Fibromyalgia Syndrome: Canadian Clinical Working Case Definition, Diagnostic and Treatment Protocols–A Consensus Document
Bibliographic record
Abstract
Fibromyalgia syndrome [FMS] is a chronic disorder which has been defined by a history of widespread pain and the presence of marked tenderness to palpation at standard anatomically-defined tender points. As the ACR definition was primarily created to standardize research, there has been a growing demand within the medical community for a clinical definition, which would be of benefit to the treating clinician. The authors&s; strategy for the clinical definition is to provide a flexible framework that includes the ACR criteria and encompasses more of the potential symptomatic expression of patients within the context of FMS. Grouping symptoms by shared regions of pathogenesis will enhance clarity and focus to the clinical meeting. The FMS is properly classified as one of a large group of softtissue pain syndromes. Some authors and many clinicians have improperly referred to this category of disorders generically as “myofascial pain disorders” but that confuses the issue with regard to a distinct disorder called “myofascial pain syndrome.”.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.018 | 0.032 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.002 | 0.002 |
| Bibliometrics | 0.009 | 0.008 |
| Science and technology studies | 0.004 | 0.003 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.007 | 0.003 |
| Research integrity | 0.005 | 0.007 |
| Insufficient payload (model declined to judge) | 0.017 | 0.010 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".