title: [Definition, diagnosis and therapy of chronic widespread pain and so-called fibromyalgia syndrome in children and adolescents. Systematic literature review and guideline].
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
  The diagnosis FMS in children and adolescents is not established. In so-called juvenile FMS (JFMS) multidimensional diagnostics with validated measures should be performed. Multimodal therapy is warranted. In the case of severe pain-related disability, therapy should be primarily performed on an inpatient basis.                         The English full-text version of this article is available at SpringerLink (under "Supplemental").
authors: Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland. b.zernikow@deutsches-kinderschmerzzentrum.de
authors: B
authors: B
authors: Zernikow
authors: K
authors: K
authors: Gerhold
authors: G
authors: G
authors: Bürk
authors: W
authors: W
authors: Häuser
authors: C H
authors: CH
authors: Hinze
authors: T
authors: T
authors: Hospach
authors: A
authors: A
authors: Illhardt
authors: K
authors: K
authors: Mönkemöller
authors: M
authors: M
authors: Richter
authors: E
authors: E
authors: Schnöbel-Müller
authors: R
authors: R
authors: Häfner
mesh_terms: D000203:Activities of Daily Living / Q000145:classification / Q000523:psychology; D000293:Adolescent; D001008:Anxiety Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D002648:Child; D059350:Chronic Pain / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D015897:Comorbidity; D003299:Cooperative Behavior; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation; D019317:Evidence-Based Medicine; D005356:Fibromyalgia / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation*; D005858:Germany; D006801:Humans; D033183:Interdisciplinary Communication; D010343:Patient Admission; D010348:Patient Care Team; D011788:Quality of Life / Q000523:psychology; D012047:Rehabilitation Centers