Innes
Apr 19, 2017·Pain Practice : the Official Journal of World Institute of Pain·Mark GostineAlesia Sadosky

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