title: [Recommendations for treatment of fibromyalgia : Where will we stand in 10 years?]
abstract: This article elucidates changes in the recommended diagnostics and therapy of fibromyalgia (FM). The recommendations from major internationally recognized guidelines are compared with the newest recommendations of the European League Against Rheumatism (EULAR) that in contrast to the guidelines surprisingly recommend physical exercise after patient education for all FM patients. The differences between the guidelines and the EULAR recommendations are critically discussed in particular because although the literature referred to in the guidelines was similar, the analysis led to different recommendations. Finally, we try to predict how patients will be treated 10 years from now, for which knowledge from the guidelines and the initial approaches that diagnosed heterogeneity in FM are included. Empirically based questions will drive mechanism-based approaches as opposed to simply reacting to symptoms, in order to meet the challenge of an individual, mechanism-oriented treatment.
authors.affiliation: Institut für Medizinische Psychologie, Philipps-Universität Marburg, Karl-von-Frisch-Str. 4, 35032, Marburg, Deutschland. kati.thieme@staff.uni-marburg.de.
authors.forename: K
authors.initials: K
authors.lastname: Thieme
authors.affiliation: Center for Pain Research on Impact, Measurement and Effectiveness (C-PRIME), Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
authors.forename: D C
authors.initials: DC
authors.lastname: Turk
mesh_terms: D003131:Combined Modality Therapy; D019317:Evidence-Based Medicine; D005081:Exercise Therapy; D005356:Fibromyalgia / Q000175:diagnosis* / Q000628:therapy*; D019983:Guideline Adherence; D006801:Humans; D010353:Patient Education as Topic; D057285:Precision Medicine
keywords: Exercise, physical; Individualized medicine; Meta-analysis as topic; Methodology; Review literature as topic