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1% (95% CI 5.7-17.2) in those receiving shoulder or elbow surgery and 21.0% (95% CI 18.5-23.7) in those receiving spinal surgery. The results of our systematic review consistently report FM as a significant risk factor for less satisfaction, higher pain, worse functional outcome, increased risk for postoperative opioids prescription and higher rate of medical and surgical complications following orthopaedic surgery. Identifying pre-existing FM in patients scheduled for elective orthopaedic surgery may help to better assess the benefit/ris