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Objective  The study was designed to develop fibromyalgia assessment screening tool ( FAST ) indices based only on multidimensional health assessment questionnaire ( MDHAQ ) scores as clues to fibromyalgia ( FM ), analyzed for possible agreement with the 2011  FM  criteria.    Methods  All patients with all diagnoses complete an  MDHAQ  at each visit in routine care. The  MDHAQ  includes scores for physical function, pain, global assessment, fatigue, self‐report painful joint count, and a 60‐symptom checklist.  MDHAQ  items similar or identical to the 2011  FM  criteria symptom severity scale ( SSS ) and widespread pain index ( WPI ) components of a polysymptomatic distress scale ( PSD ) were compiled into continuous  MDHAQ ‐ FM ‐ SSS ,  MDHAQ ‐ FM ‐ WPI , and  MDHAQ ‐ FM ‐ PSD  indices. Ten candidate  MDHAQ  scores were analyzed against the 2011  FM  criteria using descriptive statistics, Spearman correlations, kappa statistics, and receiver operating characteristic curves for the area under the curve ( AUC ).  MDHAQ  candidate variables with the highest  AUC  were compiled into cumulative  MDHAQ ‐ FAST  indices of three ( FAST 3) or four ( FAST 4) scores.    Results  The highest  AUC s among  MDHAQ  scores were seen for symptom checklist, painful joint count, fatigue, and pain, which are included in  FAST 4;  FAST 3‐F excludes pain, and  FAST 3‐P excludes fatigue.  AUC s for  FAST 3‐P,  FAST 3‐F, and  FAST 4, as well as continuous  MDHAQ ‐ FM  scores, all were greater than 0.92, indicating excellent criterion validity. Kappa statistics versus the 2011 criteria were 0.63‐0.68, higher than 0.41‐0.47 versus physician  ICD ‐10 diagnoses.    Conclusion  Pragmatic  FAST 3,  FAST 4, and  MDHAQ ‐ FM  indices are similar to  FM  criteria to screen for  FM  in routine care. It is more feasible to collect the same  MDHAQ , which is informative in all rheumatic diseases studied, from each patient than to ask different patients with different diagnoses to complete different questionnaires.

Fibromyalgia Assessment Screening Tools (FAST) Based on Only Multidimensional Health Assessment Questionnaire (MDHAQ) Scores as Clues to Fibromyalgia