EULAR revised recommendations for the management of fibromyalgia

  title={EULAR revised recommendations for the management of fibromyalgia},
  author={Gary John Macfarlane and Caroline Kronisch and Linda E Dean and Fabiola Atzeni and Winfried H{\"a}user and Elisa Fluss and Ernest H. S. Choy and Eva Kosek and Kirstine Amris and Jaime C. Branco and Fitnat DİnÇer and Päivi Leino-Arjas and Kathy Longley and Geraldine Mccarthy and Suzi Makri and Serge Perrot and P. Sarzi-Puttini and A. Taylor and G. T. Jones},
  journal={Annals of the Rheumatic Diseases},
  pages={318 - 328}
Objective The original European League Against Rheumatism recommendations for managing fibromyalgia assessed evidence up to 2005. The paucity of studies meant that most recommendations were ‘expert opinion’. Methods A multidisciplinary group from 12 countries assessed evidence with a focus on systematic reviews and meta-analyses concerned with pharmacological/non-pharmacological management for fibromyalgia. A review, in May 2015, identified eligible publications and key outcomes assessed were… 

Effect of pharmacotherapy on fibromyalgia: an overview of systematic reviews

Few studies have high quality and sufficient evidence on the effect of medicines on fibromyalgia, resulting in a lack of support for prescribers to choose drugs that meet criteria for need, effectiveness, safety and compliance.

Challenges of implementing fibromyalgia treatment guidelines in current clinical practice

The current review discusses the most recently published Canadian guidelines and the implications of the recent European League Against Rheumatism recommendations, with a focus on the challenges of implementing these guidelines in current clinical practice.

Comparative efficacy and acceptability of non-pharmacological interventions in fibromyalgia: Protocol for a network meta-analysis

The comparative efficacy and acceptability of non-pharmacological interventions for FM is investigated to assist clinical decision making through a ranking of interventions in relation to the most important clinical outcomes in these patients.

The challenge of painful fibromyalgia – cervical exam to improve the therapeutic approach?

  • M. Schirmer
  • Medicine, Psychology
    Archives of Rheumatology & Arthritis Research
  • 2020
This personal “opinion” summarizes some aspects considered important for the management of FM in clinical routine that are missing in the EULAR management recommendations.

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Pooled evidence from RCTs indicates BT may reduce pain and improve the quality of life of patients with FMS, and Definitive, large-sample studies are needed.

Research Recommendations Following the Discovery of Pain Sensitizing IgG Autoantibodies in Fibromyalgia Syndrome

A research prioritisation exercise to identify the most pertinent research approaches that may lead to clinically implementable outputs directed research towards that which is implementable, thereby expediating the benefit to the FMS patient population.

Effectiveness of multicomponent treatment in patients with fibromyalgia: protocol for a systematic review and meta-analysis

This systematic review will synthesize evidence on the effectiveness of multicomponent treatment in patients with fibromyalgia and could add important evidence in the treatment of FM to improve clinical practice and decision-making/actions in this field.

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It was found that the application of therapies in groups positively impacted the quality of life of patients in their physical, psycho-emotional and social dimensions.



EULAR evidence-based recommendations for the management of fibromyalgia syndrome

Nine recommendations for the management of fibromyalgia syndrome were developed using a systematic review and expert consensus using a Delphi process.

Massage Therapy for Fibromyalgia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Massage therapy should be one of the viable complementary and alternative treatments for FM, however, given fewer eligible studies in subgroup meta-analyses and no evidence on follow-up effects, large-scale randomized controlled trials with long follow- up are warrant to confirm the current findings.

Exercise for treating fibromyalgia syndrome.

Supervised aerobic exercise training has beneficial effects on physical capacity and FMS symptoms and research on the long-term benefit of exercise for FMS is needed.

Mind-body therapies for the treatment of fibromyalgia. A systematic review.

MBT is more effective for some clinical outcomes compared to waiting list/treatment as usual or placebo, and compared to active treatments, results are largely inconclusive, except for moderate/high intensity exercise, where results favor the latter.

A systematic review on the effectiveness of treatment with antidepressants in fibromyalgia syndrome.

Amitriptyline 25-50 mg/day reduces pain, fatigue, and depressiveness in patients with FMS and improves sleep and quality of life and most SSRIs and the SNRIs duloxetine and milnacipran are probably also effective.

The effectiveness of hydrotherapy in the management of fibromyalgia syndrome: a systematic review

There is strong evidence for the use of hydrotherapy in the management of FMS, and randomised controlled trials (RCTs) met the inclusion criteria.

Exercise for Fibromyalgia Pain: A Meta-Analysis of Randomized Controlled Trials

Physical exercise may have positive effects on pain reduction in patients with fibromyalgia, and long-term, rigorous and well-controlled randomized trials are warranted.

Systematic Review of Randomized Controlled Trials of Nonpharmacological Interventions for Fibromyalgia

A systematic review from 1980 to May 2000 of randomized controlled trials (RCTs) of nonpharmacological interventions for fibromyalgia syndrome found strong evidence did not emerge in respect to any single intervention, though preliminary support of moderate strength existed for aerobic exercise.