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[2017年纤维肌痛综合征指南方法学报告]

[Methodology report of the 2017 guidelines on fibromyalgia syndrome].

作者信息

Häuser W, Nothacker M

机构信息

Innere Medizin I (Gastroenterologie, Hepatologie, Stoffwechsel- und Infektionskrankheiten, Psychosomatik), Klinikum Saarbrücken gGmbH, Winterberg 1, 66119, Saarbrücken, Deutschland.

Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Technische Universität München, München, Deutschland.

出版信息

Schmerz. 2017 Jun;31(3):200-230. doi: 10.1007/s00482-017-0209-y.

DOI:10.1007/s00482-017-0209-y
PMID:28493230
Abstract

BACKGROUND

The regular update of the guidelines on fibromyalgia syndrome, AWMF number 145/004, was planned for April 2017.

METHODS

The guidelines were developed by 13 scientific societies and 2 patient self-help organizations coordinated by the German Pain Society. Working groups (n = 8) with a total of 42 members were formed balanced with respect to gender, medical expertise, position in the medical or scientific hierarchy and potential conflicts of interest.

RESULTS

A systematic search of the literature from December 2010 to May 2016 was performed in the Cochrane library, MEDLINE, PsycINFO and Scopus databases. Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine version 2009. The strength of recommendations was achieved by multiple step formalized procedures to reach a consensus. Efficacy, risks, patient preferences and applicability of therapies available were weighed up against each other. The guidelines were reviewed and approved by the board of directors of the societies engaged in the development of the guidelines.

CONCLUSION

The guidelines are published in several forms, i.e. complete and short scientific versions and clinical practice and patient versions.

摘要

背景

纤维肌痛综合征指南(AWMF编号145/004)计划于2017年4月进行定期更新。

方法

该指南由德国疼痛协会协调的13个科学学会和2个患者自助组织制定。成立了8个工作组,共有42名成员,在性别、医学专业知识、在医学或科学层级中的职位以及潜在利益冲突方面保持平衡。

结果

在Cochrane图书馆、MEDLINE、PsycINFO和Scopus数据库中对2010年12月至2016年5月的文献进行了系统检索。根据2009版牛津循证医学中心的分类系统确定证据级别。通过多步骤形式化程序达成共识以确定推荐强度。对现有治疗方法的疗效、风险、患者偏好和适用性进行了权衡。该指南由参与制定指南的学会董事会审查并批准。

结论

该指南以多种形式发布,即完整和简短的科学版本以及临床实践和患者版本。

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引用本文的文献

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[A weakly negative recommendation is not an absolute "no" : Comment on AWMF guideline recommendations for cannabis-based medicines in fibromyalgia syndrome].
Schmerz. 2018 Oct;32(5):327-329. doi: 10.1007/s00482-018-0328-0.
2
[Drug therapy of fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].[纤维肌痛综合征的药物治疗:2017年更新指南及系统评价文章综述]
Schmerz. 2017 Jun;31(3):274-284. doi: 10.1007/s00482-017-0207-0.
3
[General treatment principles, coordination of care and patient education in fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].[纤维肌痛综合征的一般治疗原则、护理协调及患者教育:2017年更新指南及系统评价文章综述]

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Schmerz. 2015 Feb;29(1):8-34. doi: 10.1007/s00482-014-1462-y.
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[Multimodal therapy of fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].[纤维肌痛综合征的多模式治疗:2017年更新指南及系统评价文章综述]
Schmerz. 2017 Jun;31(3):285-288. doi: 10.1007/s00482-017-0205-2.
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[Complementary and alternative procedures for fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].[纤维肌痛综合征的补充和替代疗法:2017年更新指南及系统评价文章综述]
Schmerz. 2017 Jun;31(3):289-295. doi: 10.1007/s00482-017-0206-1.
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[Etiology and pathophysiology of fibromyalgia syndrome : Updated guidelines 2017, overview of systematic review articles and overview of studies on small fiber neuropathy in FMS subgroups].[纤维肌痛综合征的病因学和病理生理学:2017年更新指南、系统评价文章概述及纤维肌痛综合征亚组中小纤维神经病变的研究概述]
Schmerz. 2017 Jun;31(3):239-245. doi: 10.1007/s00482-017-0202-5.
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[Definition, diagnostics and therapy of chronic widespread pain and the (so-called) fibromyalgia syndrome in children and adolescents : Updated guidelines 2017].[儿童和青少年慢性广泛性疼痛及(所谓的)纤维肌痛综合征的定义、诊断与治疗:2017年更新指南]
Schmerz. 2017 Jun;31(3):296-307. doi: 10.1007/s00482-017-0208-z.
8
[Psychotherapy and psychological procedures for fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].[纤维肌痛综合征的心理治疗与心理干预措施:2017年更新指南及系统评价文章综述]
Schmerz. 2017 Jun;31(3):266-273. doi: 10.1007/s00482-017-0204-3.
9
[Physiotherapy, occupational therapy and physical therapy in fibromyalgia syndrome : Updated guidelines 2017 and overview of systematic review articles].[纤维肌痛综合征的物理治疗、职业治疗和物理疗法:2017年更新指南及系统评价文章综述]
Schmerz. 2017 Jun;31(3):255-265. doi: 10.1007/s00482-017-0203-4.
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