Definition, diagnosis and therapy of chronic widespread pain and so-called fibromyalgia syndrome in children and adolescents: Systematic literature review and guideline
Zernikow B et al. – In the case of severe pain–related disability, therapy should be primarily performed on an inpatient basis.Methods
- The development of the guidelines was coordinated by the German Interdisciplinary Association for Pain Therapy, 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.
- 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.