[Principles of treatment, coordination of medical care and patient education in fibromyalgia syndrome and chronic widespread pain].
BACKGROUND
A guideline for the treatment and diagnostic procedures for fibromyalgia syndrome (FMS) was developed 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 physiotherapy, exercise and strength training as well as physical therapies was performed in the Cochrane 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 done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.


RESULTS
Patient's information at first diagnosis of FMS is strongly recommended (grade A). Patient-centered communication is recommended (grade B). A stepwise treatment approach depending on the adapatation to restrictions in daily life and response to treatment options can be considered (grade C).


CONCLUSIONS
The long-term treatment should be based on principles of basic psychosomatic care and shared decision making on treatment options.
Klement
A
A
Institut für Allgemeinmedizin, Martin-Luther-Universität Halle-Wittenberg, 06112 Halle. andreas.klement@medizin.uni-halle.de
Häuser
W
W
Brückle
W
W
Eidmann
U
U
Felde
E
E
Herrmann
M
M
Kühn-Becker
H
H
Offenbächer
M
M
Settan
M
M
Schiltenwolf
M
M
von Wachter
M
M
Eich
W
W
D000465:Algorithms; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D019468:Disease Management; D019317:Evidence-Based Medicine; D005356:Fibromyalgia / Q000175:diagnosis / Q000534:rehabilitation*; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D010348:Patient Care Team; D010353:Patient Education as Topic; D012657:Self-Help Groups; D012955:Societies, Medical