Prevalence in general practice

Only a few data on the prevalence of FMS in general practice are available. Within the UK General Practice Research Database, an increase of the incidence of FMS from less than 1 per 100,000 in 1990 to 35 per 100,000 in 2001 was found. The rising incidence rates most likely reflect trends in diagnostic labeling rather than true changes in incidence [22]. In a Dutch study using a postal questionnaire, 83% of the GPs reported one or more FMS patients in their practice. The estimated prevalence of FMS as recognized by GPs is low, with 157 patients per 100,000 [23]. The low prevalence in primary care can be explained by the fact that GPs are reluctant to use the tender point examination and the diagnostic category of "FMS" [24].

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