[Juvenile fibromyalgia syndrome].
OBJECTIVE
The aim was to develop a guideline for diagnostic procedures and treatment of juvenile fibromyalgia syndrome (JFMS) in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.


METHODS
A systematic literature search, including all controlled studies evaluating diagnosis and treatment of JFMS, was performed in the Cochran Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was performed according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.


RESULTS
Pain in children/adolescents involving several body areas and lasting >3 months without an obvious somatic cause is called JFMS or pain amplification syndrome. Therapeutically, a multidisciplinary concept with psychotherapy and physiotherapy, relaxation techniques and patient education is recommended.


CONCLUSIONS
These guideline will contribute to a better recognition and standardized care of patients with JFMS and facilitate clinical studies.
Michels
H
H
Deutsches Zentrum für Kinder- und Jugendrheumatologie, Gehfeldstrasse 24, 82467, Garmisch-Partenkirchen. michels.hartmut@rummelsberger.net
Gerhold
K
K
Häfner
R
R
Häuser
W
W
Illhardt
A
A
Mönkemöller
K
K
Richter
M
M
Schuchmann
L
L
D000293:Adolescent; D002648:Child; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D019317:Evidence-Based Medicine; D005356:Fibromyalgia / Q000175:diagnosis / Q000534:rehabilitation*; D006801:Humans; D010348:Patient Care Team; D012657:Self-Help Groups; D012955:Societies, Medical