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Are most patients with fibromyalgia misdiagnosed?
Recent studies have suggested that most people who have been diagnosed with fibromyalgia by physicians may not actually have the condition. A new Arthritis Care & Research study found that overall agreement between clinicians' diagnosis of fibromyalgia and diagnosis by published criteria is only fair.
In an accompanying editorial Dr. Don Goldenberg, of Oregon Health & Science University, noted that to conclude that expert physicians often misdiagnose fibromyalgia ⟹ that published criteria are superior to expert clinical judgement for the diagnosis of individual patients. He stressed that this fails to account for many of the variables present in clinical encounters, including time spent in evaluating and categorizing each patient's multiple symptoms. "The diagnostic gold standard for fibromyalgia will continue to be the rheumatologist's expert opinion, not classification criteria, no matter how well-refined and intentioned," he wrote. "This is the only way to capture the variability and severity of inter-related symptoms as they play out over time."
https://www.sciencedaily.com/releases/2019/02/190206091412.htm
Analise as alternativas que seguem e assinale abaixo a opção CORRETA.
I. Os reumatologistas são bem-intencionados, contudo incapazes de diagnosticar a fibromialgia.
II. Os critérios utilizados para o diagnóstico de fibromialgia foram considerados antiquados.
III. Uma das possíveis causas para o problema de diagnóstico citado é a obediência aos critérios estabelecidos.
IV. A demora no início do tratamento pode agravar o caso de fibromialgia.
V. A análise clínica dos sintomas oferece melhor panorama sobre a ocorrência da fibromialgia do que os critérios de diagnóstico estabelecidos.
