Fibromyalgia syndrome: diagnostic challenges among a sample of Egyptian physicians

Abstract Background Fibromyalgia syndrome (FMS) is a chronic pain disorder with relatively high prevalence in the population (2–4%), yet the accuracy of its diagnosis is still low. Final diagnosis is often delayed as patients consult physicians across different specialties, each of whom considers a range of differential diagnoses. The early and correct diagnosis of FMS will reduce the burden on patients, society, and the health care system. This cross-sectional observational study aims to analyze the challenges affecting the precision of the diagnosis of FMS and its possible delay among specialty physicians in Egypt. An electronic self-administered questionnaire was distributed online to study participants. Results A total of 139 Egyptian physicians responded and completed the questionnaire with a response rate of 100%. Forty-six (46.4%) acquired their knowledge from postgraduate studies. Sixty-five (65.5%) of all specialties are not acquainted with the proper diagnostic criteria, and 44.4% did not apply any diagnostic criteria and relied mainly on clinical diagnosis. Almost half of the participants (51.8%) agreed that rheumatology is the specialty with the primary role in diagnosing and management of FMS, and a multidisciplinary approach to management was considered by most of the participants ( p value = 0.000). Our results reported that 70.5% are not confident in assessing or examining a potential case. Using Karl Pearson correlation analysis, the confidence among physicians showed a statistically positive direct correlation p value = 0.000 with (age range over 36 years old, being a female physician, more than 11 years of experience, having a PhD). Conclusions Knowledge about the diagnosis and management of FMS is insufficient among Egyptian physicians. Rheumatologists play the main role in the management of FMS. Modifications in formal medical education are needed to improve FMS knowledge and practices among physicians in Egypt.