Caracterización de la población con Fibromialgia en un Hospital de alta Complejidad, Bogotá D.C. Colombia 2018 – 2019

Abstract

Background: Fibromyalgia has a high prevalence in the general population, it varies according to the diagnostic criteria used due to its multidimensional etiology and complex pathophysiology. As a disorder of pain regulation, it is necessary to know the sociodemographic characteristics and comorbidities that affect this disease to build comprehensive interventions and preserve the functionality of patients. Methodology: Observational descriptive cross-sectional study, executing a search in 6689 medical records, corresponding to 1001 patients from the outpatient department of the pain and palliative care service in Méderi (2018 - 2019). 116 had a diagnosis of fibromyalgia and met the inclusion criteria. Results: Of the 116 patients diagnosed with fibromyalgia, 94% are women, 84.4% with 50 years or more, 67.2% had rheumatic comorbidity and 56% had psychiatric comorbidity, with consumption of 3 or more medications in 81% , use of opioid medications in 75%; 83.3% received non-pharmacological management. The diagnostic criteria for fibromyalgia were applied in 43.1% of the patients. It was evident that 10.3% had temporary disability and 7.8% had a disability pension. Conclusion: Fibromyalgia is a relevant pathology in the pain medicine clinic, requiring multiple interventions for its management and whose impact is difficult to measure and could represent a significant burden of morbidity for patients, in the performance of their job role and the economic impact to the health system.