title: [Fibromyalgia syndrome. General principles and coordination of clinical care and patient education].
abstract: BACKGROUND
  The scheduled update to the German S3 guidelines on fibromyalgia syndrome (FMS) by the Association of the Scientific Medical Societies ("Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften", AWMF; registration number 041/004) was planned starting in March 2011.
  
  
  METHODS
  The development of the guidelines was coordinated by the German Interdisciplinary Association for Pain Therapy ("Deutsche Interdisziplinären Vereinigung für Schmerztherapie", DIVS), 9 scientific medical societies and 2 patient self-help organizations. Eight working groups with a total of 50 members were evenly balanced in terms of gender, medical field, potential conflicts of interest and hierarchical position in the medical and scientific fields.                         Literature searches were performed using the Medline, PsycInfo, Scopus and Cochrane Library databases (until December 2010). The grading of the strength of the evidence followed the scheme of the Oxford Centre for Evidence-Based Medicine. The formulation and grading of recommendations was accomplished using a multi-step, formal consensus process. The guidelines were reviewed by the boards of the participating scientific medical societies.
  
  
  CONCLUSIONS
  A diagnosis of FMS should be explicitly communicated with the afflicted individual. A step-wise treatment, depending on the severity of FMS and the responses to therapeutic measures, is recommended. Therapy should only be continued if the positive effects outweigh the side effects.                         The English full-text version of this article is available at SpringerLink (under "Supplemental").
authors: Klinik für Allgemeine Innere Medizin und Psychosomatik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 10, 69210, Heidelberg, Deutschland. wolfgang.eich@med.uni-heidelberg.de
authors: W
authors: W
authors: Eich
authors: W
authors: W
authors: Häuser
authors: B
authors: B
authors: Arnold
authors: K
authors: K
authors: Bernardy
authors: W
authors: W
authors: Brückle
authors: U
authors: U
authors: Eidmann
authors: K
authors: K
authors: Klimczyk
authors: V
authors: V
authors: Köllner
authors: H
authors: H
authors: Kühn-Becker
authors: M
authors: M
authors: Offenbächer
authors: M
authors: M
authors: Settan
authors: M
authors: M
authors: von Wachter
authors: F
authors: F
authors: Petzke
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D003142:Communication; D003299:Cooperative Behavior; D019317:Evidence-Based Medicine; D005356:Fibromyalgia / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D033183:Interdisciplinary Communication; D010148:Intractable Pain / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D010343:Patient Admission; D010348:Patient Care Team; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D012047:Rehabilitation Centers; D013001:Somatoform Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation