EULAR recommendations for management of fibromyalgia

Macfarlane, Gary J.; Kronisch, Caroline; Atzeni, Fabiola; Haüser, Winfried; Choy, Ernest; Amris, Kirstine; Branco, Jaime; Dinçer, Fitnat; Leino-Arjas, Päivi; Longley, Kathy; McCarthy, Géraldine; Makri, Suzi; Perrot, Serge; Puttini, Piercarlo Sarzi; Taylor, Ann M.; Jones, Gareth T

doi:10.1136/annrheumdis-2017-211587

Cited by 45 publications

(31 citation statements)

References 2 publications

(2 reference statements)

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“…Regarding pharmacological treatment, 53.8% of the patients used antidepressants, a proportion that may be considered low, since international recommendations for the treatment of FM indicate antidepressants as the first treatment line 9 . The nursing intervention analyzed in this study is in line with the recommendations of the Brazilian Consensus for the treatment of FM, which reaffirms the importance of guidelines and programs for self-control of pain [17][18][19] . Therefore, nursing intervention with telephone monitoring was an effective strategy to improve treatment outcomes in patients with FM, confirming the efficacy of the recommendations of the national and international consensus for the treatment of this syndrome.…”

Section: Discussionsupporting

confidence: 76%

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

Ali

Sanches²,

Lauretti³

et al. 2018

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:Fibromyalgia is a non-inflammatory rheumatic syndrome, characterized by diffuse chronic musculoskeletal pain, usually accompanied by other symptoms not related to the locomotor system such as depression, fatigue, cognitive alterations, impaired sleep quality, and headache. This study aimed to evaluate the impact of a nursing intervention in the control of pain and depressive symptoms of patients with fibromyalgia. METHODS: A quasi-experimental study conducted through the electronic database review of a private chronic patients monitoring service. The sample included 353 patients with fibromyalgia who were attended in the period from 2014 to 2017. The nursing intervention included a home visit and the application of educational strategies over the telephone for 6 months. Participants were assessed using the verbal numerical rating scale and the Patient Health Questionnaire scale. The comparison between the continuous variables was performed by the t-paired test, and the comparison between the categorical variables was performed using the McNemar-Bowker test. The level of significance was set at p<0.05. RESULTS: Nursing intervention promoted a significant reduction in the average pain intensity (p<0.001) after the intervention. The reduction in the average depression score, however, was not significant (p=0.093), but the intervention significantly reduced the cases of moderate and very severe depression (p=0.01). CONCLUSION: Nursing intervention by telephone showed a positive impact on pain control and reduction of depressive symptoms in patients with fibromyalgia.

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Section: Discussionsupporting

confidence: 76%

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

Ali

Sanches²,

Lauretti³

et al. 2018

Brazilian Journal of Pain

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“…Among psychological therapies for FMS, the best evidence available is for face‐to‐face cognitive behavioural therapies (CBTs) (Bernardy et al., ). CBTs were recommended for FMS management by recent evidence‐based guidelines (Köllner et al., ; Macfarlane et al., ).…”

Section: Introductionmentioning

confidence: 99%

Efficacy, acceptability and safety of Internet‐delivered psychological therapies for fibromyalgia syndrome: A systematic review and meta‐analysis of randomized controlled trials

Bernardy

Klose

Welsch

et al. 2018

European Journal of Pain

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“…Despite a large amount of research and recommendations for the management of FMS by recent evidence-based guidelines (K€ ollner et al,2017;MacFarlane et al, 2017) some major questions on the importance of CBTs in FMS are not definitely answered:…”

Section: Introductionmentioning

confidence: 99%

Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta‐analysis of randomized controlled trials

Bernardy

Klose

Welsch

et al. 2017

European Journal of Pain

170

122

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This updated systematic review aimed at evaluating the efficacy, acceptability and safety of cognitive behavioural therapies (CBTs) in fibromyalgia syndrome (FMS). Clinicaltrials.gov, Cochrane Library, MEDLINE, PsycINFO and SCOPUS were searched from September 2013 to May 2017. Randomized controlled trials (RCTs) comparing CBTs with controls were analysed. Primary outcomes were ≥50% pain relief, ≥20% improvement of health‐related quality of life (HRQoL), negative mood, fatigue, disability, acceptability and safety at end of therapy and at 6 months follow‐up. Effects were summarized by a random effects model using risk differences (RD) or standardized mean differences (SMD) with 95% confidence intervals (CI). 29 RCTs with 2509 subjects were included. CBTs were superior to controls (waiting list, attention control, treatment as usual, other active non‐pharmacological therapies) in pain relief of 50% or greater (RD 0.05 [95% CI 0.02–0.07] (high‐quality evidence), improvement of HRQoL of 20% or greater (RD 0.13 [95% CI 0.00–0.26], (moderate quality evidence), and in reducing negative mood (SMD −0.43 [95% CI −0.62 to −0.24]) (high‐quality evidence), disability (SMD −0.30 [95% CI −0.52 to −0.08]) (high‐quality evidence) and fatigue (SMD – 0–27 [95% CI −0.50 to −0.03]) (high‐quality evidence). There were no statistically significant differences between CBTs and controls in acceptability and safety (high‐quality evidence). The update did not change the major findings of the previous review. CBTs provided a clinically relevant benefit over control interventions in reducing some key symptoms of FMS and disability at the end of treatment. Significance This updated systematic review with meta‐analysis on cognitive behavioural therapies (CBTs) including acceptance‐based CBTs endorse the efficacy and tolerability of CBTs in reducing key symptoms and disability in FMS in the short‐ and long‐term if compared to waiting list, treatment as usual, attention controls and active non‐pharmacological therapies. CBTs did not differ in efficacy except superiority for coping with pain and tolerability from recommended drug therapy (pregabalin and/or duloxetine).

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EULAR recommendations for management of fibromyalgia

Cited by 45 publications

References 2 publications

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

Effects of a nursing intervention in the control of symptoms in patients with fibromyalgia. Case report

Efficacy, acceptability and safety of Internet‐delivered psychological therapies for fibromyalgia syndrome: A systematic review and meta‐analysis of randomized controlled trials

Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta‐analysis of randomized controlled trials

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