dc.contributor.author	D'Onghia, Martina	en
dc.contributor.author	Ciaffi, Jacopo	en
dc.contributor.author	McVeigh, Joseph G.	en
dc.contributor.author	Di Martino, Alberto	en
dc.contributor.author	Faldini, Cesare	en
dc.contributor.author	Ablin, Jacob N.	en
dc.contributor.author	Meliconi, Riccardo	en
dc.contributor.author	Ursini, Francesco	en
dc.date.accessioned	2024-07-01T15:25:19Z
dc.date.available	2024-07-01T15:25:19Z
dc.date.issued	2021-06-09	en
dc.description.abstract	Background: Fibromyalgia (FM) is a complex syndrome incorporating many features associated with poor outcome in orthopaedic surgery. Aim of the present review was to comprehensively characterize the available evidence on the consequences of pre-existent FM on the outcomes of orthopaedic surgery. Methods: We performed a systematic search in MedLine and Web of Science (WOS) to identify studies evaluating the effect of FM on patient-centred outcomes, opioids consumption and postoperative complications. Results: The search strategy identified 519 records in PubMed and 507 in WOS. A total of 27 articles were deemed eligible for inclusion in qualitative synthesis. Based on quality assessment, 10 studies were rated as good quality, 10 as fair quality and 7 as poor quality. Studies reporting the prevalence of FM in consecutive patients undergoing orthopaedic surgery (n = 19) were included in quantitative synthesis. The pooled prevalence of FM in patients undergoing orthopaedic surgery was 4.1% (95% CI: 2.4–6.8) in those receiving hip or knee surgery, 10.1% (95% CI: 5.7–17.2) in those receiving shoulder or elbow surgery and 21.0% (95% CI: 18.5–23.7) in those receiving spinal surgery. The results of our systematic review consistently report FM as a significant risk factor for less satisfaction, higher pain, worse functional outcome, increased risk for postoperative opioids prescription and higher rate of medical and surgical complications following orthopaedic surgery. Conclusion: Identifying pre-existing FM in patients scheduled for elective orthopaedic surgery may help to better assess the benefit/risk ratio, improve patients’ awareness and minimize any discrepancy between expectancy and results.	en
dc.description.status	Peer reviewed	en
dc.description.version	Accepted Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.citation	D’Onghia, M., Ciaffi, J., McVeigh, J.G., Di Martino, A., Faldini, C., Ablin, J.N., Meliconi, R. and Ursini, F. (2021) ‘Fibromyalgia syndrome – a risk factor for poor outcomes following orthopaedic surgery: A systematic review’, Seminars in Arthritis and Rheumatism, 51(4), pp. 793–803. Available at: https://doi.org/10.1016/j.semarthrit.2021.05.016.	en
dc.identifier.doi	https://doi.org/10.1016/j.semarthrit.2021.05.016	en
dc.identifier.endpage	803	en
dc.identifier.issn	0049-0172	en
dc.identifier.issued	4	en
dc.identifier.journaltitle	Seminars in Arthritis and Rheumatism	en
dc.identifier.startpage	793	en
dc.identifier.uri	https://hdl.handle.net/10468/16048
dc.identifier.volume	51	en
dc.language.iso	en	en
dc.publisher	Elsevier	en
dc.relation.ispartof	Seminars in Arthritis and Rheumatism	en
dc.rights	© 2021 Elsevier Inc. This manuscript version is made available under the CC-BY-NC-ND 4.0 license 4.0/	en
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/	en
dc.subject	Fibromyalgia	en
dc.subject	Widespread pain	en
dc.subject	Orthopaedic surgery	en
dc.subject	Knee arthroplasty	en
dc.subject	Hip arthroplasty	en
dc.subject	Spinal surgery	en
dc.title	Fibromyalgia syndrome – a risk factor for poor outcomes following orthopaedic surgery: A systematic review	en
dc.type	Article (peer-reviewed)	en
oaire.citation.issue	4	en
oaire.citation.volume	51	en

Fibromyalgia syndrome – a risk factor for poor outcomes following orthopaedic surgery: A systematic review

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