Impact of Tobacco Use in Patients Presenting to a Multidisciplinary Outpatient Treatment Program for Fibromyalgia
Clin J Pain Volume 25, Number 1, January 2009
Toby N. Weingarten, MD, Department of Anesthesiology Mayo Clinic, 200 First Street SW, Rochester, MN 55905 (e-mail: email@example.com).
Objectives: This study examined the relationship between the severity of ﬁbromyalgia symptoms and current tobacco use in patients evaluated at a specialized ﬁbromyalgia treatment program.
Methods: Demographic and clinical data from 984 consecutive patients evaluated at the Mayo Clinic Fibromyalgia Treatment Program including the Fibromyalgia Impact Questionnaire (FIQ) were prospectively collected and stored in an electronic medical record and an electronic database. Univariate analyses were performed comparing tobacco users and nonusers. A post-hoc analysis of covariance was conducted for tobacco use, using group diﬀerences of confounding clinical and demographic variables. A P value r 0.05 was accepted as the level of signiﬁcance.
Results: One hundred and forty-ﬁve patients were identiﬁed as tobacco users (14.7%). Tobacco use was associated with greater pain intensity as measured by pain scales and the pain component of the FIQ. Tobacco users had a greater FIQ composite score 70.0(15.1) versus 61.8(16.8), P