The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.
Chronic Fatigue, Chronic Fatigue Syndrome, and Fibromyalgia: Disability and Health-Care Use
Abstract
OBJECTIVES: Disabling chronic fatigue that does not meet criteria for chronic fatigue syndrome (CFS) or fibromyalgia (FM) is a condition thought to be associated with substantial disability and an apparently high use of health-care services. The authors compare patients who have chronic fatigue, CFS, FM, or CFS and FM together (CFS+FM) on employment status, self-reported disability, number of medical care visits, type of services obtained, and other diagnoses received. METHODS: The authors studied 402 patients from a university-based chronic fatigue clinic. All patients underwent an initial structured diagnostic assessment. One hundred forty-seven patients met case criteria for CFS, 28 for FM, 61 for CFS+FM, and 166 fell in the residual chronic fatigue group. Of these patients, 388 completed a follow-up questionnaire an average of 1.7 years later. Chi-squared tests and analysis of variance were used to compare groups on follow-up measures of health-care use and disability. RESULTS: Patients with chronic fatigue, CFS, FM, and CFS+FM were similar in terms of disability and health-care use, though those with CFS+FM were significantly more likely to be unemployed and to use more chiropractic and "other" provider services. Rates of unemployment ranged from 26% (chronic fatigue) to 51% (CFS+FM). Overall, patients reported a mean of 21 visits to a wide variety health-care providers during the previous year, with no significant differences between groups. CONCLUSIONS: Chronic fatigue, CFS, and FM are associated with considerable personal and occupational disability and low rates of employment. The potentially large economic burden of these disorders underscores the need for accurate estimates of direct and indirect costs, the relative contribution of individual factors to disability, and the need to develop targeted rehabilitation programs.
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“questionnaire-based studies have found that between 35% and 50% of patients with fibromyalgia were not working.2–5”
From Does work have to be so painful? A review of the literature examining the effects of fibromyalgia on the working experience from the patient perspective (2020) · cites this paper as [2]
Citations
Cites
The american college of rheumatology 1990 criteria for the classification of fibromyalgia
Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., Tugwell, P., Campbell, S. M., Abeles, M., Clark, P., et al. (1990) · Arthritis & Rheumatism · doi:10.1002/art.1780330203 · Cited by 9,563
Self-citationChronic Fatigue Syndrome: A Working Case Definition
Holmes, G. P., KAPLAN, J. E., GANTZ, N. M., KOMAROFF, A. L., SCHONBERGER, L. B., STRAUS, S. E., Jones, J. F., DUBOIS, R. E., CUNNINGHAM-RUNDLES, C., Pahwa, S. G., et al. (1988) · Annals of Internal Medicine · doi:10.7326/0003-4819-108-3-387 · Cited by 1,713
Depression, Disability Days, and Days Lost From Work in a Prospective Epidemiologic Survey
Broadhead, W. E. (1990) · JAMA · doi:10.1001/jama.1990.03450190056028 · Cited by 1,232
Disability in America: toward a national agenda for prevention
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Buchwald, D. (1994) · Archives of Internal Medicine · doi:10.1001/archinte.1994.00420180053007 · Cited by 369
Self-citationDepression, disability days, and days lost from work in a prospective epidemiologic survey
Broadhead, W. E. (1990) · JAMA · doi:10.1001/jama.264.19.2524 · Cited by 289
Chronic Fatigue Syndrome Research
Schluederberg, A., Straus, S. E., Peterson, P. K., Blumenthal, S. J., Komaroff, A. L., Spring, S. B., LANDAY, A. L., & Buchwald, D. (1992) · Annals of Internal Medicine · doi:10.7326/0003-4819-117-4-325 · Cited by 288
Self-citationHigh frequency of fibromyalgia in patients with chronic fatigue seen in a primary care practice
Goldenberg, D. L., Simms, R. W., Geiger, A., & Komaroff, A. L. (1990) · Arthritis & Rheumatism · doi:10.1002/art.1780330311 · Cited by 288
Symptoms and Signs of Chronic Fatigue Syndrome
Komaroff, A. L., & Buchwald, D. (1991) · Clinical Infectious Diseases · doi:10.1093/clinids/13.supplement_1.s8 · Cited by 277
Self-citationShafran, S. D. (1991) · The American Journal of Medicine · doi:10.1016/s0002-9343(05)80063-4 · Cited by 239
Research works printed but not linked: 2
- Buchwald, 1994, Arch Intern Med, 154, 1913, 10.1001/archinte.154.18.2049 · DOI · Paper page
- Buchwald, 1995, 123, 81
Cited by
Sorted by citations
Chronic Fatigue Syndrome: A Review
Afari, N., & Buchwald, D. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.2.221 · Cited by 720
“Nearly all patients with chronic fatigue syndrome note a decrease in social relationships in addition to other unwanted consequences of illness (14); about one-third are unable to work, and another one-third can only work parttime (9).”
BackgroundSelf-citationA Review of the Evidence for Overlap among Unexplained Clinical Conditions
Aaron, L. A., & Buchwald, D. (2001) · Annals of Internal Medicine · doi:10.7326/0003-4819-134-9_part_2-200105011-00011 · Cited by 501
Self-citationAaron, L. A., Burke, M. M., & Buchwald, D. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.2.221 · Cited by 607
Self-citationCharacteristics and healthcare costs of patients with fibromyalgia syndrome
Berger, A., Dukes, E. M., Martin, S. A., Edelsberg, J., & Oster, G. (2007) · International Journal of Clinical Practice · doi:10.1111/j.1742-1241.2007.01480.x · Cited by 338
A systematic review describing the prognosis of chronic fatigue syndrome.
Cairns, R., & Hotopf, M. (2005) · Occupational Medicine · doi:10.1093/occmed/kqi013 · Cited by 395
Metadata
- Authors
- BOMBARDIER, C. H., & BUCHWALD, D.
- Affiliations
- University of Washington (US)
- Venue
- Medical Care
- Published
- 1996-09
- Volume
- 34
- Issue
- 9
- Pages
- 924-930
- ISSN
- 0025-7079 (ISSN-L)
- OpenAlex
- W2077888723
- Cited by
- 211
- References
- 18
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 6 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 5 · 2012: 4
- FWCI
- 2.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Medical Care (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01ai026788-03, 5r01ag008240-03)
- National Institute on Aging (R01 AG08240)
- National Institute of Allergy and Infectious Diseases (R01 AI26788)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Clinical Neurology › Long-Term Effects of COVID-19
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- chronic fatigue, chronic fatigue syndrome, fibromyalgia, employment status, disability, health care utilization, chiropractic services, economic burden, rehabilitation
- MeSH terms
- Adult, Analysis of Variance, Chronic Disease, Employment, Fatigue, Female, Fibromyalgia, Follow-Up Studies, Persons with Disabilities, Health Services, Health Services Research, Humans, Male, Middle Aged, Surveys and Questionnaires, Washington, Fatigue Syndrome, Chronic, Chi-Square Distribution, Health Care Costs
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