CME Activity

Best Practices in Diagnosis and Multimodal Management of Fibromyalgia (Part One of a Two Part Series)

Charles Argoff, MD
CreditType
CME
Credit Amount
0.5
Release Date
05/03/2010
Expiration Date
05/02/2011
Activity Type
Videocast

 


Jointly sponsored by Albert Einstein College of Medicine, Montefiore Medical Center, and Asante Communications
 


This activity is supported by an educational grant from Pfizer, Inc.
 

Activity Goal

This activity aims to disseminate best practices in the individualized assessment and management of patients with fibromyalgia.

Intended Audience

This activity is intended for pain specialists, primary care physicians, physician assistants, nurse practioners, and other healthcare providers interested in improving their knowledge base and skill sets in the individualized assessment and management of patients with fibromyalgia. 

Statement of Need

Fibromyalgia is a multidimensional, chronic, and heterogeneous pain condition that cannot be traced to a specific structural or inflammatory cause.1 A relatively common condition, primary fibromyalgia affects an estimated 5.0 million adults in the United States.2 The disorder is associated with functional impairment and disability, imposing significant hardship on patients, families, and society.3 Medical and psychiatric comorbidities frequently complicate diagnosis and management.4,5 Even the most skilled clinicians are challenged by fibromyalgia, in part because of its unclear etiology, its multifaceted and subjective symptomatology, and the need for individualized multimodal and often multidisciplinary treatment strategies.

Learning Objectives

At the conclusion of this program, participants will be better prepared to:

  • Describe current insights into the pathogenesis of fibromyalgia and how they inform practical considerations for treatment
  • Conduct multidimensional and continual assessment of patients with suspected fibromyalgia based in part on signs and  symptoms of enhanced sensory processing
  • Utilize semi-structured interviews in patients with fibromyalgia to characterize biopsychosocial impairment and individualize therapy accordingly
  • Explain putative mechanisms by which pharmacologic agents achieve analgesic effects in patients with fibromyalgia
  • Formulate multimodal treatment strategies tailored to the complex symptomatology of patients with fibromyalgia

Accreditation Statement

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Albert Einstein College of Medicine and Montefiore Medical Center, and Asante Communications. Albert Einstein College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

Credit Designation

Albert Einstein College of Medicine designates this educational activity for a maximum of 0.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Conflict of Interest Statement

The Conflict of Interest Disclosure Policy of Albert Einstein College of Medicine requires that faculty participating in any CME activity disclose to the audience any relationship(s) with a pharmaceutical, product, or device company. Any presenters whose disclosed relationships prove to create a conflict of interest with regard to their contribution to the activity will not be permitted to present. Albert Einstein College of Medicine also requires that faculty participating in any CME activity disclose to the audience when discussing any unlabeled or investigational use of any commercial product or device not yet approved for use in the United States.

Faculty of this activity have indicated the following disclosure information:

Chalres E. Argoff, MD
Eli Lilly and Company (grant/research, consultant, speakers bureau); Endo Pharmaceuticals (grant/research, consultant, speakers bureau); Forest Pharmaceuticals, Inc (grant/research, consultant, speakers bureau); King Pharmaceuticals , Inc (consultant, speakers bureau); Pfizer Inc (grant/research, consultant, stockholder, speakers bureau); PriCara (consultant, speakers bureau)

Albert Einstein College of Medicine staff and the staff of Asante Communications have no conflicts of interest with commercial interests related directly or indirectly to this educational activity.

The staff at Albert Einstein College of Medicine has no disclosures to report other than the following:
Steven Jay Feld, or a member of his household, owns securities in Bioheart, Inc.; Chelsea Therapeutics, Inc.; and Pharmacopeia, Inc.

Copyright Information

Copyright © 2010 Albert Einstein College of Medicine and Montefiore Medical Center, and Asante Communications. All rights reserved. No part of this webcast may be used or reproduced in any manner whatsoever without written permission except in the case of brief quotations embodied in articles or reviews.

References

  1. Chakrabarty S, Zoorob R. Fibromyalgia. Am Fam Physician. 2007;76(2):247-254.
  2. Lawrence RC, Felson DT, Helmick CG, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis Rheum. 2008;58:26-35.
  3. Greenberg PE, Leong SA, Birnbaum HG, et al. The economic burden of depression with painful symptoms. J Clin Psychiatry. 2003;64(suppl 7):17-23.
  4. Raphael KG, Janal MN, Nayak S, Schwartz JE, Gallagher RM. Psychiatric comorbidities in a community sample of women with fibromyalgia. Pain. 2006;124(1-2):117-125.
  5. Weir PT, Harlan GA, Nkoy FL, et al. The incidence of fibromyalgia and its associated comorbidities: a population-based retrospective cohort study based on International Classification of Diseases, 9th Revision codes. J Clin Rheumatol. 2006;12(3):124-128.
     

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Association Links
  • SLEEPClinician.com
  • American Academy of Physical Medicine
  • American Academy of Pain Management
  • American Academy of Pain Medicine (AAPM)
  • American Pain Society
  • Oncology Nursing Society
  • American Society for Pain Management Nursing
  • World Institute of Pain
 
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