A significant positive correlation was found between the polysymptomatic Distress scale (PSD) and DAS28-ESR, CDAI, and PGA ( r s 0.481, 0.516, 0.511, respectively, P < 0.001). RA patients with FM had higher DAS28-ESR, CDAI, PGA, and VAS compared with those without FM. The Kappa agreement between the two criteria was 0.733. Of the 130 RA patients, 52 patients (40%) satisfied the 2016 criteria and 40 (31.5%) the 1990 criteria. Spearman’s correlation between the polysymptomatic distress scale (PSD) and selected variables including disease activity score-28 with erythrocyte sedimentation rate (DAS-28 ESR), clinical disease activity index (CDAI), patient global assessment (PGA), and visual analogue scale (VAS) for pain was evaluated. Kappa agreement between the two criteria was determined. Patients were evaluated according to 20 ACR criteria for FM. ![]() ![]() This study included 130 adult RA patients fulfilling the 2010 ACR/EULAR classification criteria for RA. ![]() To assess the performance of the 2016 revised ACR FM criteria in patients with RA in comparison to 1990 criteria and to study the relation to composite disease measures. Recently, there were several updates for the American College of Rheumatology (ACR) FM criteria. Fibromyalgia (FM) is a common comorbidity in rheumatoid arthritis (RA).
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