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  • Kundakci, BurakUniv Manchester, Div Musculoskeletal & Dermatol Sci, Ctr Epidemiol Versus Arthrit, Manchester, Lancs, England.;Univ Nottingham, Acad Rheumatol, Sch Med, Nottingham, England. (author)

International, multidisciplinary Delphi consensus recommendations on non-pharmacological interventions for fibromyalgia

  • Article/chapterEnglish2022

Publisher, publication year, extent ...

  • Elsevier BV,2022
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-510140
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-510140URI
  • https://doi.org/10.1016/j.semarthrit.2022.152101DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153457057URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Objectives: To develop evidence-based expert recommendations for non-pharmacological treatments for pain, fatigue, sleep problems, and depression in fibromyalgia.Methods: An international, multidisciplinary Delphi exercise was conducted. Authors of EULAR and the Canadian Fibromyalgia Guidelines Group, members of the American Pain Society and clinicians with expertise in fibromyalgia were invited. Participants were asked to select non-pharmacological interventions that could be offered for specific fibromyalgia symptoms and to classify them as either core or adjunctive treatments. An evidence summary was provided to aid the decision making. Items receiving >70% votes were accepted, those receiving <30% votes were rejected and those obtaining 30-70% votes were recirculated for up to two additional rounds.Results: Seventeen experts participated (Europe (n = 10), North America (n = 6), and Israel (n = 1)) in the Delphi exercise and completed all three rounds. Aerobic exercise, education, sleep hygiene and cognitive behavioural therapy were recommended as core treatments for all symptoms. Mind-body exercises were recommended as core interventions for pain, fatigue and sleep problems. Mindfulness was voted core treatment for depression, and adjunctive treatment for other symptoms. Other interventions, namely music, relaxation, hot bath, and local heat were voted as adjunctive treatments, varying between symptoms.Conclusions: This study provided evidence-based expert consensus recommendations on non-pharmacological treatments for fibromyalgia that may be used to individualise treatments in clinical practice targeting the diverse symptoms associated with fibromyalgia.

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Added entries (persons, corporate bodies, meetings, titles ...)

  • Hall, MichelleUniv Nottingham, Sch Hlth Sci, Nottingham, England. (author)
  • Atzeni, FabiolaUniv Messina, Rheumatol Unit, Messina, Italy. (author)
  • Branco, JaimeUniv Nova Lisboa, NOVA Med Sch, CEDOC, Fac Ciencias Med, Lisbon, Portugal. (author)
  • Buskila, DanBen Gurion Univ Negev, Negev, Beer Sheva, Israel. (author)
  • Clauw, DanielMichigan Med, Ann Arbor, MI USA. (author)
  • Crofford, Leslie J.Vanderbilt Univ, Med Ctr, Nashville, TN USA. (author)
  • Fitzcharles, Mary-AnnMcGill Univ, Montreal, PQ, Canada. (author)
  • Georgopoulos, VasileiosPrimary Integrated Commun Serv Ltd, Nottingham, England. (author)
  • Gerwin, Robert D.Johns Hopkins Univ, Baltimore, MD USA. (author)
  • Kosek, EvaKarolinska Institutet,Uppsala universitet,Institutionen för kirurgiska vetenskaper,Karolinska Inst, Dept Clin Neurosci, Stockholm, Sweden.(Swepub:uu)evako353 (author)
  • Macfarlane, Gary J.Univ Aberdeen, Epidemiol Grp, Aberdeen, Scotland.;Univ Aberdeen, Aberdeen Ctr Arthrit & Musculoskeletal Hlth, Aberdeen, Scotland. (author)
  • Neal, CarolinePrimary Integrated Commun Serv Ltd, Nottingham, England. (author)
  • Rudin, Nathan J.Univ Wisconsin, Dept Orthoped & Rehabil, Sch Med & Publ Hlth, Madison, WI USA. (author)
  • Ryan, SarahMidlands NHS Fdn Trust, Stoke On Trent, Staffs, England. (author)
  • da Silva, Jose A. P.Univ Coimbra, Inst Clin & Biomed Res iCBR, Ctr Hosp Univ Coimbra, Fac Med,Rheumatol Dept, Coimbra, Portugal. (author)
  • Taylor, Ann M.Cardiff Univ, Sch Med, Cardiff, Wales. (author)
  • Turk, Dennis C.Univ Washington, Sch Med, Seattle, WA USA. (author)
  • Whibley, DanielMichigan Med, Ann Arbor, MI USA. (author)
  • Doherty, Michael (author)
  • Zhang, Weiya (author)
  • Abhishek, Abhishek (author)
  • Univ Manchester, Div Musculoskeletal & Dermatol Sci, Ctr Epidemiol Versus Arthrit, Manchester, Lancs, England.;Univ Nottingham, Acad Rheumatol, Sch Med, Nottingham, England.Univ Nottingham, Sch Hlth Sci, Nottingham, England. (creator_code:org_t)

Related titles

  • In:Seminars in Arthritis & Rheumatism: Elsevier BV570049-01721532-866X

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