[Norwegian fibromyalgia epidemic--its rise or possible decline. What is the trend based on disability statistics?]

Tidsskr Nor Laegeforen. 1997 Jun 30;117(17):2449-53.
[Article in Norwegian]

Abstract

The Norwegian National Insurance Scheme (Folketrygden) offers universal coverage to all inhabitants between 16 and 67 years with respect to disability pension. During the 1980s, the number of new disability-pensioners increased rapidly. In 1991, 8.5% of the population at risk received this pension. So called "diffuse" conditions in the musculoskeletal system accounted for a large proportion of new cases. Myalgia/fibromyalgia became a major reason for disability pension. In 1989 more than 7% of the new cases had this diagnosis. The parliament (Stortinget) passed controversial amendments to the National Insurance Acts in 1991 and 1995 which restricted the criteria for obtaining a disability pension. At present the law demands that "a scientific concept of disease" should be applied in these matters. The numbers of new disability-pensioners decreased significantly during the period 1989-1993. The figures from 1994 and 1995 perhaps show a new upward trend, including also "diffuse" diagnoses like fibromyalgia. The use of "diffuse conditions" as a cause for disability pension is discussed in light of the official request for a scientifically justified diagnosis.

Publication types

  • English Abstract

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Disability Evaluation
  • Female
  • Fibromyalgia / diagnosis
  • Fibromyalgia / epidemiology*
  • Humans
  • Incidence
  • Insurance, Disability*
  • Male
  • Middle Aged
  • Norway / epidemiology
  • Pensions*
  • Sick Leave