title: [German fibromyalgia consumer reports. Benefits and harms of fibromyalgia syndrome therapies].
abstract: BACKGROUND
  Consumer reports provide information on benefits and harms in routine clinical care. We report the first fibromyalgia syndrome (FMS) consumer reports in Europe.
  
  
  METHODS
  The study was carried out from November 2010 to April 2011. The benefits and harms of pharmacological and non-pharmacological therapies experienced by the patient were assessed in an 11-point Likert scale (0=no, 10=very high benefit or harm) by a questionnaire. The questionnaire was distributed by the German League against Rheumatism and the German Fibromyalgia Association to their members and to all consecutive FMS patients of nine clinical centers of different levels of care.
  
  
  RESULTS
  A total of 1,661 questionnaires (95% women, mean age 54 years) were analyzed. Self-management strategies (distraction, resting, aerobic exercise), physical therapies (warm and pool therapies), psychological therapies (education, psychotherapy), and inpatient multicomponent therapies were judged to be more efficacious and less harmful than all types of pharmacological therapies.
  
  
  CONCLUSIONS
  The German fibromyalgia consumer reports highlight the importance of non-pharmcological therapies in the long-term management of FMS.
authors.affiliation: Klinik für Innere Medizin 1, Klinikum Saarbrücken GmbH, Winterberg 1, 66119 Saarbrücken, Deutschland. whaeuser@klinikum-saarbruecken.de
authors.forename: W
authors.initials: W
authors.lastname: Häuser
authors.forename: E
authors.initials: E
authors.lastname: Jung
authors.forename: B
authors.initials: B
authors.lastname: Erbslöh-Möller
authors.forename: M
authors.initials: M
authors.lastname: Gesmann
authors.forename: H
authors.initials: H
authors.lastname: Kühn-Becker
authors.forename: F
authors.initials: F
authors.lastname: Petermann
authors.forename: J
authors.initials: J
authors.lastname: Langhorst
authors.forename: T
authors.initials: T
authors.lastname: Weiss
authors.forename: R
authors.initials: R
authors.lastname: Thoma
authors.forename: A
authors.initials: A
authors.lastname: Winkelmann
mesh_terms: D000328:Adult; D000368:Aged; D000700:Analgesics / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D005260:Female; D005356:Fibromyalgia / Q000534:rehabilitation*; D006801:Humans; D033183:Interdisciplinary Communication; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D017060:Patient Satisfaction; D016032:Randomized Controlled Trials as Topic; D012047:Rehabilitation Centers; D018570:Risk Assessment; D011795:Surveys and Questionnaires
chemical_list: D000700:Analgesics