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What is Fibromyalgia?

2002· book-chapter· en· W3098815952 on OpenAlexaboutno aff
Daniel J. Wallace, Janice Brock Wallace

Bibliographic record

VenueOxford University Press eBooks · 2002
Typebook-chapter
Languageen
FieldMedicine
TopicFibromyalgia and Chronic Fatigue Syndrome Research
Canadian institutionsnot available
Fundersnot available
KeywordsFibromyalgiaRheumatismMedicinePhysical therapySoft tissueDermatologyPathologyInternal medicine

Abstract

fetched live from OpenAlex

When the Arthritis Foundation tried to categorize the 150 different forms of musculoskeletal conditions in 1963, it created a classification known as soft tissue rheumatism. Included in this listing are conditions in which joints are not involved. Soft tissue rheumatism encompasses the supporting structures of joints (e.g., ligaments, bursae, and tendons), muscles, and other soft tissues. Fibromyalgia is a form of soft tissue rheumatism. A combination of three terms—fibro (from the Latin fibra, or fibrous tissue), myo- (the Greek prefix myos, for muscles), and algia (from the Greek algos, which denotes pain)—fibromyalgia replaces earlier names for the syndrome that are still used by doctors and other health professionals such as myofibrositis, myofascitis, muscular rheumatism, fibrositis, and gener­alized musculoligamentous strain. Fibromyalgia is not a form of arthritis, since it is not associated with joint inflammation. In the late 1980s, a Multicenter Criteria Committee under the direction of Dr. Frederick Wolfe at the University of Kansas was formed to define fibromyalgia. In their study, 293 patients with presumed fibromyalgia were compared with 265 patients who had other rheumatic diseases in 16 centers throughout North America. The groups were evaluated for a variety of symptoms, signs, and laboratory abnormalities in an effort to ascertain which factors were the most sensitive and specific for defining the disorder. In other words, the investigators wanted to identify the most frequently found features of fibromyalgia (sensitivity) that could help doctors differentiate it from other disorders (specificity). The list in Table 1 was 88.4 percent sensitive and 81.1 percent specific in identifying fibromyalgia patients. As a result, these criteria were endorsed in 1990 by the American College of Rheumatology (ACR), the association to which nearly all 5,000 rheumatologists in the United States and Canada belong. Focusing on Table 1 and Figure 3, fibromyalgia essentially is: 1. Widespread pain of at least 3 months’ duration (this rules out viruses or traumatic insults which resolve on their own). 2. Pain in all four quadrants of the body (picture cutting the body into quarters, as in a pie): right side, left side, above the waist, below the waist.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.011
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.006
Threshold uncertainty score0.014

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.011
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0040.002
Science and technology studies0.0010.004
Scholarly communication0.0030.006
Open science0.0010.001
Research integrity0.0040.005
Insufficient payload (model declined to judge)0.0030.001

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.037
GPT teacher head0.247
Teacher spread0.210 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations3
Published2002
Admission routes1
Has abstractyes

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