Evidence map›Paper›PMID 18470541›Full record

GuidelineSchmerz (Berlin, Germany)2008

[Etiology and pathophysiology of fibromyalgia syndrome and chronic widespread pain].

C Sommer, W Häuser, K Gerhold, P Joraschky, F Petzke, T Tölle, N Uçeyler, A Winkelmann, K Thieme

Abstract readConsensus StatementPractice GuidelineSystematic Review
PubMed Publisher
In one paragraph

Guideline in Schmerz (Berlin, Germany), 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

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  9. Sustained stimulation of βBrain, behavior, and immunity · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 8 institutions in 1 country.

C SommerNeurologische Klinik, Universität Würzburg, Würzburg. sommer@mail.uni-wuerzburg.de
W Häuser
K Gerhold
P Joraschky
F Petzke
T Tölle
N Uçeyler
A Winkelmann
K Thieme
University of Würzburg · DECentral Institute of Mental Health · DECentrum für Integrierte Onkologie · DECharité - Universitätsmedizin Berlin · DEKlinikum Saarbrücken · DEKlinik und Poliklinik für Orthopädie, Physikalische Medizin und Rehabilitation · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DETechnical University of Munich · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo write a systematic review on the etiology and pathophysiology of the fibromyalgia syndrome (FMS) and of chronic widespread pain (CWP).

methodsAn interdisciplinary level-3 guideline (i.e. systematic literature search and assessment, logic analysis, formal consensus procedure) for the diagnosis and therapy of FMS was created in cooperation with 10 medical and psychological societies and 2 patient self-help organizations. A literature search was performed covering all available review articles on the etiology and pathophysiology of FMS and CWP using the Cochrane Collaboration Reviews (1993-12/2006), Medline (1980-2006), PsychInfo (1966-12/2006), and Scopus (1980-12/2006). For the assignment of evidence classes the system of the Oxford Centre for Evidence-Based Medicine was applied. Consensus was achieved by a multi-step nominal group procedure.

resultsFMS aggregates in families (evidence level 2c). Physical and psychological stress at the workplace are risk factors for the development of CWP and FMS. Affective disorders are risk factors for the development and maintenance of FMS. Operant learning mechanisms and sensitization are risk factors for the chronification of FMS (evidence levels 2b). Several factors are associated with the pathophysiology of FMS, but the causal relationship is unclear. This includes alterations of central pain pathways, hyporeactivity of the hypothalamus-pituitary-adrenal axis, increased systemic pro-inflammatory and reduced anti-inflammatory cytokine profiles and disturbances in the dopaminergic and serotonergic systems.

conclusionsFMS is the common final product of various etiological factors and pathophysiological mechanisms.

Indexed as

Autonomic Nervous SystemCentral Nervous SystemDiagnosis, DifferentialEvidence-Based MedicineFibromyalgiaGenetic Predisposition to DiseaseGermanyHumansPatient Care TeamRisk FactorsSocial EnvironmentStress, Psychological

Identifiers

PMID18470541
OpenAlexW2143227234

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.